NUR 254 EXAM 4 | NURSING 254 MATERNAL
EXAM 4 EXAM QUESTIONS & ANSWERS,
EXPLAINED SOLUTIONS| 2026-2027 QUESTIONS
AND RIGHT VERIFIED ANSWERS| GRADED A+
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of <
1000 mm. Which of the following should the nurse include in the child's plan of care? -
Correct Answer -Administer prescribed influenza vaccination
The nurse is providing a teaching session to the health care staff regarding osteosarcoma.
Which of the following statements by an attendee indicates a need for additional teaching? -
Correct Answer -"In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.
The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the
following actions by the nurse indicates the need for additional training? - Correct Answer -
Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment
of the child includes the following: respirations 10 and unarousable. The child is currently on
intravenous (IV) fluids and continuous IV morphine sulfate Based on the assessment
information, which of the following actions should the nurse take first? - Correct Answer -
Administer naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the
following interventions should the nurse anticipate to be prescribed for the child? - Correct
Answer -Hydration and pain management
The nurse working in the emergency department (ED) is caring for a child who has
hemophilia and developed a swollen knee after falling off a bicycle. The nurse is teaching the
child's parents about care when similar incidents occur at home in the future. Which of the
following actions should the nurse teach the parents? - Correct Answer -Apply an ice pack
and compression dressings to the knee.
1
, The newly hired nurse is talking with the nurse preceptor about the prevention of
irondeficiency anemia in infants. Which of the following statements by the newly hired nurse
is correct regarding prevention of this condition? - Correct Answer -"Iron-fortified
commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following
assessment finds should the nurse expect to observe? - Correct Answer -Pallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of
a Wilm'stumor. Which of the following requires immediate follow up by the nurse? - Correct
Answer -Incision site is pink at the edges.
The nurse is providing discharge instructions to the parents of a child who had surgical
resection of a neuroblastoma 4 days ago. Which of the following statements by the parents
indicates teaching has been effective? - Correct Answer -We will provide pain relief using
pain medication and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable
condition. Which of the following interventionsshould the nurse implement to decrease ICP
in the child? - Correct Answer -Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the
nurse include in the child's plan of care - Correct Answer -Provide the child a quiet
atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of
the lumbar puncture are still pending. Which of the following actions by the nurse is the
priority? - Correct Answer -Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the
following should the nurse recognize as 1 of the early warning signs of cerebral palsy? -
Correct Answer -Poor head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder. Which of
the following manifestations should the nurse expect to observe in this child? - Correct
Answer -Monotone speech
2
EXAM 4 EXAM QUESTIONS & ANSWERS,
EXPLAINED SOLUTIONS| 2026-2027 QUESTIONS
AND RIGHT VERIFIED ANSWERS| GRADED A+
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of <
1000 mm. Which of the following should the nurse include in the child's plan of care? -
Correct Answer -Administer prescribed influenza vaccination
The nurse is providing a teaching session to the health care staff regarding osteosarcoma.
Which of the following statements by an attendee indicates a need for additional teaching? -
Correct Answer -"In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.
The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the
following actions by the nurse indicates the need for additional training? - Correct Answer -
Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment
of the child includes the following: respirations 10 and unarousable. The child is currently on
intravenous (IV) fluids and continuous IV morphine sulfate Based on the assessment
information, which of the following actions should the nurse take first? - Correct Answer -
Administer naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the
following interventions should the nurse anticipate to be prescribed for the child? - Correct
Answer -Hydration and pain management
The nurse working in the emergency department (ED) is caring for a child who has
hemophilia and developed a swollen knee after falling off a bicycle. The nurse is teaching the
child's parents about care when similar incidents occur at home in the future. Which of the
following actions should the nurse teach the parents? - Correct Answer -Apply an ice pack
and compression dressings to the knee.
1
, The newly hired nurse is talking with the nurse preceptor about the prevention of
irondeficiency anemia in infants. Which of the following statements by the newly hired nurse
is correct regarding prevention of this condition? - Correct Answer -"Iron-fortified
commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following
assessment finds should the nurse expect to observe? - Correct Answer -Pallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of
a Wilm'stumor. Which of the following requires immediate follow up by the nurse? - Correct
Answer -Incision site is pink at the edges.
The nurse is providing discharge instructions to the parents of a child who had surgical
resection of a neuroblastoma 4 days ago. Which of the following statements by the parents
indicates teaching has been effective? - Correct Answer -We will provide pain relief using
pain medication and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable
condition. Which of the following interventionsshould the nurse implement to decrease ICP
in the child? - Correct Answer -Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the
nurse include in the child's plan of care - Correct Answer -Provide the child a quiet
atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of
the lumbar puncture are still pending. Which of the following actions by the nurse is the
priority? - Correct Answer -Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the
following should the nurse recognize as 1 of the early warning signs of cerebral palsy? -
Correct Answer -Poor head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder. Which of
the following manifestations should the nurse expect to observe in this child? - Correct
Answer -Monotone speech
2
