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NUR 370 – Pediatric Hematology Exam 3 | 100 Q&A | Sickle Cell, Anemia, Hemophilia, Thalassemia

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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

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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

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