This document features 100 fully solved questions and answers for Exam 3 of NUR 370: Pediatric Nursing, specifically focused on hematological disorders in children. Designed for university-level nursing students, it provides high-yield, clinically relevant content aligned with the 2025/2026 academic curriculum.
Topics include comprehensive coverage of:
Sickle Cell Disease (SCD): pathophysiology, crisis types (VOE, aplastic, splenic sequestration), management in hospital and home settings, prevention of sickling, and family education.
Iron-Deficiency Anemia: signs and symptoms, dietary modifications, iron supplementation protocols, family teaching, and hospital interventions during crises.
Beta Thalassemia: patho, clinical manifestations (including skeletal changes and hemosiderosis), frequent transfusions, chelation therapy, and transplant options.
Hemophilia (A, B, C) and Von Willebrand Disease: bleeding complications, factor replacement therapies, DDAVP, joint care, and genetic counseling.
Idiopathic Thrombocytopenia (ITP): autoimmune causes, clinical signs (bruising, bleeding, petechiae), emergency indicators, and medical treatment.
Aplastic Anemia: congenital and acquired forms, pancytopenia presentation, diagnostic methods, and advanced interventions including immunosuppressive therapy and stem cell transplantation.
This document supports knowledge application for clinical decision-making, NCLEX-style test prep, and patient-centered care planning in pediatric settings. Each answer reflects evidence-based practice and includes detailed rationales ideal for comprehensive exam prep.
Ideal for:
– Nursing students (BSN/ADN) taking pediatric hematology modules
– NCLEX-RN candidates (hematologic and pediatric content)
– Health science students studying blood disorders in children
– Nurse educators developing quiz banks or targeted case reviews
Keywords:
NUR 370, pediatric hematology, sickle cell crisis, VOE, splenic sequestration, iron deficiency anemia, hemophilia A B C, Von Willebrand disease, beta thalassemia, hemosiderosis, aplastic anemia, ITP, thrombocytopenia, pancytopenia, pediatric anemia, Desferal therapy, transfusion protocol, clotting factor replacement, bone marrow transplant, nursing interventions, NCLEX peds hematology
Content preview
NUR 370 (Hematological - Exam 3)
Questions with Correct Answers 100%
Solved
Sickle Cell Patho - 🧠 ANSWER ✔✔Oxygen de-saturation (cell changes to
sickled shape)
Causes vaso-occlusion & micro-cirrculation, from obstruction
Hemolysis (premaure destruction of RBC's) (compensation with increased
production)
Deoxygenate (get sticky and caught on each other)
Sickle Cell CM's - 🧠 ANSWER ✔✔- Anemia shows after 6mo
- Obstruction of microcirculation, ischemia
, - Leg ulcers, Recurrent infections, Priapism, Hematuria, Bone weakness,
Enuresis
- Increased susceptibility to pneumococcal and salmonella
- Poor feeding, poor weight gain, irritability, fatigue
- Chronic vaso-occlusion affecting any system
*varies in severity and frequency*
Sickle Cell Types of Crises - 🧠 ANSWER ✔✔- Vaso-occlusive episode
(VOE)
- Splenic sequestration
- Aplastic crisis
SCD; Vaso-Occlusive Episode (VOE) Crisis - 🧠 ANSWER ✔✔- Painful
episode
- Hypoxic damage, ischemia, necrosis, pain
- Can affect any body tissue or organ
- CM's depend on what tissue or organ is involved
SCD; Splenic Sequestration Crisis - 🧠 ANSWER ✔✔Pooling of blood in the
spleen and liver - hypotension & shock