PEDIATRIC NR 328 EXAM 2026
UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND
NEW VISION)
A child with hemophilia A will have which abnormal laboratory result? -
ans-PTT (partial thromboplastin time)
A child with hemophilia A is scheduled for surgery. What precautions
should the nurse institute with this child? - ans-Handle the child gently
when transferring to a cart.
Nursing strategies to improve the growth and development of the child
with human immunodeficiency virus (HIV) infection should include what? -
ans-Fortify foods with nutritional supplements to maximize
quality of intake.
What medication is classified as an antiretroviral? - ans-Didanosine
(Videx)
The nurse is caring for a child with hemophilia A. The childs activity is as
tolerated. What activity is contraindicated for this child? - ans-Passive
range of motion exercises
What condition precipitates polycythemia? - ans-Prolonged tissue
hypoxia
,The clinic nurse is evaluating lab results for a child. What recorded
hemoglobin (Hgb) result is considered within the normal range? - ans-12
g/dl
The clinic nurse is evaluating lab results for a child. What recorded
hematocrit (Hct) result is considered within the normal range? - ans-40%
The nurse is caring for a school-age child with severe anemia and activity
intolerance. What diversional activity should the nurse plan for this child?
- ans-Playing board or card games
The nurse is preparing to administer a unit of packed red blood cells to a
hospitalized child. What is an appropriate action that applies to
administering blood? - ans-Administer the first 50 ml of blood slowly
and stay with the child.
What rationale explains why prolonged use of oxygen should be
discouraged in a child with anemia? - ans-Prolonged use of oxygen
can decrease erythropoiesis.
The nurse is teaching a parent of an infant to limit the amount of formula
to encourage the intake of iron-rich food. What amount should the nurse
teach to the parent? - ans-1000 ml
A child with sickle cell disease is in a vasoocclusive crisis. What
nonpharmacologic pain intervention should the nurse plan? - ans-Heat to
the affected area
What immunoglobulin pattern does the nurse expect in a child recently
diagnosed with Wiskott-Aldrich syndrome? - ans-Diminished levels of
IgM
The nurse is caring for a 14-year-old child with disseminated intravascular
coagulation (DIC). What clinical manifestations should the nurse expect to
observe? - ans-Petechiae
,Bleeding from openings in the skin
Hypotension
Purpura
What activity should the school nurse recommend for a child with
hemophilia A? - ans-Golf
Jogging
Swimming
What are signs and symptoms of anemia? - ans-Pallor
Fatigue
Muscle weakness
The nurse is administering a unit of blood to a child. What are signs and
symptoms of a transfusion reaction? - ans-Chills
Shaking
Flank pain
Sudden severe headache
The nurse is teaching parents of a child being discharged from the
hospital after a splenectomy about the risk of infection. What should the
nurse include in the teaching session? - ans-The child should receive
prophylactic penicillin for certain procedures.
Have the child immunized with the Haemophilus influenzae type b
vaccination.
Notify the health care provider if your child develops a fever of
38.5 C (101.3 F).
The clinic nurse is evaluating causes for iron deficiency caused by
inadequate supply of iron. What should the nurse recognize as causes for
iron deficiency caused by an inadequate iron supply? - ans-Prematurity
Excessive milk intake
, Severe iron deficiency in the mother
The clinic nurse is evaluating causes for iron deficiency due to impaired
iron absorption. What should the nurse recognize as causes for iron
deficiency due to impaired iron absorption? - ans-Chronic diarrhea
Lactose intolerance
Inflammatory bowel disease
The nurse is preparing to admit a 1-month-old infant with severe
congenital neutropenia (Kostmann disease). What clinical features of
severe congenital neutropenia should the nurse recognize? - ans-
Neutropenia is present.
The illness is severe.
The nurse is preparing to admit a 4-year-old child with chronic benign
neutropenia. What clinical features of chronic benign neutropenia should
the nurse recognize? - ans-Gingivitis is present.
Anemia is not present.
Monocytosis is present.
The nurse is caring for a 12-year-old child with b-thalassemia. What
clinical manifestations should the nurse expect to observe? - ans-Anorexia
Unexplained fever
Enlarged spleen or liver
Bronzed, freckled complexion
What is defined as the forces that favor filtration from the capillary? - ans-
Capillary hydrostatic pressure and interstitial oncotic pressure
What conditions would cause a decrease of fluid requirements for
children? - ans-Increased intracranial pressure
UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND
NEW VISION)
A child with hemophilia A will have which abnormal laboratory result? -
ans-PTT (partial thromboplastin time)
A child with hemophilia A is scheduled for surgery. What precautions
should the nurse institute with this child? - ans-Handle the child gently
when transferring to a cart.
Nursing strategies to improve the growth and development of the child
with human immunodeficiency virus (HIV) infection should include what? -
ans-Fortify foods with nutritional supplements to maximize
quality of intake.
What medication is classified as an antiretroviral? - ans-Didanosine
(Videx)
The nurse is caring for a child with hemophilia A. The childs activity is as
tolerated. What activity is contraindicated for this child? - ans-Passive
range of motion exercises
What condition precipitates polycythemia? - ans-Prolonged tissue
hypoxia
,The clinic nurse is evaluating lab results for a child. What recorded
hemoglobin (Hgb) result is considered within the normal range? - ans-12
g/dl
The clinic nurse is evaluating lab results for a child. What recorded
hematocrit (Hct) result is considered within the normal range? - ans-40%
The nurse is caring for a school-age child with severe anemia and activity
intolerance. What diversional activity should the nurse plan for this child?
- ans-Playing board or card games
The nurse is preparing to administer a unit of packed red blood cells to a
hospitalized child. What is an appropriate action that applies to
administering blood? - ans-Administer the first 50 ml of blood slowly
and stay with the child.
What rationale explains why prolonged use of oxygen should be
discouraged in a child with anemia? - ans-Prolonged use of oxygen
can decrease erythropoiesis.
The nurse is teaching a parent of an infant to limit the amount of formula
to encourage the intake of iron-rich food. What amount should the nurse
teach to the parent? - ans-1000 ml
A child with sickle cell disease is in a vasoocclusive crisis. What
nonpharmacologic pain intervention should the nurse plan? - ans-Heat to
the affected area
What immunoglobulin pattern does the nurse expect in a child recently
diagnosed with Wiskott-Aldrich syndrome? - ans-Diminished levels of
IgM
The nurse is caring for a 14-year-old child with disseminated intravascular
coagulation (DIC). What clinical manifestations should the nurse expect to
observe? - ans-Petechiae
,Bleeding from openings in the skin
Hypotension
Purpura
What activity should the school nurse recommend for a child with
hemophilia A? - ans-Golf
Jogging
Swimming
What are signs and symptoms of anemia? - ans-Pallor
Fatigue
Muscle weakness
The nurse is administering a unit of blood to a child. What are signs and
symptoms of a transfusion reaction? - ans-Chills
Shaking
Flank pain
Sudden severe headache
The nurse is teaching parents of a child being discharged from the
hospital after a splenectomy about the risk of infection. What should the
nurse include in the teaching session? - ans-The child should receive
prophylactic penicillin for certain procedures.
Have the child immunized with the Haemophilus influenzae type b
vaccination.
Notify the health care provider if your child develops a fever of
38.5 C (101.3 F).
The clinic nurse is evaluating causes for iron deficiency caused by
inadequate supply of iron. What should the nurse recognize as causes for
iron deficiency caused by an inadequate iron supply? - ans-Prematurity
Excessive milk intake
, Severe iron deficiency in the mother
The clinic nurse is evaluating causes for iron deficiency due to impaired
iron absorption. What should the nurse recognize as causes for iron
deficiency due to impaired iron absorption? - ans-Chronic diarrhea
Lactose intolerance
Inflammatory bowel disease
The nurse is preparing to admit a 1-month-old infant with severe
congenital neutropenia (Kostmann disease). What clinical features of
severe congenital neutropenia should the nurse recognize? - ans-
Neutropenia is present.
The illness is severe.
The nurse is preparing to admit a 4-year-old child with chronic benign
neutropenia. What clinical features of chronic benign neutropenia should
the nurse recognize? - ans-Gingivitis is present.
Anemia is not present.
Monocytosis is present.
The nurse is caring for a 12-year-old child with b-thalassemia. What
clinical manifestations should the nurse expect to observe? - ans-Anorexia
Unexplained fever
Enlarged spleen or liver
Bronzed, freckled complexion
What is defined as the forces that favor filtration from the capillary? - ans-
Capillary hydrostatic pressure and interstitial oncotic pressure
What conditions would cause a decrease of fluid requirements for
children? - ans-Increased intracranial pressure
