NUR 254 EXAM 4
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. 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?
1. Administer prescribed influenza vaccination.
2. Assign the child to a room with other children
3. Allow the child to play with other children who do not have a fever
4. Use sterile techniques for any procedures
Correct Answer: 4. Use sterile techniques for any procedures
Verified Explanation:
A WBC count of < 1,000/mm³ indicates severe neutropenia, placing the
child at high risk for infection. Implementing sterile techniques for all
procedures is crucial to minimize the risk of introducing pathogens. Live
immunizations such as influenza should be avoided until immune function
is improved. The child should have limited contact with others, especially
groups or children with any possible illness. This is in alignment with the
recommendations for immunocompromised pediatric patients.
---
2. 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?
1. “A common clinical manifestation is limping if a weight-bearing limb is
affected”
,2. “The sternum is the most common site of this sarcoma”
3. “Children typically experience pain at the primary tumor site”
4. “In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.”
Correct Answer: 2. “The sternum is the most common site of this
sarcoma”
Verified Explanation:
Osteosarcoma primarily affects the long bones, particularly around the
knee (distal femur, proximal tibia, and proximal humerus), not the sternum.
Limping, pain at the tumor site, and attribution of early symptoms to
growing pains are all accurate. Misconceptions regarding location can
delay appropriate diagnosis and treatment.
---
3. 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?
1. Instructing the parents that the child needs to remain in bed.
2. Preventing a child from playing tag in the playroom.
3. Requesting a bland soft diet for the child.
4.Palpating the child’s abdomen.
Correct Answer: 4. Palpating the child’s abdomen.
,Verified Explanation:
Palpation of the abdomen in a child suspected of having Wilm’s tumor is
strictly contraindicated due to the risk of rupturing the encapsulated tumor,
which can disseminate cancerous cells. This is a well-established safety
precaution in pediatric oncology.
---
4. 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?
1. Increase the IV fluids to decrease vaso-occlusion
2. Obtain a complete metabolic laboratory blood sample
3. Elevate the head of the bed (HOB) to increase oxygen saturation
4. Administer naloxone to reverse the effect of the morphine.
Correct Answer: 4. Administer naloxone to reverse the effect of the
morphine.
Verified Explanation:
A respiratory rate of 10/min and unarousability are signs of opioid
overdose, likely due to morphine. The priority is to reverse opioid-induced
, respiratory depression with naloxone, as airway and breathing take
precedence over other interventions (ABC rule).
---
5. 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?
1. Correction of alkalosis and reduction of energy expenditure
2. Globulins and factor VIII replacement
3. Hydration and pain management.
4. Electrolyte replacement and administration of heparin.
Correct Answer: 3. Hydration and pain management.
Verified Explanation:
The primary treatments for vaso-occlusive episodes in sickle cell disease
are aggressive intravenous hydration (to decrease blood viscosity and
facilitate movement of sickled cells) and pain control, typically with opioids.
Factor VIII and globulin replacement are indicated in different hematologic
conditions.
---
6. The nurse working in the emergency department (ED) is caring for a
child who has hemophilia and developed a swollen knee after falling
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1. 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?
1. Administer prescribed influenza vaccination.
2. Assign the child to a room with other children
3. Allow the child to play with other children who do not have a fever
4. Use sterile techniques for any procedures
Correct Answer: 4. Use sterile techniques for any procedures
Verified Explanation:
A WBC count of < 1,000/mm³ indicates severe neutropenia, placing the
child at high risk for infection. Implementing sterile techniques for all
procedures is crucial to minimize the risk of introducing pathogens. Live
immunizations such as influenza should be avoided until immune function
is improved. The child should have limited contact with others, especially
groups or children with any possible illness. This is in alignment with the
recommendations for immunocompromised pediatric patients.
---
2. 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?
1. “A common clinical manifestation is limping if a weight-bearing limb is
affected”
,2. “The sternum is the most common site of this sarcoma”
3. “Children typically experience pain at the primary tumor site”
4. “In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.”
Correct Answer: 2. “The sternum is the most common site of this
sarcoma”
Verified Explanation:
Osteosarcoma primarily affects the long bones, particularly around the
knee (distal femur, proximal tibia, and proximal humerus), not the sternum.
Limping, pain at the tumor site, and attribution of early symptoms to
growing pains are all accurate. Misconceptions regarding location can
delay appropriate diagnosis and treatment.
---
3. 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?
1. Instructing the parents that the child needs to remain in bed.
2. Preventing a child from playing tag in the playroom.
3. Requesting a bland soft diet for the child.
4.Palpating the child’s abdomen.
Correct Answer: 4. Palpating the child’s abdomen.
,Verified Explanation:
Palpation of the abdomen in a child suspected of having Wilm’s tumor is
strictly contraindicated due to the risk of rupturing the encapsulated tumor,
which can disseminate cancerous cells. This is a well-established safety
precaution in pediatric oncology.
---
4. 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?
1. Increase the IV fluids to decrease vaso-occlusion
2. Obtain a complete metabolic laboratory blood sample
3. Elevate the head of the bed (HOB) to increase oxygen saturation
4. Administer naloxone to reverse the effect of the morphine.
Correct Answer: 4. Administer naloxone to reverse the effect of the
morphine.
Verified Explanation:
A respiratory rate of 10/min and unarousability are signs of opioid
overdose, likely due to morphine. The priority is to reverse opioid-induced
, respiratory depression with naloxone, as airway and breathing take
precedence over other interventions (ABC rule).
---
5. 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?
1. Correction of alkalosis and reduction of energy expenditure
2. Globulins and factor VIII replacement
3. Hydration and pain management.
4. Electrolyte replacement and administration of heparin.
Correct Answer: 3. Hydration and pain management.
Verified Explanation:
The primary treatments for vaso-occlusive episodes in sickle cell disease
are aggressive intravenous hydration (to decrease blood viscosity and
facilitate movement of sickled cells) and pain control, typically with opioids.
Factor VIII and globulin replacement are indicated in different hematologic
conditions.
---
6. The nurse working in the emergency department (ED) is caring for a
child who has hemophilia and developed a swollen knee after falling
