YEAR 2026/2027 NUR 254 EXAM 4 FULL PROGRAM &
SYSTEM RECAP MASTER DOMAIN 2026. (GRADED A+)
◍ 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? Answer: "In the
early stage, the symptoms of this disease are usually attributed to
normal growing pains.
◍ 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? Answer: Palpating the child's abdomen
◍ 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? Answer: Administer naloxone to reverse the effect of
the morphine.
◍ 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? Answer: Hydration and pain
management
The nurse working in the emergency department (ED) is caring for
a child who has hemophilia and developed a swollen knee after falling
off a bicycle. The nurse is teaching the child's parents about care
when similar incidents occur at home in the future. Which of the
