NUR2513 Exam 3 / Final Exam Practice Exam –
Maternal Child Nursing – Rasmussen
University
1. The nurse is administering ear drops to a 2-year-old child. How should the nurse position
the child's ear canal?
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Pull the pinna upward and outward
D. Keep the pinna in a neutral position
Answer: B
*Rationale: For children younger than age 2-3 years, the ear canal is straightened by pulling
the pinna down and back. For children older than 2-3 years, the pinna is pulled up and back.
This technique ensures proper delivery of medication to the ear canal .*
2. A school nurse is teaching a child with asthma how to use a metered-dose inhaler (MDI)
with a spacer. Which step should the nurse include in the teaching?
A. Depress the inhaler before beginning to inhale
B. Inhale rapidly and deeply, then exhale quickly
C. Hold breath for 5-10 seconds after inhaling
D. Take two puffs without waiting between puffs
Answer: C
*Rationale: After inhaling the medication, the child should hold their breath for 5-10
,seconds to allow the medication to deposit in the lower airways. The canister should be
shaken first, and the child should begin inhaling slowly before depressing the inhaler .*
3. A 6-month-old infant is brought to the clinic with a fever and signs of an upper
respiratory infection. Which anatomical feature of the infant places them at higher risk for
respiratory complications?
A. Larger tracheal diameter
B. Obligate nose breather status
C. Increased number of alveoli
D. Stronger cough reflex
Answer: B
Rationale: Infants are obligate nose breathers, meaning they cannot coordinate mouth
breathing effectively. When the nasal passages become blocked due to congestion or
secretions, the infant may experience significant respiratory distress. The nurse should assess
for nasal patency .
4. A 12-year-old child is hospitalized with pyelonephritis. Which clinical manifestations
would the nurse expect to find? (Select all that apply)
A. Fever and chills
B. Flank pain
C. Enuresis
D. Clear urine with no odor
E. Vomiting and diarrhea
Answer: A, B, C, E
Rationale: Pyelonephritis typically presents with high fever, chills, flank or abdominal pain,
dysuria, frequency, urgency, enuresis (bedwetting), malaise, vomiting, and diarrhea. The urine
often has a foul odor and may appear cloudy, not clear .
5. A child is placed on seizure precautions. Which nursing interventions should be included?
(Select all that apply)
,A. Raise and pad the side rails of the bed or crib
B. Place a tongue blade in the child's mouth during a seizure
C. Ensure nothing is placed in the child's mouth during seizure activity
D. Administer IV medications slowly during a seizure
E. Suction the child after the seizure if needed
Answer: A, C, D, E
Rationale: Seizure precautions include padding side rails, ensuring the child's airway is patent,
placing nothing in the child's mouth during a seizure (tongue blades can cause injury),
administering IV medications slowly to reduce side effects, and suctioning after the seizure if
needed to clear secretions .
6. The nurse is providing education to parents of a 9-year-old child with a fractured distal
radius in a cast. Which topics should be included? (Select all that apply)
A. Principles of bone healing
B. How to perform a neurovascular assessment
C. Cast care instructions
D. The cast will feel cold for the first 24 hours
E. Teach about safe transfers and home adaptations
Answer: A, B, C, E
Rationale: Parent and child education for cast care includes explaining bone healing
principles, teaching neurovascular assessments (checking for pain, pallor, pulselessness,
paresthesia, paralysis), cast care (keeping it dry, not inserting objects), and safety adaptations
for home. A new cast may feel warm initially, not cold, as the cast material sets .
7. A toddler is diagnosed with Kawasaki disease. Which physical assessment findings would
the nurse expect? (Select all that apply)
A. Strawberry tongue and cracked lips
B. Conjunctivitis with exudate
C. Erythema and edema of hands and feet
D. Cervical lymphadenopathy greater than 1.5 cm
, E. Hypothermia
Answer: A, B, C, D
*Rationale: Kawasaki disease (acute febrile mucocutaneous syndrome) presents with a rash,
non-purulent conjunctivitis (with exudate), cervical lymphadenopathy (>1.5 mm), oral
mucosal changes including strawberry tongue and cracked lips, and erythema/swelling of
the hands and feet followed by peeling. Fever is a hallmark finding, not hypothermia .*
8. The nurse is teaching parents about signs of sexual abuse in a preadolescent child. Which
signs should be included? (Select all that apply)
A. The child becomes quieter and more distant
B. The child begins having nightmares and trouble sleeping
C. The child shows problematic sexual behavior
D. The child is performing better in school
E. The child complains of tummy or head pain
Answer: A, B, C, E
Rationale: Signs of possible sexual abuse in children include becoming withdrawn or distant,
regressive behaviors (bedwetting, accidents), nightmares or sleep disturbances, problematic
sexual behaviors, unexplained abdominal or head pain, physical signs (swelling, bruising on
buttocks/thighs), and declining school performance, not improvement .
9. An obese school-aged child is being educated about weight management. Which
strategies should the nurse recommend? (Select all that apply)
A. Keep a detailed log of all food eaten and the circumstances
B. Eat meals in different rooms throughout the house
C. Eat only at the kitchen table
D. Slow down eating by counting mouthfuls
E. Put the fork down between bites
Answer: A, C, D, E
Rationale: Obesity management strategies include detailed food logging, eating in one
designated place (such as the kitchen table), slowing down eating by counting mouthfuls,
Maternal Child Nursing – Rasmussen
University
1. The nurse is administering ear drops to a 2-year-old child. How should the nurse position
the child's ear canal?
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Pull the pinna upward and outward
D. Keep the pinna in a neutral position
Answer: B
*Rationale: For children younger than age 2-3 years, the ear canal is straightened by pulling
the pinna down and back. For children older than 2-3 years, the pinna is pulled up and back.
This technique ensures proper delivery of medication to the ear canal .*
2. A school nurse is teaching a child with asthma how to use a metered-dose inhaler (MDI)
with a spacer. Which step should the nurse include in the teaching?
A. Depress the inhaler before beginning to inhale
B. Inhale rapidly and deeply, then exhale quickly
C. Hold breath for 5-10 seconds after inhaling
D. Take two puffs without waiting between puffs
Answer: C
*Rationale: After inhaling the medication, the child should hold their breath for 5-10
,seconds to allow the medication to deposit in the lower airways. The canister should be
shaken first, and the child should begin inhaling slowly before depressing the inhaler .*
3. A 6-month-old infant is brought to the clinic with a fever and signs of an upper
respiratory infection. Which anatomical feature of the infant places them at higher risk for
respiratory complications?
A. Larger tracheal diameter
B. Obligate nose breather status
C. Increased number of alveoli
D. Stronger cough reflex
Answer: B
Rationale: Infants are obligate nose breathers, meaning they cannot coordinate mouth
breathing effectively. When the nasal passages become blocked due to congestion or
secretions, the infant may experience significant respiratory distress. The nurse should assess
for nasal patency .
4. A 12-year-old child is hospitalized with pyelonephritis. Which clinical manifestations
would the nurse expect to find? (Select all that apply)
A. Fever and chills
B. Flank pain
C. Enuresis
D. Clear urine with no odor
E. Vomiting and diarrhea
Answer: A, B, C, E
Rationale: Pyelonephritis typically presents with high fever, chills, flank or abdominal pain,
dysuria, frequency, urgency, enuresis (bedwetting), malaise, vomiting, and diarrhea. The urine
often has a foul odor and may appear cloudy, not clear .
5. A child is placed on seizure precautions. Which nursing interventions should be included?
(Select all that apply)
,A. Raise and pad the side rails of the bed or crib
B. Place a tongue blade in the child's mouth during a seizure
C. Ensure nothing is placed in the child's mouth during seizure activity
D. Administer IV medications slowly during a seizure
E. Suction the child after the seizure if needed
Answer: A, C, D, E
Rationale: Seizure precautions include padding side rails, ensuring the child's airway is patent,
placing nothing in the child's mouth during a seizure (tongue blades can cause injury),
administering IV medications slowly to reduce side effects, and suctioning after the seizure if
needed to clear secretions .
6. The nurse is providing education to parents of a 9-year-old child with a fractured distal
radius in a cast. Which topics should be included? (Select all that apply)
A. Principles of bone healing
B. How to perform a neurovascular assessment
C. Cast care instructions
D. The cast will feel cold for the first 24 hours
E. Teach about safe transfers and home adaptations
Answer: A, B, C, E
Rationale: Parent and child education for cast care includes explaining bone healing
principles, teaching neurovascular assessments (checking for pain, pallor, pulselessness,
paresthesia, paralysis), cast care (keeping it dry, not inserting objects), and safety adaptations
for home. A new cast may feel warm initially, not cold, as the cast material sets .
7. A toddler is diagnosed with Kawasaki disease. Which physical assessment findings would
the nurse expect? (Select all that apply)
A. Strawberry tongue and cracked lips
B. Conjunctivitis with exudate
C. Erythema and edema of hands and feet
D. Cervical lymphadenopathy greater than 1.5 cm
, E. Hypothermia
Answer: A, B, C, D
*Rationale: Kawasaki disease (acute febrile mucocutaneous syndrome) presents with a rash,
non-purulent conjunctivitis (with exudate), cervical lymphadenopathy (>1.5 mm), oral
mucosal changes including strawberry tongue and cracked lips, and erythema/swelling of
the hands and feet followed by peeling. Fever is a hallmark finding, not hypothermia .*
8. The nurse is teaching parents about signs of sexual abuse in a preadolescent child. Which
signs should be included? (Select all that apply)
A. The child becomes quieter and more distant
B. The child begins having nightmares and trouble sleeping
C. The child shows problematic sexual behavior
D. The child is performing better in school
E. The child complains of tummy or head pain
Answer: A, B, C, E
Rationale: Signs of possible sexual abuse in children include becoming withdrawn or distant,
regressive behaviors (bedwetting, accidents), nightmares or sleep disturbances, problematic
sexual behaviors, unexplained abdominal or head pain, physical signs (swelling, bruising on
buttocks/thighs), and declining school performance, not improvement .
9. An obese school-aged child is being educated about weight management. Which
strategies should the nurse recommend? (Select all that apply)
A. Keep a detailed log of all food eaten and the circumstances
B. Eat meals in different rooms throughout the house
C. Eat only at the kitchen table
D. Slow down eating by counting mouthfuls
E. Put the fork down between bites
Answer: A, C, D, E
Rationale: Obesity management strategies include detailed food logging, eating in one
designated place (such as the kitchen table), slowing down eating by counting mouthfuls,
