NSG-434 Final Exam Questions With Accurate Answers
100% Guarantee Pass 2026/2027
1. What is one of the primary causes of iron deficiency anemia in children?
Viral infections
Genetic mutations
Inadequate dietary iron
Excessive physical activity
2. Why is it important for children to consume foods rich in iron?
Iron helps in the digestion of carbohydrates.
Iron aids in the absorption of calcium.
Iron is essential for the production of hemoglobin, which carries
oxygen in the blood.
Iron is necessary for the synthesis of vitamin C.
3. If a child undergoing cancer treatment shows a significant decrease in weight
over a month, what should be the immediate course of action?
Focus solely on medication adjustments
Ignore the change as it may be temporary
Evaluate nutritional intake and adjust dietary support
Increase the child's physical activity
4. What is the primary purpose of genetic counseling for families with
hemophilia?
To understand inheritance patterns and implications
, To provide immediate medical treatment
To diagnose hemophilia in children
To conduct genetic testing
5. What is the usual life span for individuals with sickle cell disease?
Into the third decade
Into the fifth decade
Until adolescence
Until early adulthood
6. You are teaching your client and their family about sickle-cell disease (SCD).
What are some of the common symptoms?
Anemia, periodic pain episodes, low blood pressure, hearing
difficulties
Anemia, periodic pain episodes, speech impairment
Anemia, periodic pain episodes, hand-foot syndrome, frequent
infections
Anemia, arrhythmias, high blood pressure, periodic pain episodes
7. A child experiences nausea and vomiting after receiving cancer
chemotherapy drugs. What should the nurse do to help prevent these
problems from recurring?
Administer ondansetron 30 to 60 minutes before the next
chemotherapy session.
Keep the child NPO for 8 hours after the chemotherapy session.
Encourage increased fluid intake before the next chemotherapy
session.
, Administer ordered buspirone 2 hours before the next chemotherapy
session.
8. What does a reticulocyte count measure in relation to red blood cell
production?
The size of red blood cells.
The level of hemoglobin in the blood.
The production of new red blood cells by the bone marrow.
The number of white blood cells.
9. Discuss why the hemoglobin level cutoff for diagnosing anemia may not be
appropriate for children.
Anemia is only diagnosed based on symptoms, not hemoglobin levels.
The cutoff is universally applicable to all age groups.
The cutoff may not be appropriate for children due to variations in
normal hemoglobin levels based on age and developmental
factors.
Children have a higher normal hemoglobin level than adults.
10. Describe why toddlers and adolescents are particularly vulnerable to iron
deficiency anemia.
Toddlers and adolescents have increased iron needs due to rapid
growth and development.
They are less likely to consume iron-rich foods.
They have lower dietary iron intake compared to other age groups.
They are more active and require more energy.
, 11. What race has higher prevalence of anemia?
African American
Mexican American
Norwegian
Caucasian
12. A child is diagnosed with a hematologic disorder during a routine check-up.
How might early detection affect the treatment plan compared to a
diagnosis made after symptoms appear?
It results in a more expensive treatment plan.
It limits the treatment options available.
It has no effect on the treatment plan.
It allows for a proactive treatment plan that can prevent
complications.
13. Describe the primary physiological mechanism that leads to a vaso-
occlusive crisis in sickle cell disease.
Ischemia results from low oxygen levels in the lungs.
Ischemia occurs due to blocked blood flow caused by sickled red
blood cells.
Ischemia is due to high blood pressure in the arteries.
Ischemia is caused by an increase in white blood cells.
14. A child with anemia is experiencing severe fatigue and shortness of breath.
Which supportive care measure should be prioritized to address their
immediate needs?
100% Guarantee Pass 2026/2027
1. What is one of the primary causes of iron deficiency anemia in children?
Viral infections
Genetic mutations
Inadequate dietary iron
Excessive physical activity
2. Why is it important for children to consume foods rich in iron?
Iron helps in the digestion of carbohydrates.
Iron aids in the absorption of calcium.
Iron is essential for the production of hemoglobin, which carries
oxygen in the blood.
Iron is necessary for the synthesis of vitamin C.
3. If a child undergoing cancer treatment shows a significant decrease in weight
over a month, what should be the immediate course of action?
Focus solely on medication adjustments
Ignore the change as it may be temporary
Evaluate nutritional intake and adjust dietary support
Increase the child's physical activity
4. What is the primary purpose of genetic counseling for families with
hemophilia?
To understand inheritance patterns and implications
, To provide immediate medical treatment
To diagnose hemophilia in children
To conduct genetic testing
5. What is the usual life span for individuals with sickle cell disease?
Into the third decade
Into the fifth decade
Until adolescence
Until early adulthood
6. You are teaching your client and their family about sickle-cell disease (SCD).
What are some of the common symptoms?
Anemia, periodic pain episodes, low blood pressure, hearing
difficulties
Anemia, periodic pain episodes, speech impairment
Anemia, periodic pain episodes, hand-foot syndrome, frequent
infections
Anemia, arrhythmias, high blood pressure, periodic pain episodes
7. A child experiences nausea and vomiting after receiving cancer
chemotherapy drugs. What should the nurse do to help prevent these
problems from recurring?
Administer ondansetron 30 to 60 minutes before the next
chemotherapy session.
Keep the child NPO for 8 hours after the chemotherapy session.
Encourage increased fluid intake before the next chemotherapy
session.
, Administer ordered buspirone 2 hours before the next chemotherapy
session.
8. What does a reticulocyte count measure in relation to red blood cell
production?
The size of red blood cells.
The level of hemoglobin in the blood.
The production of new red blood cells by the bone marrow.
The number of white blood cells.
9. Discuss why the hemoglobin level cutoff for diagnosing anemia may not be
appropriate for children.
Anemia is only diagnosed based on symptoms, not hemoglobin levels.
The cutoff is universally applicable to all age groups.
The cutoff may not be appropriate for children due to variations in
normal hemoglobin levels based on age and developmental
factors.
Children have a higher normal hemoglobin level than adults.
10. Describe why toddlers and adolescents are particularly vulnerable to iron
deficiency anemia.
Toddlers and adolescents have increased iron needs due to rapid
growth and development.
They are less likely to consume iron-rich foods.
They have lower dietary iron intake compared to other age groups.
They are more active and require more energy.
, 11. What race has higher prevalence of anemia?
African American
Mexican American
Norwegian
Caucasian
12. A child is diagnosed with a hematologic disorder during a routine check-up.
How might early detection affect the treatment plan compared to a
diagnosis made after symptoms appear?
It results in a more expensive treatment plan.
It limits the treatment options available.
It has no effect on the treatment plan.
It allows for a proactive treatment plan that can prevent
complications.
13. Describe the primary physiological mechanism that leads to a vaso-
occlusive crisis in sickle cell disease.
Ischemia results from low oxygen levels in the lungs.
Ischemia occurs due to blocked blood flow caused by sickled red
blood cells.
Ischemia is due to high blood pressure in the arteries.
Ischemia is caused by an increase in white blood cells.
14. A child with anemia is experiencing severe fatigue and shortness of breath.
Which supportive care measure should be prioritized to address their
immediate needs?
