NUR231 Exam 4 V2 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
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This study guide is intended to help students strengthen their understanding of advanced
pediatric nursing care, family-centered healthcare interventions, and specialized child
health management. The content reflects practical pediatric nursing concepts frequently tested
in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing pediatric
prioritization, therapeutic communication, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
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The Exam Covers:
• Pediatric infectious diseases
• Fluid and electrolyte management in children
• Pediatric pain management
• Childhood developmental disorders
• Pediatric patient safety
• Family coping strategies
• Pediatric healthcare teaching
• Child abuse recognition and reporting
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1. A nurse is assessing a 4-year-old child with moderate dehydration. Which clinical finding
should the nurse expect?
A. Capillary refill of 2 seconds
B. Dry mucous membranes and tachypnea
,C. Increased tear production
D. Bulging fontanels
Correct Answer: B
Expert Explanation: Moderate dehydration in children typically presents with dry mucous
membranes, increased heart rate, and tachypnea. Capillary refill is usually delayed (2-4
seconds), and tear production is decreased, not increased. Bulging fontanels indicate fluid
overload or increased ICP, not dehydration.
2. Which assessment finding is a classic sign of Measles (Rubeola) during the prodromal
phase?
A. Strawberry tongue
B. Honey-colored crusts
C. Koplik spots
D. Sandpaper-like rash
Correct Answer: C
Expert Explanation: Koplik spots, which are small white spots found on the buccal
mucosa, are a pathognomonic sign of measles. Strawberry tongue is associated with Scarlet
Fever or Kawasaki disease. Honey-colored crusts are seen in impetigo.
, 3. A nurse is caring for a child with suspected pertussis. Which type of isolation precautions
should be implemented?
A. Contact precautions
B. Airborne precautions
C. Standard precautions only
D. Droplet precautions
Correct Answer: D
Expert Explanation: Pertussis (whooping cough) is transmitted via large respiratory
droplets. Therefore, droplet precautions are required in addition to standard precautions
until the patient has received effective antibiotic therapy for 5 days.
4. When using the FLACC scale to assess pain in a non-verbal child, what does the ‘C’ stand
for?
A. Comfort
B. Color
C. Cry
D. Crying
Correct Answer: C
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of advanced
pediatric nursing care, family-centered healthcare interventions, and specialized child
health management. The content reflects practical pediatric nursing concepts frequently tested
in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing pediatric
prioritization, therapeutic communication, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Pediatric infectious diseases
• Fluid and electrolyte management in children
• Pediatric pain management
• Childhood developmental disorders
• Pediatric patient safety
• Family coping strategies
• Pediatric healthcare teaching
• Child abuse recognition and reporting
════════════════════════════════════
1. A nurse is assessing a 4-year-old child with moderate dehydration. Which clinical finding
should the nurse expect?
A. Capillary refill of 2 seconds
B. Dry mucous membranes and tachypnea
,C. Increased tear production
D. Bulging fontanels
Correct Answer: B
Expert Explanation: Moderate dehydration in children typically presents with dry mucous
membranes, increased heart rate, and tachypnea. Capillary refill is usually delayed (2-4
seconds), and tear production is decreased, not increased. Bulging fontanels indicate fluid
overload or increased ICP, not dehydration.
2. Which assessment finding is a classic sign of Measles (Rubeola) during the prodromal
phase?
A. Strawberry tongue
B. Honey-colored crusts
C. Koplik spots
D. Sandpaper-like rash
Correct Answer: C
Expert Explanation: Koplik spots, which are small white spots found on the buccal
mucosa, are a pathognomonic sign of measles. Strawberry tongue is associated with Scarlet
Fever or Kawasaki disease. Honey-colored crusts are seen in impetigo.
, 3. A nurse is caring for a child with suspected pertussis. Which type of isolation precautions
should be implemented?
A. Contact precautions
B. Airborne precautions
C. Standard precautions only
D. Droplet precautions
Correct Answer: D
Expert Explanation: Pertussis (whooping cough) is transmitted via large respiratory
droplets. Therefore, droplet precautions are required in addition to standard precautions
until the patient has received effective antibiotic therapy for 5 days.
4. When using the FLACC scale to assess pain in a non-verbal child, what does the ‘C’ stand
for?
A. Comfort
B. Color
C. Cry
D. Crying
Correct Answer: C
