Nclex-Rn Practice Questions-Care Of The Child - Hematologic & İmmune Disorders Part 2
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Question 1 |
A child with suspected pertussis is admitted to the hospital. During assessment of the child, the nurse observes a cough with which characteristics?
A | Dry, hacking, and more frequent on awakening |
B | Loose and nonproductive |
C | Occurring more frequently during the day |
D | Harsh and associated with a high-pitched crowing sound |
Question 2 |
A nurse is administering a blood transfusion to a client with sickle cell anemia. Which assessment findings would indicate that the client is having a transfusion reaction?
A | Diaphoresis and hot flashes |
B | Urticaria, flushing, and wheezing |
C | Fever, urticaria, and red raised rash |
D | Fever, disorientation, and abdominal pain |
Question 3 |
What is a nurse’s role with the parents of a child who has been diagnosed with sickle cell anemia?
A | Encouraging selective birth methods or abortion |
B | Referring only sickle cell–positive parents for counseling |
C | Rendering support to parents of newly diagnosed children |
D | Reinforcing the idea that transmission is unlikely in subsequent pregnancies |
Question 4 |
The nurse is assessing a child with sickle cell anemia. Which bone-related complication would the nurse be alert for during assessment?
A | Arthritis |
B | Osteoporosis |
C | Osteogenic sarcoma |
D | Spontaneous fractures |
Question 5 |
Which assessment finding would indicate vaso-occlusive crisis in a child with sickle cell anemia?
A | Painful urination |
B | Pain with ambulation |
C | Complaints of throat pain |
D | Fever with associated rash |
Question 6 |
The parents of a child with sickle cell anemia ask the nurse what would be a priority factor in the prevention of infection for their child. What is the most appropriate response by the nurse?
A | Providing adequate nutrition |
B | Avoiding emotional stress |
C | Visiting the physician when sick |
D | Avoiding strenuous physical exertion |
Question 7 |
The nurse is reviewing the interventions listed in the plan of care for a child in vaso-occlusive crisis. What is the most important intervention for the nurse to implement?
A | Administering analgesics |
B | Monitoring fluid restrictions |
C | Encouraging activity as tolerated |
D | Administering oxygen as prescribed |
Question 8 |
The nurse is being observed by a group of student nurses while assessing a child in vaso-occlusive crisis. A student asks the nurse why she did not palpate the child’s abdomen. What is the most appropriate response by the nurse?
A | Risk of splenic rupture |
B | Risk of inducing vomiting |
C | Increase in abdominal pain |
D | Risk of blood cell destruction |
Question 9 |
The nurse is preparing a treatment plan for a child with sickle cell anemia in vaso-occlusive crisis. What is the most important nursing intervention for the nurse to include?
A | Managing pain |
B | Providing a cool environment |
C | Immobilizing the affected part |
D | Restricting fluids |
Question 10 |
A parent is inquiring about their child who tested positive for sickle cell trait. What is the most appropriate response by the nurse?
A | “Your child has sickle cell anemia.” |
B | “Your child is a carrier of the disorder but doesn’t have sickle cell anemia.” |
C | “Your child is a carrier of the disease and will pass the disease to any offspring.” |
D | “Your child doesn’t have the disease at present but may show evidence of the disease as he gets older.” |
Question 11 |
The nurse is providing postoperative care to a client with sickle cell anemia. What is the most important intervention for the nurse to include in the plan of care?
A | Increasing fluids |
B | Preparing the child psychologically |
C | Discouraging coughing |
D | Limiting the use of analgesics |
Question 12 |
The nurse has just admitted a client with sickle cell crisis. What is the priority intervention by the nurse?
A | Giving blood transfusions |
B | Giving antibiotics |
C | Increasing fluid intake and giving analgesics |
D | Preparing the client for a splenectomy |
Question 13 |
A preschool teacher has just found out she is pregnant. She asks the school nurse if there is any communicable disease that requires isolating an infected child from pregnant women. What is the most appropriate response by the nurse?
A | Pertussis |
B | Roseola |
C | Rubella |
D | Scarlet fever |
Question 14 |
The nurse would expect the physician to order which medication as the treatment of choice for scarlet fever?
A | Acyclovir (Zovirax) |
B | Amphotericin B |
C | Ibuprofen (Motrin) |
D | Penicillin |
Question 15 |
The nurse is assessing a client in the emergency department suspected of being in vaso-occlusive crisis. Which assessment findings would indicate that the client is having a vaso-occlusive crisis?
A | Hypotension and thready pulse |
B | Pallor and poor capillary refill |
C | Anemia, jaundice, and reticulocytosis |
D | Acute leg pain and hand-foot syndrome |
Question 16 |
Which instruction should the nurse include when teaching parents about the care of a child with chickenpox?
A | Administer penicillin or erythromycin as ordered. |
B | Administer local or systemic antipruritics as ordered. |
C | Offer periods of interaction with other children to provide distraction. |
D | Avoid administering varicella-zoster immune globulin to children receiving long-term salicylate therapy. |
Question 17 |
A child is admitted with scarlet fever. Which causative agent does the nurse identify as a contributor to this infection?
A | Roseola |
B | Staphylococcal parotitis |
C | Streptococcal pharyngitis |
D | Chickenpox |
Question 18 |
A mother infected with human immunodeficiency virus (HIV) inquires about the possibility of breastfeeding her newborn. What is the most appropriate response by the nurse?
A | “Breastfeeding isn’t an option.” |
B | “Breastfeeding would be best for your baby.” |
C | “Breastfeeding is only an option if the mother is taking zidovudine (Retrovir).” |
D | “Breastfeeding is an option if milk is expressed and fed by a bottle.” |
Question 19 |
Which subjective assessment finding helps diagnose human immunodeficiency virus (HIV) infection in children?
A | Excessive weight gain |
B | Arrhythmia |
C | Intermittent diarrhea |
D | Tolerance of feedings |
Question 20 |
Parents of a child with Kawasaki disease should be taught the importance of keeping follow-up appointments to monitor and prevent which complication?
A | Encephalitis |
B | Glomerulonephritis |
C | Myocardial infarction (MI) |
D | Idiopathic thrombocytopenia |
Question 21 |
A child has recently been admitted to the pediatric unit with laboratory values indicating an increase in hemoglobin A2. Based on this finding, the nurse should expect to follow a care plan based on which condition?
A | Beta-thalassemia trait |
B | Iron deficiency |
C | Lead poisoning |
D | Sickle cell anemia |
Question 22 |
Which finding yields a poor prognosis for a child with leukemia?
A | Presence of a mediastinal mass |
B | Late central nervous system (CNS) leukemia |
C | Normal white blood cell (WBC) count at diagnosis |
D | Disease presents between ages 2 and 10 years |
Question 23 |
Which schedule is recommended for the immunization of normal infants and children in the first year of life?
A | Birth, 2 months, 4 months, 6 months, 12 months |
B | 1 month, 3 months, 5 months, 9 months, 18 months |
C | 2 months, 6 months, 9 months, 12 months, 14 months |
D | 2 months, 4 months, 6 months, 12 to 15 months |
Question 24 |
A 3-year-old sister of a neonate is diagnosed with pertussis. The mother has a history of having been immunized as a child. Which information should be included in teaching the mother about possible infection of her neonate?
A | The baby will inevitably contract pertussis. |
B | Immune globulin is effective in protecting the infant. |
C | The risk to the infant depends on the mother’s immune status. |
D | Erythromycin should be administered prophylactically to the infant. |
Question 25 |
A 4-year-old child has a petechial rash but is otherwise well. The platelet count is 20,000/ml, and the hemoglobin level and white blood cell (WBC) count are normal. Which diagnosis is most likely?
A | Acute lymphoblastic leukemia (ALL) |
B | Disseminated intravascular coagulation (DIC) |
C | Idiopathic thrombocytopenic purpura (ITP) |
D | Systemic lupus erythematosus (SLE) |
Question 26 |
A mother brings her 5-year-old child to the clinic and asks the nurse how often a child should receive the influenza virus vaccine. Which response would be the most accurate?
A | Annually |
B | Twice a year |
C | Never; contraindicated in children |
D | Only with the outbreak of illness |
Question 27 |
Which approach should be included in the diagnostic workup for a 12- month-old infant who’s suspected of having acquired immunodeficiency syndrome (AIDS)?
A | Sputum culture |
B | Esophageal biopsy |
C | Parental counseling prior to testing |
D | Human immunodeficiency syndrome (HIV) enzyme-linked immunosorbent assay (ELISA) |
Question 28 |
Which instruction should be included in a nurse’s discharge teaching for the parents of a newborn diagnosed with sickle cell anemia?
A | Stressing the importance of iron supplementation |
B | Stressing the importance of monthly vitamin B12 injections |
C | Reviewing signs of abdominal pain in infants and demonstrating how to take a temperature |
D | Explaining that immunizations are contraindicated |
Question 29 |
A 14-year-old girl is admitted for sickle cell crisis. Which nursing intervention would be the most important?
A | Gathering information about the child’s ability to cope with this condition |
B | Monitoring the child’s temperature every 2 hours |
C | Providing adequate oxygenation, hydrations, and pain management |
D | Making sure the family is involved in every step of the child’s care |
Question 30 |
A child enrolled in a private preparatory school has been diagnosed with scarlet fever. Several parents have called the school and voiced concern over the risk of their children becoming infected. The parents are requesting that the infected child be isolated for one month. It is most appropriate for the nurse to tell the parents that respiratory isolation of an infected child is necessary:
A | until the associated rash disappears. |
B | until completion of antibiotic therapy. |
C | until the client is fever-free for 24 hours. |
D | until 24 hours after initiation of treatment. |
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