NUR231 Exam 4 V1 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
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This exam preparation resource focuses on advanced concepts related to pediatric disorders,
family nursing care, and complex maternal-child healthcare interventions. The material is
designed to strengthen understanding of childhood illnesses and evidence-based nursing
management strategies.
The questions included in this version closely mirror the style and complexity of actual maternal-
child nursing exams. Detailed expert explanations are included to improve analytical reasoning,
patient advocacy, and pediatric nursing care planning.
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The Exam Covers:
• Common pediatric disorders
• Pediatric respiratory illnesses
• Gastrointestinal disorders in children
• Pediatric medication administration
• Family education and support
• Hospitalization effects on children
• Ethical issues in pediatric nursing
• Pediatric emergency interventions
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1. A nurse is caring for a 4-year-old child admitted with a diagnosis of epiglottitis. Which of
the following nursing interventions is the highest priority?
A. Maintain a patent airway and have emergency intubation equipment available.
B. Obtain a throat culture to identify the causative organism.
,C. Encourage the child to drink cold liquids to soothe the throat.
D. Administer prescribed oral antibiotics immediately.
Correct Answer: A
Expert Explanation: Epiglottitis is a medical emergency that can lead to rapid airway
obstruction. The primary focus is maintaining airway patency and being prepared for
emergency interventions like intubation or tracheostomy. A throat culture should never be
performed on a child with suspected epiglottitis because it can trigger a laryngospasm and
complete airway closure.
2. An infant is diagnosed with pyloric stenosis. Which clinical manifestation should the nurse
expect to observe?
A. Currant jelly-like stools containing blood and mucus.
B. Visible peristaltic waves and an olive-shaped mass in the abdomen.
C. Bile-stained emesis occurring shortly after feeding.
D. Chronic constipation and ribbon-like stools.
Correct Answer: B
Expert Explanation: Pyloric stenosis is characterized by the hypertrophy of the pyloric
sphincter, leading to gastric outlet obstruction. Classic signs include projectile non-bilious
vomiting, visible peristalsis, and a palpable olive-shaped mass in the right upper quadrant.
Currant jelly stools are associated with intussusception, while ribbon-like stools are
associated with Hirschsprung’s disease.
, 3. A child with cystic fibrosis is being educated on the use of pancreatic enzymes. When
should the nurse instruct the child to take these enzymes?
A. Immediately before or during all meals and snacks.
B. Only when eating high-fat meals.
C. Once daily in the morning before breakfast.
D. Two hours after eating to assist with late-stage digestion.
Correct Answer: A
Expert Explanation: Pancreatic enzymes are essential for children with cystic fibrosis to
digest fats, proteins, and carbohydrates due to pancreatic insufficiency. These enzymes
must be taken with every meal and snack to be effective in the small intestine. Taking them
at the correct time ensures optimal nutrient absorption and prevents malabsorption-
related complications.
4. A nurse is assessing a toddler for signs of separation anxiety during hospitalization. Which
behavior is characteristic of the ‘protest’ stage?
A. The child is quiet, withdrawn, and appears sad.
B. The child screams, cries, and resists physical contact from the nurse.
C. The child ignores the parents when they return to the room.
D. The child begins to interact with other children on the unit.
Correct Answer: B
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This exam preparation resource focuses on advanced concepts related to pediatric disorders,
family nursing care, and complex maternal-child healthcare interventions. The material is
designed to strengthen understanding of childhood illnesses and evidence-based nursing
management strategies.
The questions included in this version closely mirror the style and complexity of actual maternal-
child nursing exams. Detailed expert explanations are included to improve analytical reasoning,
patient advocacy, and pediatric nursing care planning.
════════════════════════════════════
The Exam Covers:
• Common pediatric disorders
• Pediatric respiratory illnesses
• Gastrointestinal disorders in children
• Pediatric medication administration
• Family education and support
• Hospitalization effects on children
• Ethical issues in pediatric nursing
• Pediatric emergency interventions
════════════════════════════════════
1. A nurse is caring for a 4-year-old child admitted with a diagnosis of epiglottitis. Which of
the following nursing interventions is the highest priority?
A. Maintain a patent airway and have emergency intubation equipment available.
B. Obtain a throat culture to identify the causative organism.
,C. Encourage the child to drink cold liquids to soothe the throat.
D. Administer prescribed oral antibiotics immediately.
Correct Answer: A
Expert Explanation: Epiglottitis is a medical emergency that can lead to rapid airway
obstruction. The primary focus is maintaining airway patency and being prepared for
emergency interventions like intubation or tracheostomy. A throat culture should never be
performed on a child with suspected epiglottitis because it can trigger a laryngospasm and
complete airway closure.
2. An infant is diagnosed with pyloric stenosis. Which clinical manifestation should the nurse
expect to observe?
A. Currant jelly-like stools containing blood and mucus.
B. Visible peristaltic waves and an olive-shaped mass in the abdomen.
C. Bile-stained emesis occurring shortly after feeding.
D. Chronic constipation and ribbon-like stools.
Correct Answer: B
Expert Explanation: Pyloric stenosis is characterized by the hypertrophy of the pyloric
sphincter, leading to gastric outlet obstruction. Classic signs include projectile non-bilious
vomiting, visible peristalsis, and a palpable olive-shaped mass in the right upper quadrant.
Currant jelly stools are associated with intussusception, while ribbon-like stools are
associated with Hirschsprung’s disease.
, 3. A child with cystic fibrosis is being educated on the use of pancreatic enzymes. When
should the nurse instruct the child to take these enzymes?
A. Immediately before or during all meals and snacks.
B. Only when eating high-fat meals.
C. Once daily in the morning before breakfast.
D. Two hours after eating to assist with late-stage digestion.
Correct Answer: A
Expert Explanation: Pancreatic enzymes are essential for children with cystic fibrosis to
digest fats, proteins, and carbohydrates due to pancreatic insufficiency. These enzymes
must be taken with every meal and snack to be effective in the small intestine. Taking them
at the correct time ensures optimal nutrient absorption and prevents malabsorption-
related complications.
4. A nurse is assessing a toddler for signs of separation anxiety during hospitalization. Which
behavior is characteristic of the ‘protest’ stage?
A. The child is quiet, withdrawn, and appears sad.
B. The child screams, cries, and resists physical contact from the nurse.
C. The child ignores the parents when they return to the room.
D. The child begins to interact with other children on the unit.
Correct Answer: B
