NUR 254 CHILD CARING EXAM 3
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A 6-year-old child is admitted with a diagnosis of acute asthma. Which
assessment finding requires immediate intervention?
A. Mild wheezing during expiration
B. Respiratory rate of 28 breaths/min
C. Use of accessory muscles and intercostal retractions
D. Slight coughing at night
Answer: C
Rationale: The use of accessory muscles and retractions indicates severe
respiratory distress, requiring prompt intervention.
2. A toddler with diarrhea is being treated at home. Which teaching point is most
important for the parent?
A. Offer carbonated drinks to replace fluids
B. Encourage small, frequent sips of oral rehydration solution
C. Avoid all solid foods until diarrhea stops
D. Limit fluid intake to prevent vomiting
Answer: B
Rationale: Oral rehydration with small, frequent sips is essential to prevent
dehydration. Carbonated drinks and fluid restriction are inappropriate.
,3. A child with type 1 diabetes is showing irritability, sweating, and palpitations.
The nurse suspects:
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Infection
Answer: B
Rationale: These are classic signs of hypoglycemia, which requires immediate
glucose administration.
4. A 4-year-old with cystic fibrosis has thick mucus secretions. Which nursing
intervention is most effective?
A. Encourage bed rest
B. Administer postural drainage and percussion
C. Restrict fluid intake
D. Provide high-fiber diet
Answer: B
Rationale: Postural drainage and percussion help mobilize and clear mucus,
reducing respiratory complications.
5. A school-aged child is being discharged after tonsillectomy. Which statement by
the parent indicates correct understanding of postoperative care?
A. “I will give my child warm milk to soothe the throat.”
B. “I will monitor for bright red bleeding and call the provider if it occurs.”
C. “I will encourage my child to gargle with salt water.”
D. “I will let my child resume vigorous activity tomorrow.”
Answer: B
Rationale: Bright red bleeding may indicate hemorrhage, a serious complication.
Milk can thicken secretions; gargling and activity are contraindicated early post-
op.
,6. A 2-year-old presents with a high fever and a barking cough. The nurse
suspects:
A. Epiglottitis
B. Croup
C. Bronchiolitis
D. Pneumonia
Answer: B
Rationale: Barking cough and stridor are characteristic of croup. Epiglottitis is a
medical emergency with drooling and tripod posture.
7. A 10-year-old child with leukemia is receiving chemotherapy. Which finding is
most concerning?
A. Mild nausea
B. Absolute neutrophil count (ANC) of 500/mm³
C. Alopecia
D. Fatigue
Answer: B
Rationale: ANC < 500/mm³ indicates severe immunosuppression and risk for
infection, requiring immediate precautions.
8. A child with nephrotic syndrome has significant edema. Which intervention is
highest priority?
A. Encourage frequent ambulation
B. Monitor for infection
C. Restrict fluid and sodium intake
D. Promote high-protein diet
Answer: C
Rationale: Sodium and fluid restriction help manage edema and reduce
complications.
, 9. Which statement by a parent demonstrates understanding of SIDS prevention?
A. “I will place my baby on the stomach to sleep.”
B. “I will keep soft toys in the crib for comfort.”
C. “I will place my baby on the back to sleep on a firm mattress.”
D. “I will use blankets to keep the baby warm.”
Answer: C
Rationale: Supine sleeping on a firm surface is the safest position. Soft objects
and loose blankets increase SIDS risk.
10. A child with a febrile seizure is admitted. Which is the priority nursing action?
A. Administer antipyretics
B. Place the child in a padded bed
C. Ensure airway patency and safety during the seizure
D. Obtain a blood culture
Answer: C
Rationale: During a seizure, airway maintenance and patient safety are priorities.
Antipyretics are supportive.
11. A 7-year-old child with ADHD is prescribed methylphenidate. Which teaching
point is most important?
A. Administer the medication in the evening
B. Expect improved attention and reduced hyperactivity
C. Avoid monitoring growth and weight
D. Discontinue medication if appetite decreases
Answer: B
Rationale: Stimulants improve attention and control hyperactive behavior.
Evening administration can cause insomnia; growth monitoring is essential.
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A 6-year-old child is admitted with a diagnosis of acute asthma. Which
assessment finding requires immediate intervention?
A. Mild wheezing during expiration
B. Respiratory rate of 28 breaths/min
C. Use of accessory muscles and intercostal retractions
D. Slight coughing at night
Answer: C
Rationale: The use of accessory muscles and retractions indicates severe
respiratory distress, requiring prompt intervention.
2. A toddler with diarrhea is being treated at home. Which teaching point is most
important for the parent?
A. Offer carbonated drinks to replace fluids
B. Encourage small, frequent sips of oral rehydration solution
C. Avoid all solid foods until diarrhea stops
D. Limit fluid intake to prevent vomiting
Answer: B
Rationale: Oral rehydration with small, frequent sips is essential to prevent
dehydration. Carbonated drinks and fluid restriction are inappropriate.
,3. A child with type 1 diabetes is showing irritability, sweating, and palpitations.
The nurse suspects:
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Infection
Answer: B
Rationale: These are classic signs of hypoglycemia, which requires immediate
glucose administration.
4. A 4-year-old with cystic fibrosis has thick mucus secretions. Which nursing
intervention is most effective?
A. Encourage bed rest
B. Administer postural drainage and percussion
C. Restrict fluid intake
D. Provide high-fiber diet
Answer: B
Rationale: Postural drainage and percussion help mobilize and clear mucus,
reducing respiratory complications.
5. A school-aged child is being discharged after tonsillectomy. Which statement by
the parent indicates correct understanding of postoperative care?
A. “I will give my child warm milk to soothe the throat.”
B. “I will monitor for bright red bleeding and call the provider if it occurs.”
C. “I will encourage my child to gargle with salt water.”
D. “I will let my child resume vigorous activity tomorrow.”
Answer: B
Rationale: Bright red bleeding may indicate hemorrhage, a serious complication.
Milk can thicken secretions; gargling and activity are contraindicated early post-
op.
,6. A 2-year-old presents with a high fever and a barking cough. The nurse
suspects:
A. Epiglottitis
B. Croup
C. Bronchiolitis
D. Pneumonia
Answer: B
Rationale: Barking cough and stridor are characteristic of croup. Epiglottitis is a
medical emergency with drooling and tripod posture.
7. A 10-year-old child with leukemia is receiving chemotherapy. Which finding is
most concerning?
A. Mild nausea
B. Absolute neutrophil count (ANC) of 500/mm³
C. Alopecia
D. Fatigue
Answer: B
Rationale: ANC < 500/mm³ indicates severe immunosuppression and risk for
infection, requiring immediate precautions.
8. A child with nephrotic syndrome has significant edema. Which intervention is
highest priority?
A. Encourage frequent ambulation
B. Monitor for infection
C. Restrict fluid and sodium intake
D. Promote high-protein diet
Answer: C
Rationale: Sodium and fluid restriction help manage edema and reduce
complications.
, 9. Which statement by a parent demonstrates understanding of SIDS prevention?
A. “I will place my baby on the stomach to sleep.”
B. “I will keep soft toys in the crib for comfort.”
C. “I will place my baby on the back to sleep on a firm mattress.”
D. “I will use blankets to keep the baby warm.”
Answer: C
Rationale: Supine sleeping on a firm surface is the safest position. Soft objects
and loose blankets increase SIDS risk.
10. A child with a febrile seizure is admitted. Which is the priority nursing action?
A. Administer antipyretics
B. Place the child in a padded bed
C. Ensure airway patency and safety during the seizure
D. Obtain a blood culture
Answer: C
Rationale: During a seizure, airway maintenance and patient safety are priorities.
Antipyretics are supportive.
11. A 7-year-old child with ADHD is prescribed methylphenidate. Which teaching
point is most important?
A. Administer the medication in the evening
B. Expect improved attention and reduced hyperactivity
C. Avoid monitoring growth and weight
D. Discontinue medication if appetite decreases
Answer: B
Rationale: Stimulants improve attention and control hyperactive behavior.
Evening administration can cause insomnia; growth monitoring is essential.
