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NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing 2024
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NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing 2024

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  • August 1, 2024
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NURSING NUR 254 Exam 4 -with 100% verified
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Maternal
1. The inurse iis icaring ifor ia ichild iwho ihas ileukemia iwith ia iwhite iblood icell i(WBC) icount iof i<
1000 imm. iWhich iof ithe ifollowing ishould ithe inurse iinclude iin ithe ichild’s iplan iof icare?
a. Administer iprescribed iinfluenza ivaccination
b. Assign ithe ichild ito ia iroom iwith iother ichildren
c. Allow ithe ichild ito iplay iwith iother ichildren iwho ido inot ihave ia ifever
d. Use isterile itechniques ifor iany iprocedures
2. The inurse iis iproviding ia iteaching isession ito ithe ihealth icare istaff iregarding
iosteosarcoma. iWhich iof ithe ifollowing istatements iby ian iattendee iindicates ia ineed ifor

iadditional iteaching?

a. “A icommon iclinical imanifestation iis ilimping iif ia iweight-bearing ilimb iis iaffected.”
b. “The isternum iis ithe imost icommon isite iof ithis isarcoma.”
c. “Children itypically iexperience ipain iat ithe iprimary itumor isite.”
d. “In ithe iearly istage, ithe isymptoms iof ithis idisease iare iusually iattributed ito inormal
growing ipains.”
3. The inurse iis icaring ifor ia ichild iwho iis isuspected iof ihaving ia iWilm’s itumor. iWhich iof ithe
ifollowing iactions iby ithe inurse iindicates ithe ineed ifor iadditional itraining?

a. Instructing ithe iparents ithat ithe ichild ineeds ito iremain iin ibed.
b. Preventing ia ichild ifrom iplaying itag iin ithe iplayroom.
c. Requesting ia ibland isoft idiet ifor ithe ichild.
d. Palpating ithe ichild’s iabdomen.
4. The inurse iis icaring ifor ia i5-year-old ichild iwho ihas isickle icell idisease i(SCD). iAn iassessment
iof ithe ichild iincludes ithe ifollowing: irespirations i10 iand iunarousable. iThe ichild iis

icurrently ion iintravenous i(IV) ifluids iand icontinuous iIV imorphine isulfate iBased ion ithe

iassessment iinformation, iwhich iof ithe ifollowing iactions ishould ithe inurse itake i first?

a. Increase ithe iIV ifluids ito idecrease ivaso-occlusion.
b. Obtain ia icomplete imetabolic ilaboratory iblood isample.
c. Elevate ithe ihead iof ithe ibed i(HOB) ito iincrease ioxygen isaturation.
d. Administer inaloxone ito ireverse ithe ieffect iof ithe imorphine.
5. The inurse iis iadmitting ia ichild iwho ihas ia ivaso-occlusive isickle icell icrisis. iWhich iof ithe
ifollowing iinterventions ishould ithe inurse ianticipate ito ibe iprescribed ifor ithe ichild?

a. Correction iof ialkalosis iand ireduction iof ienergy iexpenditure.
b. Globulins iand ifactor iVIII ireplacement.
c. Hydration iand ipain imanagement.
d. Electrolyte ireplacement iand iadministration iof iheparin.
6. The inurse iworking iin ithe iemergency idepartment i(ED) iis icaring ifor ia ichild iwho ihas
ihemophilia iand ideveloped ia iswollen iknee iafter ifalling ioff ia ibicycle. iThe inurse iis iteaching

ithe ichild’s iparents iabout icare iwhen isimilar iincidents ioccur iat ihome iin ithe ifuture. iWhich

iof ithe ifollowing iactions ishould ithe inurse iteach ithe iparents?

a. Take ithe ichild ito ithe inearest iemergency idepartment i(ED).
b. Keep ithe ichild’s iaffected iknee ibelow ithe ilevel iof ithe iheart.
c. Apply ian iice ipack iand icompression idressings ito ithe iknee.
d. Administer irecommended idose iof iaspirin.

, 7. The inewly ihired inurse iis italking iwith ithe inurse ipreceptor iabout ithe iprevention iof iiron-
ideficiency ianemia iin iinfants. iWhich iof ithe ifollowing istatements iby ithe inewly ihired inurse

iis icorrect iregarding iprevention iof ithis icondition?

a. “Whole icow’s imilk ishould inot ibe igiven iuntil i1 iyear iof iage iwith ilimited idaily
intake.”
b. “Ferrous isulfate idrops iare icontraindicated iin iinfants iless ithan i6 imonths iof iage.”
c. “Iron-fortified icommercial iformula ishould ibe igiven ifor ithe ifirst i6 imonths iof ilife.”
d. “Iron-fortified iinfant icereal ishould ibe iintroduced ito iinfants iat i10 imonths.”
8. The inurse iis iassessing ia ichild iwho ihas isevere iiron ideficiency ianemia. iWhich iof ithe
ifollowing iassessment ifinds ishould ithe inurse iexpect ito iobserve?

a. Pallor.
b. Painful iswelling iof ithe ihands.
c. An ienlarged iabdomen.
d. Visual idisturbances.
9. The inurse iis icaring ifor i4-year-old ichild iwho iis i36 ihours ipostoperative ifollowing ia
iremoval iof ia iWilm’s itumor. iWhich iof ithe ifollowing irequires iimmediate ifollow iup iby ithe

inurse?

a. White iblood icell i(WBC) icount iof i15.0 imm³.
b. Bowel isounds ipresent iin iall i4 iquadrants.
c. Temperature iof i100.4˚ iF ithat ioccurs i1 itime iin ia i24-hour iperiod.
d. Incision isite iis ipink iat ithe iedges.
10. The inurse iis iproviding idischarge iinstructions ito ithe iparents iof ia ichild iwho ihad isurgical
iresection iof ia ineuroblastoma i4 idays iago. iWhich iof ithe ifollowing istatements iby ithe

iparents iindicates iteaching ihas ibeen ieffective?

a. “I iwill ineed ito ibegin islowly ireintroducing imy ichild iinto isocial iinteraction.”
b. “We iwill iprovide ipain irelief iusing ipain imedication iand irest.”
c. “A iprotective ihelmet iwill ineed ito ibe iworn iuntil ithe iincision iis ihealed.”
d. “An iincrease iin itemperature iis iexpected iafter isurgery.”
11. The inurse iis icaring ifor ia ichild iwho ihas iincreased iintracranial ipressure i(ICP) iand iis iin
istable icondition. iWhich iof ithe ifollowing iinterventions ishould ithe inurse iimplement ito

idecrease iICP iin ithe ichild?

a. Limit inumber iof ivisitors iinside ithe ichild’s iroom.
b. Keep ithe ichild ipositioned ion ithe ileft iside.
c. Administer iopioids ifor ipain icontrol.
d. Administer ihypertonic iintravenous i(IV) ifluids.
12. The inurse iis icaring ifor ia ichild iwho ihas iReye’s isyndrome. iWhich iof ithe ifollowing ishould
the inurse iinclude iin ithe ichild’s iplan iof icare?
a. Change ithe ichild’s ibody iposition ievery i2 ihours.
b. Provide ithe ichild ia iquiet iatmosphere iwith idimmed ilighting.
c. Administer isalicylates ifor iincreased itemperature ievery i4 ihours ias ineeded i(PRN).
d. Assess ifor idiplopia iin iboth iof ithe ichild’s ieyes.

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