NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
The nurse analyzes the laboratory results of a child with
hemophilia. The nurse understands that which result will most
likely be abnormal in this child? 1. Platelet count 2. Hematocrit level
3. Hemoglobin level 4. Partial thromboplastin time -
correct answer ✅4 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. Results of tests that measure platelet function
are normal; results of tests that measure clotting factor function
may be abnormal. Abnormal laboratory results in hemophilia
indicate a prolonged partial thromboplastin time. The platelet
count, hemoglobin level, and hematocrit level are normal in
hemophilia. Test-Taking Strategy: Focus on the subject, laboratory
tests used to monitor hemophilia, and note the strategic words,
most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific
coagulation proteins will direct you to the correct option.
The nurse is providing home care instructions to the parents of a
10-year-old child with hemophilia. Which sport activity should the
nurse suggest for this child? 1. Soccer 2. Basketball 3. Swimming 4.
Field hockey -
correct answer ✅3 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. Children with hemophilia need to avoid
contact sports and to take precautions such as wearing elbow and
,NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
knee pads and helmets with other sports. The safe activity for them
is swimming. Test-Taking Strategy: Focus on the subject, a safe
activity. Recalling that bleeding is a major concern in this condition,
eliminate options 1, 2, and 4 because these activities are
comparable or alike in that they present the potential for injury.
Review: Home care and safety instructions for hemophilia
The clinic nurse instructs parents of a child with sickle cell anemia
about the precipitating factors related to sickle cell crisis. Which, if
identified by the parents as a precipitating factor, indicates the
need for further instruction? 1. Stress 2. Trauma 3. Infection 4. Fluid
overload -
correct answer ✅4 Rationale: Sickle cell crises are acute
exacerbations of the disease, which vary considerably in severity
and frequency; these include vaso-occlusive crisis, splenic
sequestration, hyperhemolytic crisis, and aplastic crisis. Sickle cell
crisis may be precipitated by infection, dehydration, hypoxia,
trauma, or physical or emotional stress. The mother of a child with
sickle cell disease should encourage fluid intake of 1¬Ω to 2
times the daily requirement to prevent dehydration. Test-Taking
Strategy: Note the strategic words, need for further instruction.
These words indicate a negative event query and ask you to select
an option that is an incorrect statement. Recalling that fluids are a
main component of treatment in sickle cell anemia to prevent crisis
,NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
will direct you to the correct option. Remember that fluids are
required to prevent dehydration.
A 10-year-old child with hemophilia A has slipped on the ice and
bumped his knee. The nurse should prepare to administer which
prescription? 1. Injection of factor X 2. Intravenous infusion of iron
3. Intravenous infusion of factor VIII 4. Intramuscular injection of
iron using the Z-track method -
correct answer ✅3 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. The primary treatment is replacement of the
missing clotting factor; additional medications, such as agents to
relieve pain, may be prescribed depending on the source of
bleeding from the disorder. Achild with hemophilia Ais at risk for
joint bleeding after a fall. Factor VIII would be prescribed
intravenously to replace the missing clotting factor and minimize
the bleeding. Factor X and iron are not used to treat children with
hemophilia A. Test-Taking Strategy: Focus on the child’s
diagnosis. Eliminate options 2 and 4 because they are comparable
or alike. Recalling that a child with hemophilia A is missing clotting
factor VIII will direct you to the correct option from those remaining
The nurse is instructing the parents of a child with iron deficiency
anemia regarding the administration of a liquid oral iron
, NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
supplement. Which instruction should the nurse tell the parents? 1.
Administer the iron at mealtimes. 2. Administer the iron through a
straw. 3. Mix the iron with cereal to administer. 4. Add the iron to
formula for easy administration. -
correct answer ✅2 Rationale: In iron deficiency anemia, iron
stores are depleted, resulting in a decreased supply of iron for the
manufacture of hemoglobin in red blood cells. An oral iron
supplement should be administered through a straw or medicine
dropper placed at the back of the mouth because the iron stains
the teeth. The parents should be instructed to brush or wipe the
child’s teeth or have the child brush the teeth after
administration. Iron is administered between meals because
absorption is decreased if there is food in the stomach. Iron
requires an acid environment to facilitate its absorption in the
duodenum. Iron is not added to formula or mixed with cereal or
other food items. Test-Taking Strategy: Eliminate options 3 and 4
first because they are comparable or alike and because medication
should not be added to formula and food. Next, note the word
liquid in the question. This should assist you in recalling that iron in
liquid form stains teeth.
Laboratory studies are performed for a child suspected to have iron
deficiency anemia. The nurse reviews the laboratory results,
knowing that which result indicates this type of anemia? 1. Elevated
hemoglobin level 2. Decreased reticulocyte count 3. Elevated red
Questions & Answers (Grade A+)
The nurse analyzes the laboratory results of a child with
hemophilia. The nurse understands that which result will most
likely be abnormal in this child? 1. Platelet count 2. Hematocrit level
3. Hemoglobin level 4. Partial thromboplastin time -
correct answer ✅4 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. Results of tests that measure platelet function
are normal; results of tests that measure clotting factor function
may be abnormal. Abnormal laboratory results in hemophilia
indicate a prolonged partial thromboplastin time. The platelet
count, hemoglobin level, and hematocrit level are normal in
hemophilia. Test-Taking Strategy: Focus on the subject, laboratory
tests used to monitor hemophilia, and note the strategic words,
most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific
coagulation proteins will direct you to the correct option.
The nurse is providing home care instructions to the parents of a
10-year-old child with hemophilia. Which sport activity should the
nurse suggest for this child? 1. Soccer 2. Basketball 3. Swimming 4.
Field hockey -
correct answer ✅3 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. Children with hemophilia need to avoid
contact sports and to take precautions such as wearing elbow and
,NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
knee pads and helmets with other sports. The safe activity for them
is swimming. Test-Taking Strategy: Focus on the subject, a safe
activity. Recalling that bleeding is a major concern in this condition,
eliminate options 1, 2, and 4 because these activities are
comparable or alike in that they present the potential for injury.
Review: Home care and safety instructions for hemophilia
The clinic nurse instructs parents of a child with sickle cell anemia
about the precipitating factors related to sickle cell crisis. Which, if
identified by the parents as a precipitating factor, indicates the
need for further instruction? 1. Stress 2. Trauma 3. Infection 4. Fluid
overload -
correct answer ✅4 Rationale: Sickle cell crises are acute
exacerbations of the disease, which vary considerably in severity
and frequency; these include vaso-occlusive crisis, splenic
sequestration, hyperhemolytic crisis, and aplastic crisis. Sickle cell
crisis may be precipitated by infection, dehydration, hypoxia,
trauma, or physical or emotional stress. The mother of a child with
sickle cell disease should encourage fluid intake of 1¬Ω to 2
times the daily requirement to prevent dehydration. Test-Taking
Strategy: Note the strategic words, need for further instruction.
These words indicate a negative event query and ask you to select
an option that is an incorrect statement. Recalling that fluids are a
main component of treatment in sickle cell anemia to prevent crisis
,NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
will direct you to the correct option. Remember that fluids are
required to prevent dehydration.
A 10-year-old child with hemophilia A has slipped on the ice and
bumped his knee. The nurse should prepare to administer which
prescription? 1. Injection of factor X 2. Intravenous infusion of iron
3. Intravenous infusion of factor VIII 4. Intramuscular injection of
iron using the Z-track method -
correct answer ✅3 Rationale: Hemophilia refers to a group of
bleeding disorders resulting from a deficiency of specific
coagulation proteins. The primary treatment is replacement of the
missing clotting factor; additional medications, such as agents to
relieve pain, may be prescribed depending on the source of
bleeding from the disorder. Achild with hemophilia Ais at risk for
joint bleeding after a fall. Factor VIII would be prescribed
intravenously to replace the missing clotting factor and minimize
the bleeding. Factor X and iron are not used to treat children with
hemophilia A. Test-Taking Strategy: Focus on the child’s
diagnosis. Eliminate options 2 and 4 because they are comparable
or alike. Recalling that a child with hemophilia A is missing clotting
factor VIII will direct you to the correct option from those remaining
The nurse is instructing the parents of a child with iron deficiency
anemia regarding the administration of a liquid oral iron
, NCLEX Saunders (7th Ed.) Peds Exam
Questions & Answers (Grade A+)
supplement. Which instruction should the nurse tell the parents? 1.
Administer the iron at mealtimes. 2. Administer the iron through a
straw. 3. Mix the iron with cereal to administer. 4. Add the iron to
formula for easy administration. -
correct answer ✅2 Rationale: In iron deficiency anemia, iron
stores are depleted, resulting in a decreased supply of iron for the
manufacture of hemoglobin in red blood cells. An oral iron
supplement should be administered through a straw or medicine
dropper placed at the back of the mouth because the iron stains
the teeth. The parents should be instructed to brush or wipe the
child’s teeth or have the child brush the teeth after
administration. Iron is administered between meals because
absorption is decreased if there is food in the stomach. Iron
requires an acid environment to facilitate its absorption in the
duodenum. Iron is not added to formula or mixed with cereal or
other food items. Test-Taking Strategy: Eliminate options 3 and 4
first because they are comparable or alike and because medication
should not be added to formula and food. Next, note the word
liquid in the question. This should assist you in recalling that iron in
liquid form stains teeth.
Laboratory studies are performed for a child suspected to have iron
deficiency anemia. The nurse reviews the laboratory results,
knowing that which result indicates this type of anemia? 1. Elevated
hemoglobin level 2. Decreased reticulocyte count 3. Elevated red
