Question 1

If an infant has hydrops fetalis, which type of thalassemia does the nurse know this to be?

Accepted Answer

A)  Beta minor 
B)  Beta major 
C)  Alpha minor 
D)  Alpha major 
A)  Beta minor 
B)  Beta major 
C)  Alpha minor 
D)  Alpha major

Question 2

A 12-month-old toddler weighing 8 kilograms is brought to the clinic because of weakness, slow physical growth, and developmental delays. His mother reports that the only food he will consume is cow's milk. The symptoms support a diagnosis of which form of anemia?

Accepted Answer

A)  Pernicious 
B)  Iron deficiency 
C)  Aplastic 
D)  Hemolytic 
A)  Pernicious 
B)  Iron deficiency 
C)  Aplastic 
D)  Hemolytic

Question 3

Testing reveals that a child has hemophilia A. This bleeding disorder results from a deficiency in factor:

Accepted Answer

A)  IX. 
B)  XII. 
C)  XIII. 
D)  VIII. 
A)  IX. 
B)  XII. 
C)  XIII. 
D)  VIII.

Question 4

A 2-year-old male presented with growth and maturation retardation and splenomegaly. He died shortly after arriving at the ER. Autopsy revealed thalassemia, a condition involving what feature?

Accepted Answer

A)  Defective erythrocyte membranes 
B)  Poor iron metabolism 
C)  Inappropriate stem cell formation 
D)  Defective hemoglobin synthesis 
A)  Defective erythrocyte membranes 
B)  Poor iron metabolism 
C)  Inappropriate stem cell formation 
D)  Defective hemoglobin synthesis

Question 5

A nurse is planning care for a child with iron deficiency anemia. Characteristics of iron deficiency anemia include which of the following? (Select all that apply.)

Accepted Answer

A)  It is most common between the ages of 6 months and 2 years. 
B)  It is related to gender and race. 
C)  It may be related to socioeconomic factors. 
D)  It is rare among teenagers. 
E)  It is difficult to diagnose in early stages. 
A)  It is most common between the ages of 6 months and 2 years. 
B)  It is related to gender and race. 
C)  It may be related to socioeconomic factors. 
D)  It is rare among teenagers. 
E)  It is difficult to diagnose in early stages.

Question 6

Autopsy on a stillborn fetus reveals cardiomegaly, hepatomegaly, edema, and ascites as well as fulminant intrauterine heart failure. Considering these findings, what is the most likely cause of death?

Accepted Answer

A)  Alpha thalassemia minor 
B)  Alpha thalassemia major 
C)  Hemoglobin H disease 
D)  Alpha trait 
A)  Alpha thalassemia minor 
B)  Alpha thalassemia major 
C)  Hemoglobin H disease 
D)  Alpha trait

Question 7

What organ is responsible for removing sickled cells from circulation?

Accepted Answer

A)  The liver 
B)  The pancreas 
C)  The kidney 
D)  The spleen 
A)  The liver 
B)  The pancreas 
C)  The kidney 
D)  The spleen

Exam 22: Alterations of Hematological Function in Children

If an infant has hydrops fetalis, which type of thalassemia does the nurse know this to be?

A 12-month-old toddler weighing 8 kilograms is brought to the clinic because of weakness, slow physical growth, and developmental delays. His mother reports that the only food he will consume is cow's milk. The symptoms support a diagnosis of which form of anemia?

Testing reveals that a child has hemophilia A. This bleeding disorder results from a deficiency in factor:

A 2-year-old male presented with growth and maturation retardation and splenomegaly. He died shortly after arriving at the ER. Autopsy revealed thalassemia, a condition involving what feature?

A nurse is planning care for a child with iron deficiency anemia. Characteristics of iron deficiency anemia include which of the following? (Select all that apply.)

Autopsy on a stillborn fetus reveals cardiomegaly, hepatomegaly, edema, and ascites as well as fulminant intrauterine heart failure. Considering these findings, what is the most likely cause of death?

What organ is responsible for removing sickled cells from circulation?

Cellular Biology

Genes and Genetic Diseases

Epigenetics and Disease

Altered Cellular and Tissue Biology

Fluids and Electrolytes, Acids and Bases

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Infection and Defects in Mechanisms of Defence

Stress and Disease

Biology of Cancer

Cancer Epidemiology

Cancer in Children and Adolescents

Structure and Function of the Neurological System

Pain, Temperature, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Disorders of the Central and Peripheral Nervous Systems and Neuromuscular Junction

Alterations of Neurological Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Structure and Function of the Hematological System

Alterations of Hematological Function

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urological Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculo-Skeletal System

Alterations of Musculo-Skeletal Function

Alterations of Musculo-Skeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

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