Nclex-Rn Practice Questions-Care Of The Child - Hematologic & İmmune Disorders Part 4
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Question 1 |
A nurse is developing a teaching plan for parents of a toddler who was just diagnosed with sickle cell anemia. Which statement is important to emphasize in the teaching plan?
A | If they have any more children, those children will also have sickle cell anemia. |
B | Knowing how to prevent vaso-occlusive crisis is an important part of the parent’s role. |
C | The child will have a greater tendency to bleed and should avoid contact sports. |
D | Vaso-occlusive crisis will occur eventually, requiring medical care. |
Question 2 |
Which intervention is indicated for a child in sickle cell vaso-occlusive crisis?
A | Immobilizing the affected part |
B | Applying warm packs to the affected part |
C | Applying cool packs to the affected part |
D | Performing active range-of-motion (ROM) exercises to the affected part |
Question 3 |
A child with hemophilia is hospitalized with bleeding into the knee. Which action should the nurse take first?
A | Prepare to administer a whole blood transfusion. |
B | Prepare to administer a plasma transfusion. |
C | Perform active range-of-motion (ROM) exercise on the affected part. |
D | Elevate the affected part. |
Question 4 |
The nurse has just completed discharge teaching for the family of a school-age child with idiopathic thrombocytopenia. The nurse determines that teaching was effective when the family identifies that which activity should be restricted?
A | Swimming |
B | Bicycle riding |
C | Computer games |
D | Exposure to large crowds |
Question 5 |
A nurse is speaking to the mother of a child with leukemia who wants to know why her child is so susceptible to infection if he has too many white blood cells (WBCs). Which response by the nurse would be most accurate?
A | This is an adverse effect of the medication he has to take. |
B | He hasn’t been able to eat a proper diet since he’s been sick. |
C | Leukemia is a problem of tumors in the internal organs that prevent his ability to fight infection. |
D | Leukemia causes production of too many immature WBCs, which can’t fight infection very well. |
Question 6 |
Which nursing intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?
A | Appropriate dose of aspirin and rest |
B | Immobilization of the leg and a dose of ibuprofen |
C | Heating pad and administration of factor VIII concentrate |
D | Pressure on the site and administration of the required clotting factor |
Question 7 |
Teaching children with leukemia and their families should include potential adverse effects of treatments. Which of the following is an adverse effect of prednisone?
A | Decreased appetite |
B | Increased blood glucose |
C | Decreased risk of infection |
D | Decreased hair growth |
Question 8 |
Short-term steroid therapy is used in clients with leukemia to promote which of the following?
A | Increased appetite |
B | Altered body image |
C | Increased platelet production |
D | Decreased susceptibility to infection |
Question 9 |
Which nursing intervention helps to decrease the adverse effects of radiation therapy on the GI tract?
A | Avoiding the use of antispasmodics |
B | Encouraging fluids and a soft diet |
C | Giving antiemetics when nausea or vomiting occurs |
D | Avoiding mouthwashes to prevent irritation of mouth ulcers |
Question 10 |
Which condition assessed by the nurse would be an early warning sign of childhood cancer?
A | Difficult in swallowing |
B | Nagging cough or hoarseness |
C | Slight change in bowel and bladder habits |
D | Swellings, lumps, or masses anywhere on the body |
Question 11 |
The parents of a child diagnosed with leukemia have stated that they’ll give aspirin to their child for pain relief. What is the most appropriate response by the nurse?
A | “It’s contraindicated because it decreases platelet production.” |
B | “It’s contraindicated because it promotes bleeding tendencies.” |
C | “It’s not a strong enough analgesic.” |
D | “It decreases the effects of methotrexate (Trexall).” |
Question 12 |
The nurse is providing discharge instructions for a client who is receiving chemotherapeutic medications. The nurse is aware that which intervention is most important to prevent hemorrhagic cystitis?
A | Giving antacids |
B | Giving antibiotics |
C | Restricting fluid intake |
D | Increasing fluid intake |
Question 13 |
When teaching an adolescent with iron deficiency anemia about diet choices, which menu selection would indicate that more instruction is necessary?
A | Caesar salad and pretzels |
B | Cheeseburger with milkshake |
C | Red beans and rice with sausage |
D | Egg sandwich and snack peanuts |
Question 14 |
The nurse is caring for a 1-month-old infant with signs of increased intracranial pressure (ICP). The nurse is aware that a priority intervention will be necessary if the infant displays which of the following?
A | Bulging fontanels, a high-pitched cry, vomiting |
B | Frequent crying, sunken fontanel, pulse rate above 120 beats/minute |
C | Blood-tinged vomitus, legs flexed to the abdomen, frequent crying |
D | Falling asleep during feeding, pulse rate above 120 beats/minute when fussing, irregular arm and leg movements |
Question 15 |
The parents of a child undergoing irradiation are taught about postirradiation somnolence. Which statement, if made by the parents, indicates that the teaching has been effective?
A | “This neurological syndrome will occur immediately.” |
B | “This neurological syndrome usually occurs within 1 to 2 weeks.” |
C | “This neurological syndrome usually occurs within 5 to 8 weeks.” |
D | “This neurological syndrome usually occurs within 3 to 6 months.” |
Question 16 |
A grandmother calls the pediatric children’s clinic to find out whether her 3-year-old grandson can get shingles from her. Which response by the nurse would be most appropriate?
A | No, shingles don’t occur in small children. |
B | Yes, the grandson can get shingles from her. Shingles are caused by the herpes zoster virus. |
C | The grandson could develop shingles if the lesions are on exposed skin areas and are weeping. |
D | No, but the grandson would be exposed to the varicella-zoster virus, which could lead to the development of chickenpox. |
Question 17 |
A child has been diagnosed with cancer and is scheduled for chemotherapy. The parents ask the nurse how they should explain the side effect of hair loss to the child. What is the best response by the nurse?
A | Introduce the idea of a wig after hair loss occurs. |
B | Explain that hair typically begins to regrow in 6 to 9 months. |
C | Stress that hair loss during a second treatment with the same medication will be more severe. |
D | Explain that, as hair thins, keeping it clean, short, and fluffy may camouflage partial baldness. |
Question 18 |
A nurse is discussing childhood cancer with the parents of a child in an oncology unit. Which statement by the nurse would be the most accurate?
A | “The most common site for children’s cancer is the bone marrow.” |
B | “All childhood cancers have a high mortality rate.” |
C | “Children with leukemia have a higher survival rate if they’re older than 11 years when diagnosed.” |
D | “The prognosis for children with cancer isn’t affected by treatment strategies.” |
Question 19 |
A 17-year-old boy with classic hemophilia (hemophilia A) is admitted to the hospital for surgery. His preoperative preparation should include which treatment?
A | Bed rest |
B | Transfusion of clotting factor VIII |
C | I.V. analgesics given around the clock |
D | Hydration at 50% above the normal fluid requirement |
Question 20 |
A child with idiopathic thrombocytopenic purpura is admitted to the hospital with a platelet count of 20,000/µl. The nurse is aware that the child should be closely monitored for which condition?
A | Hyperactivity |
B | Proteinuria |
C | Hand-foot syndrome |
D | Change in level of consciousness (LOC) |
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