MULTIDIMENSIONAL CARE I 2026 EXAMPREP
PRACTICE SET SOLUTION QUESTIONS WITH
FULL ANSWERS
◉ 4 Main components of blood composition. Answer: RBC, WBC,
platelets, plasma
◉ What is the composition of plasma. Answer: 90% H2O
10% solutes - glucose, protein, albumin, hormones, etc
◉ Where is bone marrow aspiration in infants?. Answer: Tibia
◉ Where is bone marrow aspiration in toddlers and preschoolers?.
Answer: femur and tibia
◉ Where is bone marrow aspiration in children over 5?. Answer:
pelvis (iliac crest)
◉ Where is bone marrow production in young adults/adults?.
Answer: ribs, sternum, vertebra, pelvis, skull, clavicle, scapula
,◉ what is anemia. Answer: a condition in which levels of red blood
cells and hemoglobin are lower than normal
◉ 4 types of anemia. Answer: Iron deficiency
lead poisoning
sickle cell
B-thalassemia
◉ Define iron deficiency anemia. Answer: reduction in the iron
stores of the body causing an inadequate production of hemoglobin
◉ What is iron needed for?. Answer: to make hgb
◉ signs and symptoms of iron deficiency anemia. Answer: pallor
tachycardia
tachypnea
lethargy
fatigue
irritability
◉ Why are neonates at risk for iron deficiency anemia?. Answer: -
lack the maternal iron stores
,-Full term infants have maternal iron stores until approximately 6
months of age
-Havent had the time in utero to store up the needed iron supply
(preterm)
◉ How can you treat a neonate with iron deficiency anemia?.
Answer: Iron fortified formula
◉ What are risk factors for iron deficiency anemia in infants and
children?. Answer: 1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
◉ Food with good sources of iron. Answer: red meat, egg yolk, leafy
greens, dried fruits, fortified cereals/formulas, beef, chicken, fish,
beans, nuts, seeds, peanut butter, eggs, prunes, whole grain bread
◉ How is iron deficiency anemia diagnosed?. Answer: Serum lab
evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in
color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
, -low serum iron concentration
-high total iron binding capacity
◉ What is the goal of treatment for iron deficiency anemia. Answer:
treat medical problem causing malabsorption or blood loss/ identify
cause
◉ What is the treatment method for iron deficiency anemia?.
Answer: Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
◉ What should nurses and parents know about administering iron
to children?. Answer: -Administer to back of mouth because it stains
teeth, can cause constipation, and black/green stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
◉ Lead Poisoning Risks. Answer: -Children under the age of 6
-Children living at or below the poverty line who live in older (prior
to 1978) housing
-Children adopted from other countries where there are less strict
environmental regulations
PRACTICE SET SOLUTION QUESTIONS WITH
FULL ANSWERS
◉ 4 Main components of blood composition. Answer: RBC, WBC,
platelets, plasma
◉ What is the composition of plasma. Answer: 90% H2O
10% solutes - glucose, protein, albumin, hormones, etc
◉ Where is bone marrow aspiration in infants?. Answer: Tibia
◉ Where is bone marrow aspiration in toddlers and preschoolers?.
Answer: femur and tibia
◉ Where is bone marrow aspiration in children over 5?. Answer:
pelvis (iliac crest)
◉ Where is bone marrow production in young adults/adults?.
Answer: ribs, sternum, vertebra, pelvis, skull, clavicle, scapula
,◉ what is anemia. Answer: a condition in which levels of red blood
cells and hemoglobin are lower than normal
◉ 4 types of anemia. Answer: Iron deficiency
lead poisoning
sickle cell
B-thalassemia
◉ Define iron deficiency anemia. Answer: reduction in the iron
stores of the body causing an inadequate production of hemoglobin
◉ What is iron needed for?. Answer: to make hgb
◉ signs and symptoms of iron deficiency anemia. Answer: pallor
tachycardia
tachypnea
lethargy
fatigue
irritability
◉ Why are neonates at risk for iron deficiency anemia?. Answer: -
lack the maternal iron stores
,-Full term infants have maternal iron stores until approximately 6
months of age
-Havent had the time in utero to store up the needed iron supply
(preterm)
◉ How can you treat a neonate with iron deficiency anemia?.
Answer: Iron fortified formula
◉ What are risk factors for iron deficiency anemia in infants and
children?. Answer: 1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
◉ Food with good sources of iron. Answer: red meat, egg yolk, leafy
greens, dried fruits, fortified cereals/formulas, beef, chicken, fish,
beans, nuts, seeds, peanut butter, eggs, prunes, whole grain bread
◉ How is iron deficiency anemia diagnosed?. Answer: Serum lab
evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in
color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
, -low serum iron concentration
-high total iron binding capacity
◉ What is the goal of treatment for iron deficiency anemia. Answer:
treat medical problem causing malabsorption or blood loss/ identify
cause
◉ What is the treatment method for iron deficiency anemia?.
Answer: Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
◉ What should nurses and parents know about administering iron
to children?. Answer: -Administer to back of mouth because it stains
teeth, can cause constipation, and black/green stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
◉ Lead Poisoning Risks. Answer: -Children under the age of 6
-Children living at or below the poverty line who live in older (prior
to 1978) housing
-Children adopted from other countries where there are less strict
environmental regulations
