RN Hematological System Pediatric Assessment
Questions with Correct Solutions
the nurse is assessing a 12 year old client with sickle cell disease who presented to the
emergency department this morning after a four day history of low grade fever and pain
crisis. click to highlight the findings that require immediate follow up. To deselect a
finding, click on the finding again
When recognizing cues during an assessment of a patient with sickle cell anemia the nurse
should recognize that a temperature increases from 37.66°C (99.8°F) to 38.44°C (101.2°F) 1 hr
after administration of acetaminophen and continued increase in pain from a 6 out of 10 to a 10
out of 10 may indicate the presence of complications, such as pneumonia or another type of
infection. Wheezing on auscultation, infiltrate on chest x-ray, increased respiratory rate, and
sudden increase in pain specifically in the chest can all indicate acute chest syndrome in clients
with sickle cell disease. Capillary refill greater than 3 seconds indicates poor circulation and
dehydration, which is a risk for pain crisis in clients with sickle cell disease.
A nurse in the outpatient clinic is providing care to a client recently diagnosed with aplastic
anemia. For each of the provider's prescribed interventions, click to specify if the potential
intervention is indicated, nonessential, or contraindicated for this client. There must be at
least 1 selection in every row. There does not need to be a selection in every column.
Indicated: Check blood pressure every 4 hr, Assess temperature after administration of
antipyretic, Obtain urine sample analysis and culture
Nonessential: Check fasting glucose
Contraindicated: Initiate treatment with cyclosporine, Administer Varicella Vaccine (live)
, A nurse in the emergency department is caring for a toddler who presents with
manifestations of disseminated intravascular coagulation (DIC). Which of the following
laboratory tests should the nurse anticipate being prescribed to verify this diagnosis? Select
all that apply.
a. Fibrinogen test
b. Prothrombin time
c. Complete blood count
d. Activated partial thromboplastin time
e. Electrolytes
f. Liver function tests
A, B, C, D
The nurse is caring of a 3-year-old client with iron deficiency anemia. The parents are
concerned about the child's picky eating habits. Which of the following statements should
the nurse provide to help guide the parents during mealtimes? Select all that apply.
a. "You should set the expectation that your child should finish everything on their plate at
each meal."
b. "Try to ensure that mealtimes are safe and enjoyable."
c. "You should continue to offer a wide variety of food options to your child, including
fruits and vegetables."
d. "Maintain a routine for your child during mealtimes."
e. "When introducing new foods, offer small portions."
B, C, D, E
Questions with Correct Solutions
the nurse is assessing a 12 year old client with sickle cell disease who presented to the
emergency department this morning after a four day history of low grade fever and pain
crisis. click to highlight the findings that require immediate follow up. To deselect a
finding, click on the finding again
When recognizing cues during an assessment of a patient with sickle cell anemia the nurse
should recognize that a temperature increases from 37.66°C (99.8°F) to 38.44°C (101.2°F) 1 hr
after administration of acetaminophen and continued increase in pain from a 6 out of 10 to a 10
out of 10 may indicate the presence of complications, such as pneumonia or another type of
infection. Wheezing on auscultation, infiltrate on chest x-ray, increased respiratory rate, and
sudden increase in pain specifically in the chest can all indicate acute chest syndrome in clients
with sickle cell disease. Capillary refill greater than 3 seconds indicates poor circulation and
dehydration, which is a risk for pain crisis in clients with sickle cell disease.
A nurse in the outpatient clinic is providing care to a client recently diagnosed with aplastic
anemia. For each of the provider's prescribed interventions, click to specify if the potential
intervention is indicated, nonessential, or contraindicated for this client. There must be at
least 1 selection in every row. There does not need to be a selection in every column.
Indicated: Check blood pressure every 4 hr, Assess temperature after administration of
antipyretic, Obtain urine sample analysis and culture
Nonessential: Check fasting glucose
Contraindicated: Initiate treatment with cyclosporine, Administer Varicella Vaccine (live)
, A nurse in the emergency department is caring for a toddler who presents with
manifestations of disseminated intravascular coagulation (DIC). Which of the following
laboratory tests should the nurse anticipate being prescribed to verify this diagnosis? Select
all that apply.
a. Fibrinogen test
b. Prothrombin time
c. Complete blood count
d. Activated partial thromboplastin time
e. Electrolytes
f. Liver function tests
A, B, C, D
The nurse is caring of a 3-year-old client with iron deficiency anemia. The parents are
concerned about the child's picky eating habits. Which of the following statements should
the nurse provide to help guide the parents during mealtimes? Select all that apply.
a. "You should set the expectation that your child should finish everything on their plate at
each meal."
b. "Try to ensure that mealtimes are safe and enjoyable."
c. "You should continue to offer a wide variety of food options to your child, including
fruits and vegetables."
d. "Maintain a routine for your child during mealtimes."
e. "When introducing new foods, offer small portions."
B, C, D, E
