NUR 283 Exam Questions with complete
solutions 2026/2027 Updated.
An accurate description of anemia is: - ANS✓✓-Decreased oxygen-carrying
capacity of blood.
Several blood tests are ordered for a preschool child with severe anemia. She
is crying and upset because she remembers the venipuncture done at the
clinic 2 days ago. The nurse should explain that: - ANS✓✓-Topical application
of local anesthetic can eliminate venipuncture pain.
The most appropriate nursing diagnosis for a child with anemia is: - ANS✓✓-
Activity Intolerance related to generalized weakness.
Which statement best explains why iron deficiency anemia is common during
toddlerhood? - ANS✓✓-Milk is a poor source of iron.
When teaching the mother of a 9-month-old infant about administering liquid
iron preparations, the nurse should include that: - ANS✓✓-Adequate dosage
will turn the stools a tarry green color.
Iron dextran is ordered for a young child with severe iron deficiency anemia.
Nursing considerations include: - ANS✓✓-Injecting deeply into a large muscle.
The nurse is recommending how to prevent iron deficiency anemia in a healthy,
term, breastfed infant. What should she or he suggest? - ANS✓✓-Iron-fortified
infant cereal can be introduced at approximately 6 months of age.
A condition in which the normal adult hemoglobin is partly or completely
replaced by abnormal hemoglobin is: - ANS✓✓-Sickle cell anemia.
Which statement most accurately describes the pathologic changes of sickle
cell anemia? - ANS✓✓-Increased red blood cell destruction occurs.
Which clinical manifestation should the nurse expect when a child with sickle
cell anemia experiences an acute vaso-occlusive crisis? - ANS✓✓-Painful
swelling of hands and feet, painful joints
A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's
care should include: - ANS✓✓-Adequate hydration and pain management.
, The parents of a child hospitalized with sickle cell anemia tell the nurse that
they are concerned about narcotic analgesics causing addiction. The nurse
should explain that narcotic analgesics: - ANS✓✓-Rarely cause addiction
because they are medically indicated.
Which statement best describes -thalassemia major (Cooley's anemia)? - ANS✓
✓ -Increased incidence occurs in families of Mediterranean extraction.
Chelation therapy is begun on a child with -thalassemia major. The purpose of
this therapy is to: - ANS✓✓-Eliminate excess iron.
In which condition are all the formed elements of the blood simultaneously
depressed? - ANS✓✓-Aplastic anemia
A possible cause of acquired aplastic anemia in children is: - ANS✓✓-Drugs
As related to inherited disorders, which statement is descriptive of most cases
of hemophilia? - ANS✓✓-X-linked recessive inherited disorder in which a
blood-clotting factor is deficient
An acquired hemorrhagic disorder that is characterized by excessive
destruction of platelets is: - ANS✓✓-Idiopathic thrombocytopenic purpura.
What is most descriptive of the pathophysiology of leukemia? - ANS✓✓-
Unrestricted proliferation of immature white blood cells (WBCs) occurs.
A boy with leukemia screams whenever he needs to be turned or moved. The
most probable cause of this pain is: - ANS✓✓-Bone involvement.
Myelosuppression associated with chemotherapeutic agents or some
malignancies such as leukemia can cause bleeding tendencies because of
a/an: - ANS✓✓-Decrease in blood platelets.
A child with leukemia is receiving triple intrathecal chemotherapy consisting of
methotrexate, cytarabine, and hydrocortisone. The purpose of this is to
prevent: - ANS✓✓-Central nervous system (CNS) disease.
A young boy will receive a bone marrow transplant (BMT). This is possible
because one of his older siblings is a histocompatible donor. This type of BMT
is termed - ANS✓✓-Allogeneic
A school-age child with leukemia experienced severe nausea and vomiting
when receiving chemotherapy for the first time. The most appropriate nursing
action to prevent or minimize these reactions with subsequent treatments is to:
- ANS✓✓-Administer an antiemetic before chemotherapy begins.
solutions 2026/2027 Updated.
An accurate description of anemia is: - ANS✓✓-Decreased oxygen-carrying
capacity of blood.
Several blood tests are ordered for a preschool child with severe anemia. She
is crying and upset because she remembers the venipuncture done at the
clinic 2 days ago. The nurse should explain that: - ANS✓✓-Topical application
of local anesthetic can eliminate venipuncture pain.
The most appropriate nursing diagnosis for a child with anemia is: - ANS✓✓-
Activity Intolerance related to generalized weakness.
Which statement best explains why iron deficiency anemia is common during
toddlerhood? - ANS✓✓-Milk is a poor source of iron.
When teaching the mother of a 9-month-old infant about administering liquid
iron preparations, the nurse should include that: - ANS✓✓-Adequate dosage
will turn the stools a tarry green color.
Iron dextran is ordered for a young child with severe iron deficiency anemia.
Nursing considerations include: - ANS✓✓-Injecting deeply into a large muscle.
The nurse is recommending how to prevent iron deficiency anemia in a healthy,
term, breastfed infant. What should she or he suggest? - ANS✓✓-Iron-fortified
infant cereal can be introduced at approximately 6 months of age.
A condition in which the normal adult hemoglobin is partly or completely
replaced by abnormal hemoglobin is: - ANS✓✓-Sickle cell anemia.
Which statement most accurately describes the pathologic changes of sickle
cell anemia? - ANS✓✓-Increased red blood cell destruction occurs.
Which clinical manifestation should the nurse expect when a child with sickle
cell anemia experiences an acute vaso-occlusive crisis? - ANS✓✓-Painful
swelling of hands and feet, painful joints
A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's
care should include: - ANS✓✓-Adequate hydration and pain management.
, The parents of a child hospitalized with sickle cell anemia tell the nurse that
they are concerned about narcotic analgesics causing addiction. The nurse
should explain that narcotic analgesics: - ANS✓✓-Rarely cause addiction
because they are medically indicated.
Which statement best describes -thalassemia major (Cooley's anemia)? - ANS✓
✓ -Increased incidence occurs in families of Mediterranean extraction.
Chelation therapy is begun on a child with -thalassemia major. The purpose of
this therapy is to: - ANS✓✓-Eliminate excess iron.
In which condition are all the formed elements of the blood simultaneously
depressed? - ANS✓✓-Aplastic anemia
A possible cause of acquired aplastic anemia in children is: - ANS✓✓-Drugs
As related to inherited disorders, which statement is descriptive of most cases
of hemophilia? - ANS✓✓-X-linked recessive inherited disorder in which a
blood-clotting factor is deficient
An acquired hemorrhagic disorder that is characterized by excessive
destruction of platelets is: - ANS✓✓-Idiopathic thrombocytopenic purpura.
What is most descriptive of the pathophysiology of leukemia? - ANS✓✓-
Unrestricted proliferation of immature white blood cells (WBCs) occurs.
A boy with leukemia screams whenever he needs to be turned or moved. The
most probable cause of this pain is: - ANS✓✓-Bone involvement.
Myelosuppression associated with chemotherapeutic agents or some
malignancies such as leukemia can cause bleeding tendencies because of
a/an: - ANS✓✓-Decrease in blood platelets.
A child with leukemia is receiving triple intrathecal chemotherapy consisting of
methotrexate, cytarabine, and hydrocortisone. The purpose of this is to
prevent: - ANS✓✓-Central nervous system (CNS) disease.
A young boy will receive a bone marrow transplant (BMT). This is possible
because one of his older siblings is a histocompatible donor. This type of BMT
is termed - ANS✓✓-Allogeneic
A school-age child with leukemia experienced severe nausea and vomiting
when receiving chemotherapy for the first time. The most appropriate nursing
action to prevent or minimize these reactions with subsequent treatments is to:
- ANS✓✓-Administer an antiemetic before chemotherapy begins.
