Question 1

A child with sickle cell disease,in splenic sequestration crisis,is being admitted.The nurse should assign this patient to a:

Accepted Answer

A) Semi-private room. 
B) Reverse isolation room. 
C) Contact isolation room. 
D) Private room. 
A) Semi-private room. 
B) Reverse isolation room. 
C) Contact isolation room. 
D) Private room. D

Question 2

Which of these drugs would the nurse expect to administer for a sickle cell pain crisis?

Accepted Answer

A) Morphine sulfate (Duramorph) 
B) Meperidine (Demerol) 
C) Acetaminophen (Tylenol) 
D) Ibuprofen (Advil) 
A) Morphine sulfate (Duramorph) 
B) Meperidine (Demerol) 
C) Acetaminophen (Tylenol) 
D) Ibuprofen (Advil) A

Question 3

A mother of a premature infant asks the nurse about the baby's need for supplemental iron.What is the nurse's best response?

Accepted Answer

A) "Since iron stores are developed during the third trimester of pregnancy,premature infants require supplemental iron." 
B) "All infants require iron supplements." 
C) "The small body size of the preterm infant calls for supplemental iron to promote growth." 
D) "Preterm infants have decreased ability to synthesize iron." 
A) "Since iron stores are developed during the third trimester of pregnancy,premature infants require supplemental iron." 
B) "All infants require iron supplements." 
C) "The small body size of the preterm infant calls for supplemental iron to promote growth." 
D) "Preterm infants have decreased ability to synthesize iron." A

Question 4

A child who has undergone hematopoietic stem cell transplantation (HSCT)is ready for discharge.It is important that the nurse teach the family to:

Accepted Answer

A) Keep the child on a low-calcium diet. 
B) Return the child to school within 6 weeks. 
C) Practice good handwashing. 
D) Avoid obtaining influenza vaccinations. 
A) Keep the child on a low-calcium diet. 
B) Return the child to school within 6 weeks. 
C) Practice good handwashing. 
D) Avoid obtaining influenza vaccinations.

Question 5

A child who has ß-thalassemia is receiving numerous blood transfusions.The child also is receiving deferoxamine (Desferal)therapy.The parents ask how the deferoxamine will help their child.The nurse explains that the deferoxamine (Desferal)is given to:

Accepted Answer

A) Prevent blood transfusion reactions. 
B) Stimulate red blood cell production. 
C) Provide vitamin supplement. 
D) Prevent iron overload. 
A) Prevent blood transfusion reactions. 
B) Stimulate red blood cell production. 
C) Provide vitamin supplement. 
D) Prevent iron overload.

Question 6

A child has been diagnosed with sickle cell disease.The parents are unsure how their child contracted the disease.The nurse should explain that the:

Accepted Answer

A) Mother and the father of the child have the sickle cell trait. 
B) Mother of the child has the trait but the father doesn't. 
C) Father of the child has the trait but the mother doesn't. 
D) Mother of the child has sickle cell disease,but the father doesn't have the disease or the trait. 
A) Mother and the father of the child have the sickle cell trait. 
B) Mother of the child has the trait but the father doesn't. 
C) Father of the child has the trait but the mother doesn't. 
D) Mother of the child has sickle cell disease,but the father doesn't have the disease or the trait.

Question 7

A child with meningococcemia is being admitted to the pediatric intensive care unit.This child should be placed in a:

Accepted Answer

A) Semi-private room. 
B) Private room,but not in isolation. 
C) Private room,in protective isolation. 
D) Private room,in respiratory isolation. 
A) Semi-private room. 
B) Private room,but not in isolation. 
C) Private room,in protective isolation. 
D) Private room,in respiratory isolation.

Question 8

The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia.The finding that indicates the child is tolerating activity is:

Accepted Answer

A) Tachycardia. 
B) Decreased alertness. 
C) Respiratory rate less than 50 with activity. 
D) Muscle weakness. 
A) Tachycardia. 
B) Decreased alertness. 
C) Respiratory rate less than 50 with activity. 
D) Muscle weakness.

Question 9

The nurse is caring for a child with disseminated intravascular coagulation (DIC).A priority nursing intervention for this child is:

Accepted Answer

A) Frequent ambulation. 
B) Maintenance of skin integrity. 
C) Monitoring of fluid restriction. 
D) Preparation for x-ray procedures. 
A) Frequent ambulation. 
B) Maintenance of skin integrity. 
C) Monitoring of fluid restriction. 
D) Preparation for x-ray procedures.

Question 10

A priority nursing diagnosis for the child with idiopathic thrombocytopenic purpura (ITP)is:

Accepted Answer

A) Risk for injury (bleeding). 
B) Ineffective breathing pattern. 
C) Nausea. 
D) Fluid volume deficit. 
A) Risk for injury (bleeding). 
B) Ineffective breathing pattern. 
C) Nausea. 
D) Fluid volume deficit.

Question 11

The nurse is administering packed red blood cells to a child with sickle cell disease.The nurse knows that a transfusion reaction is most likely to occur:

Accepted Answer

A) 6 hours after the transfusion is given. 
B) Within the first 20 minutes of administration of the transfusion. 
C) At the end of the administration of the transfusion. 
D) Never.Blood reactions to transfusions do not occur. 
A) 6 hours after the transfusion is given. 
B) Within the first 20 minutes of administration of the transfusion. 
C) At the end of the administration of the transfusion. 
D) Never.Blood reactions to transfusions do not occur.

Question 12

A child recently has been diagnosed with aplastic anemia.Support for the family should include:

Accepted Answer

A) Referrals to support groups and Social Services. 
B) Short-term support. 
C) Genetic counseling. 
D) Nutrition counseling. 
A) Referrals to support groups and Social Services. 
B) Short-term support. 
C) Genetic counseling. 
D) Nutrition counseling.

Question 13

Parents demonstrate that they understand the nurse's teaching with regard to prevention of iron-deficiency anemia if they:

Accepted Answer

A) Feed their infant with a formula that is not iron-fortified. 
B) Start iron-fortified infant cereal at 4-6 months of age. 
C) Introduce cow's milk when the child is 6 months old. 
D) Limit vitamin C consumption after 1 year of age. 
A) Feed their infant with a formula that is not iron-fortified. 
B) Start iron-fortified infant cereal at 4-6 months of age. 
C) Introduce cow's milk when the child is 6 months old. 
D) Limit vitamin C consumption after 1 year of age.

Question 14

A child with hemophilia plans on participating in a bicycling club.The nurse should recommend that the child:

Accepted Answer

A) Consider a swim club instead of the bicycling club. 
B) Wear kneepads,elbow pads,and a helmet while bicycling. 
C) Participate only in the social activities of the club. 
D) Not join the club. 
A) Consider a swim club instead of the bicycling club. 
B) Wear kneepads,elbow pads,and a helmet while bicycling. 
C) Participate only in the social activities of the club. 
D) Not join the club.

Question 15

A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee.The nurse should:

Accepted Answer

A) Apply a warm,moist pack to the area. 
B) Perform some passive range-of-motion to the affected leg. 
C) Apply pressure to the area for at least 15 minutes. 
D) Keep the affected extremity in a dependent position. 
A) Apply a warm,moist pack to the area. 
B) Perform some passive range-of-motion to the affected leg. 
C) Apply pressure to the area for at least 15 minutes. 
D) Keep the affected extremity in a dependent position.

Exam 51: The Child With Alterations in Hematologic Function

A child with sickle cell disease,in splenic sequestration crisis,is being admitted.The nurse should assign this patient to a:

Which of these drugs would the nurse expect to administer for a sickle cell pain crisis?

A mother of a premature infant asks the nurse about the baby's need for supplemental iron.What is the nurse's best response?

A child who has undergone hematopoietic stem cell transplantation (HSCT)is ready for discharge.It is important that the nurse teach the family to:

A child who has ß-thalassemia is receiving numerous blood transfusions.The child also is receiving deferoxamine (Desferal)therapy.The parents ask how the deferoxamine will help their child.The nurse explains that the deferoxamine (Desferal)is given to:

A child has been diagnosed with sickle cell disease.The parents are unsure how their child contracted the disease.The nurse should explain that the:

A child with meningococcemia is being admitted to the pediatric intensive care unit.This child should be placed in a:

The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia.The finding that indicates the child is tolerating activity is:

The nurse is caring for a child with disseminated intravascular coagulation (DIC).A priority nursing intervention for this child is:

A priority nursing diagnosis for the child with idiopathic thrombocytopenic purpura (ITP)is:

The nurse is administering packed red blood cells to a child with sickle cell disease.The nurse knows that a transfusion reaction is most likely to occur:

A child recently has been diagnosed with aplastic anemia.Support for the family should include:

Parents demonstrate that they understand the nurse's teaching with regard to prevention of iron-deficiency anemia if they:

A child with hemophilia plans on participating in a bicycling club.The nurse should recommend that the child:

A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee.The nurse should:

Contemporary Maternalnewborn and Child Health Nursing

Culture and the Family

Reproductive Anatomy and Physiology

Conception and Fetal Development

Health Promotion for Women

Common Gynecologic Problems

Families With Special Reproductive Concerns

Preparation for Parenthood

Physical and Physiologic Changes of Pregnancy

Antepartal Nursing Assessment

The Expectant Family: Needs and Care

Maternal Nutrition

Adolescent Pregnancy

Assessment of Fetal Well-Being

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Processes and Stages of Labor and Birth

Intrapartal Nursing Assessment

The Family in Childbirth: Needs and Care

Pharmacologic Pain Management

Childbirth at Risk: Prelabor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

The Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs and Care

Newborn Nutrition

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartal Adaptation and Nursing Assessment

The Postpartal Family: Early Care Needs and Home Care

The Postpartal Family at Risk

Growth and Development

Infant,child,and Adolescent Nutrition

Pediatric Assessment

Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

Health Promotion and Maintenance for the Toddler, the Preschooler, and the School-Age Child

Health Promotion and Maintenance: the Adolescent

Nursing Considerations for the Child and Family in the Community

Nursing Considerations for the Child and Family With a Chronic Condition

Nursing Considerations for the Hospitalized Child

Pain Assessment and Management in Children

The Child With a Life-Threatening Condition and End-Of-Life Care

Social and Environmental Influences on the Child

Immunization and Communicable Diseases

The Child With Alterations in Fluids, electrolytes, and Acidbase Balance

The Child With Alterations in Eye, Ear, Nose, and Throat Function

The Child With Alterations in Respiratory Function

The Child With Alterations in Cardiovascular Function

The Child With Alterations in Immune Function

The Child With Cancer

The Child With Alterations in Gastrointestinal Function

The Child With Alterations in Genitourinary Function

The Child With Alterations in Endocrine Function

The Child With Alterations in Neurologic Function

The Child With Alterations in Mental Health and Cognitive Function

The Child With Alterations in Musculoskeletal Function

The Child With Alterations in Skin Integrity

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