Question 1

A school-age child is admitted in vasoocclusive sickle cell crisis.The child's care should include:

Accepted Answer

A) correction of acidosis. 
B) adequate hydration and pain management. 
C) pain management and administration of heparin. 
D) adequate oxygenation and replacement of factor VIII. 
A) correction of acidosis. 
B) adequate hydration and pain management. 
C) pain management and administration of heparin. 
D) adequate oxygenation and replacement of factor VIII. B

Question 2

The nurse is planning activity for a 4-year-old child with anemia.Which activity should the nurse plan for this child?

Accepted Answer

A) Game of "hide and seek" in the children's outdoor play area 
B) Participation in dance activities in the playroom 
C) Puppet play in the child's room 
D) A walk down to the hospital lobby 
A) Game of "hide and seek" in the children's outdoor play area 
B) Participation in dance activities in the playroom 
C) Puppet play in the child's room 
D) A walk down to the hospital lobby C

Question 3

Chelation therapy is begun on a child with b-thalassemia major.The purpose of this therapy is to:

Accepted Answer

A) treat the disease. 
B) eliminate excess iron. 
C) decrease risk of hypoxia. 
D) manage nausea and vomiting. 
A) treat the disease. 
B) eliminate excess iron. 
C) decrease risk of hypoxia. 
D) manage nausea and vomiting. B

Question 4

A child with leukemia is receiving triple intrathecal chemotherapy consisting of methotrexate,cytarabine,and hydrocortisone.The purpose of this is to prevent:

Accepted Answer

A) infection. 
B) brain tumor. 
C) drug side effects. 
D) central nervous system (CNS) disease. 
A) infection. 
B) brain tumor. 
C) drug side effects. 
D) central nervous system (CNS) disease.

Question 5

Which immunization should not be given to a child receiving chemotherapy for cancer?

Accepted Answer

A) Tetanus vaccine 
B) Inactivated poliovirus vaccine 
C) Diphtheria, pertussis, tetanus (DPT) 
D) Measles, rubella, mumps 
A) Tetanus vaccine 
B) Inactivated poliovirus vaccine 
C) Diphtheria, pertussis, tetanus (DPT) 
D) Measles, rubella, mumps

Question 6

Which is often administered to prevent or control hemorrhage in a child with cancer?

Accepted Answer

A) Nitrosoureas 
B) Platelets 
C) Whole blood 
D) Corticosteroids 
A) Nitrosoureas 
B) Platelets 
C) Whole blood 
D) Corticosteroids

Question 7

A toddler with leukemia is on intravenous chemotherapy treatments.The toddler's lab results are WBC: 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%.What is this child's absolute neutrophil count (ANC)? (Record your answer in a whole number.)

Accepted Answer

140
To calculate an ANC for a

Question 8

The nurse is conducting a staff in-service on childhood blood disorders.Which describes the pathology of idiopathic thrombocytopenic purpura?

Accepted Answer

A) Bone marrow failure in which all elements are suppressed 
B) Deficiency in the production rate of globin chains 
C) Diffuse fibrin deposition in the microvasculature 
D) An excessive destruction of platelets 
A) Bone marrow failure in which all elements are suppressed 
B) Deficiency in the production rate of globin chains 
C) Diffuse fibrin deposition in the microvasculature 
D) An excessive destruction of platelets

Question 9

A possible cause of acquired aplastic anemia in children is:

Accepted Answer

A) drugs. 
B) injury. 
C) deficient diet. 
D) congenital defect. 
A) drugs. 
B) injury. 
C) deficient diet. 
D) congenital defect.

Question 10

Parents of a school-age child with hemophilia ask the nurse,"Which sports are recommended for children with hemophilia?" Which sports should the nurse recommend? (Select all that apply.)

Accepted Answer

A) Soccer 
B) Swimming 
C) Basketball 
D) Golf 
E) Bowling 
A) Soccer 
B) Swimming 
C) Basketball 
D) Golf 
E) Bowling

Question 11

Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?

Accepted Answer

A) Influenza 
B) Varicella 
C) Pneumococcal 
D) Inactivated poliovirus (IPV) 
A) Influenza 
B) Varicella 
C) Pneumococcal 
D) Inactivated poliovirus (IPV)

Question 12

A young boy will receive a bone marrow transplant (BMT).This is possible because one of his older siblings is a histocompatible donor.Which is this type of BMT called?

Accepted Answer

A) Syngeneic 
B) Allogeneic 
C) Monoclonal 
D) Autologous 
A) Syngeneic 
B) Allogeneic 
C) Monoclonal 
D) Autologous

Question 13

Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

Accepted Answer

A) They should be given with meals. 
B) They should be stopped immediately if nausea and vomiting occur. 
C) Adequate dosage will turn the stools a tarry green color. 
D) Allow preparation to mix with saliva and bathe the teeth before swallowing. 
A) They should be given with meals. 
B) They should be stopped immediately if nausea and vomiting occur. 
C) Adequate dosage will turn the stools a tarry green color. 
D) Allow preparation to mix with saliva and bathe the teeth before swallowing.

Question 14

The nurse is reviewing first aid with a group of school nurses.Which statement made by a participant indicates a correct understanding of the information?

Accepted Answer

A) "If a child loses a tooth due to injury, I should place the tooth in warm milk." 
B) "If a child has recurrent abdominal pain, I should send him or her back to class until the end of the day." 
C) "If a child has a chemical burn to the eye, I should irrigate the eye with normal saline." 
D) "If a child has a nosebleed, I should have the child sit up and lean forward." 
A) "If a child loses a tooth due to injury, I should place the tooth in warm milk." 
B) "If a child has recurrent abdominal pain, I should send him or her back to class until the end of the day." 
C) "If a child has a chemical burn to the eye, I should irrigate the eye with normal saline." 
D) "If a child has a nosebleed, I should have the child sit up and lean forward."

Question 15

The nurse is preparing a child for possible alopecia from chemotherapy.Which should be included?

Accepted Answer

A) Explain to child that hair usually regrows in 1 year. 
B) Advise child to expose head to sunlight to minimize alopecia. 
C) Explain to child that wearing a hat or scarf is preferable to wearing a wig. 
D) Explain to child that when hair regrows, it may have a slightly different color or texture. 
A) Explain to child that hair usually regrows in 1 year. 
B) Advise child to expose head to sunlight to minimize alopecia. 
C) Explain to child that wearing a hat or scarf is preferable to wearing a wig. 
D) Explain to child that when hair regrows, it may have a slightly different color or texture.

Question 16

Several blood tests are ordered for a preschool child with severe anemia.The child is crying and upset because of memories of the venipuncture done at the clinic 2 days ago.The nurse should explain:

Accepted Answer

A) venipuncture discomfort is very brief. 
B) only one venipuncture will be needed. 
C) topical application of local anesthetic can eliminate venipuncture pain. 
D) most blood tests on children require only a finger puncture because a small amount of blood is needed. 
A) venipuncture discomfort is very brief. 
B) only one venipuncture will be needed. 
C) topical application of local anesthetic can eliminate venipuncture pain. 
D) most blood tests on children require only a finger puncture because a small amount of blood is needed.

Question 17

The nurse is administering an IV chemotherapeutic agent to a child with leukemia.The child suddenly begins to wheeze and have severe urticaria.Which is the most appropriate nursing action?

Accepted Answer

A) Stop drug infusion immediately. 
B) Recheck rate of drug infusion. 
C) Observe child closely for next 10 minutes. 
D) Explain to child that this is an expected side effect. 
A) Stop drug infusion immediately. 
B) Recheck rate of drug infusion. 
C) Observe child closely for next 10 minutes. 
D) Explain to child that this is an expected side effect.

Question 18

When both parents have sickle cell trait,which is the chance their children will have sickle cell anemia?

Accepted Answer

A) 25% 
B) 50% 
C) 75% 
D) 100% 
A) 25% 
B) 50% 
C) 75% 
D) 100%

Question 19

Which is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4? T cells?

Accepted Answer

A) Wiskott-Aldrich syndrome 
B) Idiopathic thrombocytopenic purpura 
C) Acquired immunodeficiency syndrome (AIDS) 
D) Severe combined immunodeficiency disease 
A) Wiskott-Aldrich syndrome 
B) Idiopathic thrombocytopenic purpura 
C) Acquired immunodeficiency syndrome (AIDS) 
D) Severe combined immunodeficiency disease

Question 20

A young child with leukemia has anorexia and severe stomatitis.The nurse should suggest that the parents try which intervention?

Accepted Answer

A) Relax any eating pressures. 
B) Firmly insist that child eat normally. 
C) Begin gavage feedings to supplement diet. 
D) Serve foods that are either hot or cold. 
A) Relax any eating pressures. 
B) Firmly insist that child eat normally. 
C) Begin gavage feedings to supplement diet. 
D) Serve foods that are either hot or cold.

Exam 26: The Child with Hematologic or Immunologic Dysfunction

A school-age child is admitted in vasoocclusive sickle cell crisis.The child's care should include:

The nurse is planning activity for a 4-year-old child with anemia.Which activity should the nurse plan for this child?

Chelation therapy is begun on a child with b-thalassemia major.The purpose of this therapy is to:

A child with leukemia is receiving triple intrathecal chemotherapy consisting of methotrexate,cytarabine,and hydrocortisone.The purpose of this is to prevent:

Which immunization should not be given to a child receiving chemotherapy for cancer?

Which is often administered to prevent or control hemorrhage in a child with cancer?

A toddler with leukemia is on intravenous chemotherapy treatments.The toddler's lab results are WBC: 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%.What is this child's absolute neutrophil count (ANC)? (Record your answer in a whole number.)

The nurse is conducting a staff in-service on childhood blood disorders.Which describes the pathology of idiopathic thrombocytopenic purpura?

A possible cause of acquired aplastic anemia in children is:

Parents of a school-age child with hemophilia ask the nurse,"Which sports are recommended for children with hemophilia?" Which sports should the nurse recommend? (Select all that apply.)

Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?

A young boy will receive a bone marrow transplant (BMT).This is possible because one of his older siblings is a histocompatible donor.Which is this type of BMT called?

Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

The nurse is reviewing first aid with a group of school nurses.Which statement made by a participant indicates a correct understanding of the information?

The nurse is preparing a child for possible alopecia from chemotherapy.Which should be included?

Several blood tests are ordered for a preschool child with severe anemia.The child is crying and upset because of memories of the venipuncture done at the clinic 2 days ago.The nurse should explain:

The nurse is administering an IV chemotherapeutic agent to a child with leukemia.The child suddenly begins to wheeze and have severe urticaria.Which is the most appropriate nursing action?

When both parents have sickle cell trait,which is the chance their children will have sickle cell anemia?

Which is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4? T cells?

A young child with leukemia has anorexia and severe stomatitis.The nurse should suggest that the parents try which intervention?

Perspectives of Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,Cultural,and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child

Pain Assessment and Management in Children

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic or Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Integumentary Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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