Question 1

Which immunization should only be given with caution to children infected with human immunodeficiency virus?

Accepted Answer

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

Question 2

What is the purpose of initiating chelation therapy on a child with b-thalassemia major?

Accepted Answer

A)  Treat the disease. 
B)  Eliminate excess iron. 
C)  Decrease the risk of hypoxia. 
D)  Manage nausea and vomiting. 
A)  Treat the disease. 
B)  Eliminate excess iron. 
C)  Decrease the risk of hypoxia. 
D)  Manage nausea and vomiting.

Question 3

Which of the following sentences is most descriptive of the pathophysiology of leukemia?

Accepted Answer

A)  Increased blood viscosity occurs. 
B)  Thrombocytopenia (excessive destruction of platelets) occurs. 
C)  Unrestricted proliferation of immature white blood cells (WBCs) occurs. 
D)  The first stage of the coagulation process is abnormally stimulated. 
A)  Increased blood viscosity occurs. 
B)  Thrombocytopenia (excessive destruction of platelets) occurs. 
C)  Unrestricted proliferation of immature white blood cells (WBCs) occurs. 
D)  The first stage of the coagulation process is abnormally stimulated.

Question 4

Which of the following is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

Accepted Answer

A)  Severe combined immunodeficiency syndrome (SCIDS) 
B)  Acquired immunodeficiency syndrome 
C)  Wiskott-Aldrich syndrome 
D)  Fanconi syndrome 
A)  Severe combined immunodeficiency syndrome (SCIDS) 
B)  Acquired immunodeficiency syndrome 
C)  Wiskott-Aldrich syndrome 
D)  Fanconi syndrome

Question 5

Which age group is most at risk for iron-deficiency anemia?

Accepted Answer

A)  Term infant 
B)  School-aged children 
C)  Adolescent 
D)  Young adult 
A)  Term infant 
B)  School-aged children 
C)  Adolescent 
D)  Young adult

Question 6

Which of the following statements best describes the pathological changes of sickle cell anemia?

Accepted Answer

A)  Sickle-shaped cells carry excess oxygen. 
B)  Sickle-shaped cells decrease blood viscosity. 
C)  Increased red blood cell destruction occurs. 
D)  Decreased red blood cell destruction occurs. 
A)  Sickle-shaped cells carry excess oxygen. 
B)  Sickle-shaped cells decrease blood viscosity. 
C)  Increased red blood cell destruction occurs. 
D)  Decreased red blood cell destruction occurs.

Question 7

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time.What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Accepted Answer

A)  Encourage the child to drink large amounts of his favourite fluids. 
B)  Encourage the child to take nothing by mouth (remain NPO) until nausea and vomiting subside. 
C)  Administer an antiemetic before chemotherapy begins. 
D)  Administer an antiemetic as soon as child has nausea. 
A)  Encourage the child to drink large amounts of his favourite fluids. 
B)  Encourage the child to take nothing by mouth (remain NPO) until nausea and vomiting subside. 
C)  Administer an antiemetic before chemotherapy begins. 
D)  Administer an antiemetic as soon as child has nausea.

Question 8

The parents of a child with cancer tell the nurse that a bone marrow transplant ( BMT )may be necessary.What should the nurse recognize as important when discussing this with the family?

Accepted Answer

A)  The BMT should be done at the time of diagnosis. 
B)  The parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  Finding a suitable donor involves matching antigens from the human leukocyte antigen ( HLA ) system. 
D)  If the BMT fails, chemotherapy or radiotherapy must be continued. 
A)  The BMT should be done at the time of diagnosis. 
B)  The parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  Finding a suitable donor involves matching antigens from the human leukocyte antigen ( HLA ) system. 
D)  If the BMT fails, chemotherapy or radiotherapy must be continued.

Question 9

A school-age child is admitted in vaso-occlusive sickle cell crisis.What should the child's care 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

Question 10

The nurse is recommending how to prevent iron-deficiency anemia in a healthy term breastfed infant.What should she tell the parents?

Accepted Answer

A)  Iron (ferrous sulphate) drops after age 1 month. 
B)  Iron-fortified commercial formula can be used by age 4 to 6 months. 
C)  Iron-fortified infant cereal can be used by age 2 months. 
D)  Iron-fortified infant cereal can be used at approximately 6 months of age. 
A)  Iron (ferrous sulphate) drops after age 1 month. 
B)  Iron-fortified commercial formula can be used by age 4 to 6 months. 
C)  Iron-fortified infant cereal can be used by age 2 months. 
D)  Iron-fortified infant cereal can be used at approximately 6 months of age.

Question 11

Which of the following is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

Accepted Answer

A)  Aplastic anemia 
B)  Thalassemia major 
C)  Disseminated intravascular coagulation 
D)  Idiopathic thrombocytopenic purpura 
A)  Aplastic anemia 
B)  Thalassemia major 
C)  Disseminated intravascular coagulation 
D)  Idiopathic thrombocytopenic purpura

Question 12

Which of the following sentences is a good explanation for teaching children about white blood cells?

Accepted Answer

A)  They carry the oxygen you breathe from your lungs to parts of your body. 
B)  They help to keep germs from causing infections. 
C)  They are small parts of cells that make bleeding stop. 
D)  They are the liquid portion of your blood. 
A)  They carry the oxygen you breathe from your lungs to parts of your body. 
B)  They help to keep germs from causing infections. 
C)  They are small parts of cells that make bleeding stop. 
D)  They are the liquid portion of your blood.

Question 13

What is one common clinical manifestation of Hodgkin's disease?

Accepted Answer

A)  Petechiae 
B)  Bone and joint pain 
C)  Painful, enlarged lymph nodes 
D)  Enlarged, firm, non-tender lymph nodes 
A)  Petechiae 
B)  Bone and joint pain 
C)  Painful, enlarged lymph nodes 
D)  Enlarged, firm, non-tender lymph nodes

Question 14

Why is iron-deficiency anemia common during toddlerhood?

Accepted Answer

A)  Milk is a poor source of iron. 
B)  Iron cannot be stored during fetal development. 
C)  Fetal iron stores are depleted by age 1 month. 
D)  Dietary iron cannot be started until age 12 months. 
A)  Milk is a poor source of iron. 
B)  Iron cannot be stored during fetal development. 
C)  Fetal iron stores are depleted by age 1 month. 
D)  Dietary iron cannot be started until age 12 months.

Question 15

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

Accepted Answer

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

Exam 49: Hematological and Immunological Dysfunction

Which immunization should only be given with caution to children infected with human immunodeficiency virus?

What is the purpose of initiating chelation therapy on a child with b-thalassemia major?

Which of the following sentences is most descriptive of the pathophysiology of leukemia?

Which of the following is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

Which age group is most at risk for iron-deficiency anemia?

Which of the following statements best describes the pathological changes of sickle cell anemia?

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time.What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

The parents of a child with cancer tell the nurse that a bone marrow transplant ( BMT )may be necessary.What should the nurse recognize as important when discussing this with the family?

A school-age child is admitted in vaso-occlusive sickle cell crisis.What should the child's care include?

The nurse is recommending how to prevent iron-deficiency anemia in a healthy term breastfed infant.What should she tell the parents?

Which of the following is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

Which of the following sentences is a good explanation for teaching children about white blood cells?

What is one common clinical manifestation of Hodgkin's disease?

Why is iron-deficiency anemia common during toddlerhood?

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

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

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 Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters

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