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NUR 254 EXAM 4 PEDIATRICS 2026 | Hematology, Oncology & Neurosensory Nursing Care | Actual Questions & Verified A+ Answers

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Master the most complex topics in Pediatrics with the 2026 NUR 254 Exam 4 Study Set. This exam covers the "High-Acuity" sections of Pediatric Nursing: Hematology, Oncology, and Neurosensory disorders. This guide provides actual 2026 exam-style questions with detailed rationales, focusing on the critical thinking required for NCLEX-style pediatric scenarios. Critical Exam 4 Coverage: Hematology: Sickle Cell Crisis management, Hemophilia (Factor VIII vs IX), and Iron Deficiency Anemia. Oncology: Leukemia (ALL/AML), Wilms Tumor (Why you NEVER palpate the abdomen), and chemotherapy side-effect management in children. Neurosensory: Meningitis (Brudzinski/Kernig signs), Seizure precautions, Hydrocephalus (Shunt complications), and Glasgow Coma Scale for Peds. Family-Centered Care: Psychosocial support for the dying child and chronic illness coping mechanisms. Updated for the 2026 curriculum with a focus on "Priority" and "Next-Gen" (SATA) questions.

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2026 GRADED A+ EXAM




NUR 254 Exam 4: Pediatric Hematology, Oncology, and Neurosensory Nursing
Care 2026 3 VERSIONS

Anemia - CORRECT ANSWER The most common hematologic disorder of childhood


QUESTION : Anemia - CORRECT ANSWER Decrease in number of RBCs and/or
hemoglobin (Hgb) concentration below normal


QUESTION : Anemia - CORRECT ANSWER Decreased oxygen-carrying capacity of blood


QUESTION : Consequences of Anemia - CORRECT ANSWER Decrease in oxygen-
carrying capacity of blood and decreased amount of oxygen available to tissues


QUESTION : Consequences of Anemia - CORRECT ANSWER When develops slowly, child
adapts


QUESTION : Consequences of Anemia - CORRECT ANSWER Diagnostic evaluation:
Sometimes defined as a Hgb <10 or 11 g/dl; however, this cutoff may be inappropriate for
children


QUESTION : Newborn Anemia - CORRECT ANSWER 14 to 24 g/dl


QUESTION : Infant Anemia - CORRECT ANSWER 10 to 15 g/dl


QUESTION : Child Anemia - CORRECT ANSWER 11 to 16 g/dl


QUESTION : Anemia - CORRECT ANSWER Pallor, paleness of mucous membranes,
Tiredness, fatigue, Tachycardia, Cool skin


QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Hemodilution

,2026 GRADED A+ EXAM


QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Decreased
peripheral resistance


QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Increased
cardiac circulation and turbulence


QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Cyanosis


QUESTION : Effects of Anemia on Circulatory System - CORRECT ANSWER Growth
retardation


QUESTION : Increased cardiac circulation and turbulence - CORRECT ANSWER May lead
to cardiac failure


QUESTION : Increased cardiac circulation and turbulence - CORRECT ANSWER May have
murmur


QUESTION : Anemia - CORRECT ANSWER Treat underlying cause: Transfusion after
hemorrhage if needed


QUESTION : Anemia - CORRECT ANSWER Treat underlying cause: Nutritional intervention
for deficiency anemias


QUESTION : Anemia - CORRECT ANSWER Supportive care: Intravenous (IV) fluids to
replace intravascular volume, Oxygen, and Bed rest


QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Prepare child and
family for laboratory tests


QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Decrease oxygen
demands

,2026 GRADED A+ EXAM

QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Prevent
complications


QUESTION : Anemia - CORRECT ANSWER Nursing Care Management: Support family


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Caused by inadequate supply
of dietary iron


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Iron-fortified cereals and
formulas for infants


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Special needs of premature
infants


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Adolescents at risk because of
rapid growth and poor eating habits


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Therapeutic management:
Increase the amount of iron the child receives


QUESTION : Iron Deficiency Anemia - CORRECT ANSWER Nursing care management:
Diet and Iron supplementation


QUESTION : Sickle Cell Anemia - CORRECT ANSWER A hereditary hemoglobinopathy


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occurs primarily in African-
Americans


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occurrence 1 in 375 infants born in
United States


QUESTION : Sickle Cell Anemia - CORRECT ANSWER 1 in 12 have sickle cell trait

, 2026 GRADED A+ EXAM

QUESTION : Sickle Cell Anemia - CORRECT ANSWER Occasionally also in people of
Mediterranean descent


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Also seen in South American,
Arabian, and East Indian descent


QUESTION : Sickle Cell Anemia - CORRECT ANSWER In areas of world where malaria is
common, individuals tend to have survival advantage over those without trait


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Autosomal recessive disorder


QUESTION : Sickle Cell Anemia - CORRECT ANSWER 9% of African-Americans are
carriers


QUESTION : Sickle Cell Anemia - CORRECT ANSWER 40% among native Africans are
carriers


QUESTION : Sickle Cell Anemia - CORRECT ANSWER If both parents have trait, each
offspring will have one in four chances of having disease


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Partial or
complete replacement of normal Hgb with abnormal Hgb S


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Hgb in the RBCs
takes on an elongated shape


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: rigid and obstruct
capillary blood flow


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Microscopic
obstructions lead to engorgement and tissue ischemia


QUESTION : Sickle Cell Anemia - CORRECT ANSWER Pathophysiology: Hypoxia occurs
and causes sickling

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