RNSG 2201_ Peds Exam 4 Actual
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("Peds" book - ch. 28) A 3 year old has neutropenia as noted by a white blood
cell count of 2200. Due to the diagnosis of aplastic anemia, when caring for
the child, on which should the family in nursing care focus?
1. Preventing bruising
2. Preventing infection.
3. Preventing fatigue
4. Developmental issues - ------------ANS: 2. Preventing infection.
(NCLEX book - ch. 37) A ten year child with hemophilia A has slipped on the
ice and bumped his knee. The nurse should prepare to administer which
prescription?
1. injection of factor X
2. IV infusion of iron
3. IV infusion of factor VIII
4. IM injection of iron using the Z track method - ------------ANS: 3. IV infusion
of factor VIII
(NCLEX book - ch. 37) Lab studies are performed for a child suspected of
having iron deficiency anemia. The nurse reviews the lab results knowing that
which result indicates this type of anemia?
1. Elevated hemoglobin
2. Decreased retic count
3. Elevated RBC
4. RBC that are microcytic and hyperchromic. - ------------ANS: 4. RBC that
are microcytic and hyperchromic.
(NCLEX book - ch. 37) The clinic nurse instructs parents of a child with sickle
cell anemia about the precipitating factors related to sickle cell crisis. Which if
identified by the parents as a precipitating factor indicates the need for further
instructions?
,1. Stress
2. Trauma
3. Infection
4. Fluid overload - ------------ANS: 4. Fluid overload
(NCLEX book - ch. 37) The nurse analyzes the lab results of a child with
hemophilia. The nurse understands that which lab result will most likely be
abnormal in this child?
1. Platelet count
2. Hematocrit level
3. Hemoglobin level
4. PTT - ------------ANS: 4. PTT
(NCLEX book - ch. 37) The nurse is instructing the parents of a child with iron
deficiency anemia regarding the administration of a liquid oral iron
supplement. Which instruction should the nurse tell the parents?
1. Administer the iron at meal times
2. Administer the iron through a straw
3. Mix the iron with cereal to administer
4. Add the iron to the formula for easy administration. - ------------ANS: 2.
Administer the iron through a straw
(NCLEX book - ch. 37) The nurse is providing home care instructions to the
parents of a 10 year old child with hemophilia. Which sport activity should the
nurse suggest for this child?
1. Soccer
2. Basketball
3. Swimming
4. Field hockey - ------------ANS: 3. Swimming
(NCLEX book - ch. 37) The nurse is reviewing an HCP's prescriptions for a
child with sickle cell anemia who was admitted to the hospital for the treatment
of vaso-occlusive crisis. Which prescriptions documented in the child's record
should the nurse question? (Select all that apply)
1. Restrict fluid intake
, 2. Position for comfort
3. Avoid strain on painful joint
4. Apply nasal oxygen at 2 liters a minute
5. Provide a high calorie high protein diet
6. Give demerol 25 mg every 4 hrs for pain. - ------------ANS: 1., 6.
(NCLEX book - ch. 38) A child undergoes surgical removal of a brain tumor.
During the postop period the nurse is monitoring the child and notes that the
child is restless, the pulse is elevated, and the BP has decreased significantly
from the baseline. The nurse suspects that the child is in shock. Which is the
most appropriate nursing action?
1. Notify the HCP
2. Place the child in a supine position.
3. Place the child in trendelenburg's.
4. Increase the flow rate of the IV fluids. - ------------ANS: 1. Notify the HCP
(NCLEX book - ch. 38) A diagnosis of Hodgkin's disease is suspected in a 12
year old child seen in the clinic. Several diagnostic studies are performed to
determine the presence of this disease. Which diagnostic test result will
confirm the diagnosis of Hodgkin's disease?
1. Elevated BANILLYLMANDELIC acid urinary levels.
2. The presence of blasts cells in the bone marrow.
3. The presence of Epstein-Barr virus in the blood.
4. The presence of Reed-sternberg cells in the lymph nodes. - ------------ANS:
4. The presence of Reed-sternberg cells in the lymph nodes.
(NCLEX book - ch. 38) A four year old is admitted to the hospital for
abdominal pain. The mother reports that the child has been pale and
excessively tired and is bruising easily. On physical examination,
lymphadenopathy and hepatosplenomegaly diagnostic studies are being
performed on the child, because ALL is suspected. The nurse understands
that which diagnostic study should confirm the diagnosis?
1. Platelet count
2. Lumbar puncture.
3. Bone marrow biopsy
4. WBC count - ------------ANS: 3. Bone marrow biopsy
Questions & Answers 100% Guarantee
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("Peds" book - ch. 28) A 3 year old has neutropenia as noted by a white blood
cell count of 2200. Due to the diagnosis of aplastic anemia, when caring for
the child, on which should the family in nursing care focus?
1. Preventing bruising
2. Preventing infection.
3. Preventing fatigue
4. Developmental issues - ------------ANS: 2. Preventing infection.
(NCLEX book - ch. 37) A ten year child with hemophilia A has slipped on the
ice and bumped his knee. The nurse should prepare to administer which
prescription?
1. injection of factor X
2. IV infusion of iron
3. IV infusion of factor VIII
4. IM injection of iron using the Z track method - ------------ANS: 3. IV infusion
of factor VIII
(NCLEX book - ch. 37) Lab studies are performed for a child suspected of
having iron deficiency anemia. The nurse reviews the lab results knowing that
which result indicates this type of anemia?
1. Elevated hemoglobin
2. Decreased retic count
3. Elevated RBC
4. RBC that are microcytic and hyperchromic. - ------------ANS: 4. RBC that
are microcytic and hyperchromic.
(NCLEX book - ch. 37) The clinic nurse instructs parents of a child with sickle
cell anemia about the precipitating factors related to sickle cell crisis. Which if
identified by the parents as a precipitating factor indicates the need for further
instructions?
,1. Stress
2. Trauma
3. Infection
4. Fluid overload - ------------ANS: 4. Fluid overload
(NCLEX book - ch. 37) The nurse analyzes the lab results of a child with
hemophilia. The nurse understands that which lab result will most likely be
abnormal in this child?
1. Platelet count
2. Hematocrit level
3. Hemoglobin level
4. PTT - ------------ANS: 4. PTT
(NCLEX book - ch. 37) The nurse is instructing the parents of a child with iron
deficiency anemia regarding the administration of a liquid oral iron
supplement. Which instruction should the nurse tell the parents?
1. Administer the iron at meal times
2. Administer the iron through a straw
3. Mix the iron with cereal to administer
4. Add the iron to the formula for easy administration. - ------------ANS: 2.
Administer the iron through a straw
(NCLEX book - ch. 37) The nurse is providing home care instructions to the
parents of a 10 year old child with hemophilia. Which sport activity should the
nurse suggest for this child?
1. Soccer
2. Basketball
3. Swimming
4. Field hockey - ------------ANS: 3. Swimming
(NCLEX book - ch. 37) The nurse is reviewing an HCP's prescriptions for a
child with sickle cell anemia who was admitted to the hospital for the treatment
of vaso-occlusive crisis. Which prescriptions documented in the child's record
should the nurse question? (Select all that apply)
1. Restrict fluid intake
, 2. Position for comfort
3. Avoid strain on painful joint
4. Apply nasal oxygen at 2 liters a minute
5. Provide a high calorie high protein diet
6. Give demerol 25 mg every 4 hrs for pain. - ------------ANS: 1., 6.
(NCLEX book - ch. 38) A child undergoes surgical removal of a brain tumor.
During the postop period the nurse is monitoring the child and notes that the
child is restless, the pulse is elevated, and the BP has decreased significantly
from the baseline. The nurse suspects that the child is in shock. Which is the
most appropriate nursing action?
1. Notify the HCP
2. Place the child in a supine position.
3. Place the child in trendelenburg's.
4. Increase the flow rate of the IV fluids. - ------------ANS: 1. Notify the HCP
(NCLEX book - ch. 38) A diagnosis of Hodgkin's disease is suspected in a 12
year old child seen in the clinic. Several diagnostic studies are performed to
determine the presence of this disease. Which diagnostic test result will
confirm the diagnosis of Hodgkin's disease?
1. Elevated BANILLYLMANDELIC acid urinary levels.
2. The presence of blasts cells in the bone marrow.
3. The presence of Epstein-Barr virus in the blood.
4. The presence of Reed-sternberg cells in the lymph nodes. - ------------ANS:
4. The presence of Reed-sternberg cells in the lymph nodes.
(NCLEX book - ch. 38) A four year old is admitted to the hospital for
abdominal pain. The mother reports that the child has been pale and
excessively tired and is bruising easily. On physical examination,
lymphadenopathy and hepatosplenomegaly diagnostic studies are being
performed on the child, because ALL is suspected. The nurse understands
that which diagnostic study should confirm the diagnosis?
1. Platelet count
2. Lumbar puncture.
3. Bone marrow biopsy
4. WBC count - ------------ANS: 3. Bone marrow biopsy
