N4410 Pediatrics Exam 2 Questions with
complete solutions
The nurse is scheduled to administer 100 ml of packed RBCs to 3-year-old Am. Which one
of the following is NOT a correct guideline when administering the blood?
a. Take vital signs before administration
b. Infuse the blood through an appropriate filter
c. Administer 50 ml of the blood within the first few minutes to detect for possible reactions
before proceeding with the remainder of the infusion
d. Start the blood within 30 minutes of its arrival from the blood band or return it to the
blood bank
c. Administer 50 ml of the blood within the first few minutes to detect for possible reactions
before proceeding with the remainder of the infusion
Sally and David Brown are returning with Jason, their 6-week-old infant, for a routine
newborn examination. Sally is a carrier for sickle cell anemia; David is not. What is the
chance that Jason was born with sickle cell anemia?
a. 25% chance
b. 50% chance
c. 75% chance
d. 0% chance
d. 0% chance
,Infants are often not diagnosed with sickle cell anemia until they are 1 year of age. Why?
a. Usually there are no symptoms until after 1 year
b. High intake of fluids from formula prevents sickle cell crises during this age.
c. Fetal hemoglobin is present during the first year of life
d. Increased hemoglobin and hematocrit amounts compensate during this period
c. Fetal hemoglobin is present during the first year of life
Persons diagnosed with sickle cell trait:
a. have 50% or more of the total hemoglobin is HgbS
b. cannot pass the trait to their children
c. can have painful gross hematuria as a major complication
d. never develop symptoms of anemia
c. can have painful gross hematuria as a major complication
Bruce, age 12 years, is admitted to your unit with a diagnosis of sickle cell crisis. Which on
of the following activities is most likely to have precipitated this episode?
a. Attending the football game with his friends
b. Going camping and hiking in the mountains with his friends
c. Going to the beach and surfing with his friends
d. staying indoors and reading for several hours
b. Going camping and hiking in the mountains with his friends
, Pat is a 5-year-old being admitted because of diminished RBC production triggered by a
viral infection. What type of sickle cell crisis is she most likely experiencing?
a. Vasoocculusive
b. Splenic sequestration crisis
c. Aplastic crisis
d. Hyperhemolytic crisis
c. Aplastic crisis
Which of the following diagnostic tests can distinguish between those children with sickle
cell trait and those with sickle cell disease?
a. Complete blood count with differential
b. Sickledex
c. Bleeding time
d. Hemoglobin electrophoresis
d. Hemoglobin electrophoresis
Therapeutic management of sickle cell crisis generally includes which one of the following?
a. Long-term oxygen use to enable the oxygen to reach the sickled RBCs
b. Decrease in fluids to increase hemoconcentration
c. Diet high in iron to decrease anemia
d. Bed rest to minimize energy expenditure
complete solutions
The nurse is scheduled to administer 100 ml of packed RBCs to 3-year-old Am. Which one
of the following is NOT a correct guideline when administering the blood?
a. Take vital signs before administration
b. Infuse the blood through an appropriate filter
c. Administer 50 ml of the blood within the first few minutes to detect for possible reactions
before proceeding with the remainder of the infusion
d. Start the blood within 30 minutes of its arrival from the blood band or return it to the
blood bank
c. Administer 50 ml of the blood within the first few minutes to detect for possible reactions
before proceeding with the remainder of the infusion
Sally and David Brown are returning with Jason, their 6-week-old infant, for a routine
newborn examination. Sally is a carrier for sickle cell anemia; David is not. What is the
chance that Jason was born with sickle cell anemia?
a. 25% chance
b. 50% chance
c. 75% chance
d. 0% chance
d. 0% chance
,Infants are often not diagnosed with sickle cell anemia until they are 1 year of age. Why?
a. Usually there are no symptoms until after 1 year
b. High intake of fluids from formula prevents sickle cell crises during this age.
c. Fetal hemoglobin is present during the first year of life
d. Increased hemoglobin and hematocrit amounts compensate during this period
c. Fetal hemoglobin is present during the first year of life
Persons diagnosed with sickle cell trait:
a. have 50% or more of the total hemoglobin is HgbS
b. cannot pass the trait to their children
c. can have painful gross hematuria as a major complication
d. never develop symptoms of anemia
c. can have painful gross hematuria as a major complication
Bruce, age 12 years, is admitted to your unit with a diagnosis of sickle cell crisis. Which on
of the following activities is most likely to have precipitated this episode?
a. Attending the football game with his friends
b. Going camping and hiking in the mountains with his friends
c. Going to the beach and surfing with his friends
d. staying indoors and reading for several hours
b. Going camping and hiking in the mountains with his friends
, Pat is a 5-year-old being admitted because of diminished RBC production triggered by a
viral infection. What type of sickle cell crisis is she most likely experiencing?
a. Vasoocculusive
b. Splenic sequestration crisis
c. Aplastic crisis
d. Hyperhemolytic crisis
c. Aplastic crisis
Which of the following diagnostic tests can distinguish between those children with sickle
cell trait and those with sickle cell disease?
a. Complete blood count with differential
b. Sickledex
c. Bleeding time
d. Hemoglobin electrophoresis
d. Hemoglobin electrophoresis
Therapeutic management of sickle cell crisis generally includes which one of the following?
a. Long-term oxygen use to enable the oxygen to reach the sickled RBCs
b. Decrease in fluids to increase hemoconcentration
c. Diet high in iron to decrease anemia
d. Bed rest to minimize energy expenditure
