NUR 254 Exam 4: Pediatric Hematology, Oncology, and Neurosensory Nursing
Care 2026 3 VERSIONS
Anemia - CORRECT ANSWER The most common hematologic disorder of childhood
QUESTION : Anemia - CORRECT ANSWER Decrease in number of RBCs and/or
hemoglobin (Hgb) concentration below normal
QUESTION : Anemia - CORRECT ANSWER Decreased oxygen-carrying capacity of blood
QUESTION : Consequences of Anemia - CORRECT ANSWER Decrease in oxygen-
carrying capacity of blood and decreased amount of oxygen available to tissues
QUESTION : Consequences of Anemia - CORRECT ANSWER When develops slowly, child
adapts
QUESTION : Consequences of Anemia - CORRECT ANSWER Diagnostic evaluation:
Sometimes defined as a Hgb <10 or 11 g/dl; however, this cutoff may be inappropriate for
children
QUESTION : Newborn Anemia - CORRECT ANSWER 14 to 24 g/dl
QUESTION : Infant Anemia - CORRECT ANSWER 10 to 15 g/dl
QUESTION : Child Anemia - CORRECT ANSWER 11 to 16 g/dl
QUESTION : Anemia - CORRECT ANSWER Pallor, paleness of mucous membranes,
Tiredness, fatigue, Tachycardia, Cool skin
QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Hemodilution
,2026 GRADED A+ EXAM
QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Decreased
peripheral resistance
QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Increased
cardiac circulation and turbulence
QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Cyanosis
QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Growth
retardation
QUESTION : Increased cardiac circulation and turbulence - CORRECT ANSWER May lead
to cardiac failure
QUESTION : Increased cardiac circulation and turbulence - CORRECT ANSWER May have
murmur
QUESTION : Anemia - CORRECT ANSWER Treat underlying cause: Transfusion after
hemorrhage if needed
QUESTION : Anemia - CORRECT ANSWER Treat underlying cause: Nutritional intervention
for deficiency anemias
QUESTION : Anemia - CORRECT ANSWER Supportive care: Intravenous (IV) fluids to
replace intravascular volume, Oxygen, and Bed rest
QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Prepare child and
family for laboratory tests
QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Decrease oxygen
demands
,2026 GRADED A+ EXAM
QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Prevent
complications
QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Support family
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Caused by inadequate supply
of dietary iron
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Iron-fortified cereals and
formulas for infants
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Special needs of premature
infants
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Adolescents at risk because of
rapid growth and poor eating habits
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Therapeutic management:
Increase the amount of iron the child receives
QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Nursing care management:
Diet and Iron supplementation
QUESTION : Sickle Cell Anemia - CORRECT ANSWER A hereditary hemoglobinopathy
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occurs primarily in African-
Americans
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occurrence 1 in 375 infants born in
United States
QUESTION : Sickle Cell Anemia - CORRECT ANSWER 1 in 12 have sickle cell trait
, 2026 GRADED A+ EXAM
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occasionally also in people of
Mediterranean descent
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Also seen in South American,
Arabian, and East Indian descent
QUESTION : Sickle Cell Anemia - CORRECT ANSWER In areas of world where malaria is
common, individuals tend to have survival advantage over those without trait
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Autosomal recessive disorder
QUESTION : Sickle Cell Anemia - CORRECT ANSWER 9% of African-Americans are
carriers
QUESTION : Sickle Cell Anemia - CORRECT ANSWER 40% among native Africans are
carriers
QUESTION : Sickle Cell Anemia - CORRECT ANSWER If both parents have trait, each
offspring will have one in four chances of having disease
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Partial or
complete replacement of normal Hgb with abnormal Hgb S
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Hgb in the RBCs
takes on an elongated shape
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: rigid and obstruct
capillary blood flow
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Microscopic
obstructions lead to engorgement and tissue ischemia
QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Hypoxia occurs
and causes sickling