NUR 4410 (Exam 4) Pediatrics Practice Questions and Answers

NUR 4410 (Exam 4) Pediatrics Practice Questions and Answers 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 - Ans:-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? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/24 a. 25% chance b. 50% chance c. 75% chance d. 0% chance - Ans:-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 - Ans:-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 ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/24 b. cannot pass the trait to their children c. can have painful gross hematuria as a major complication d. never develop symptoms of anemia - Ans:-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 - Ans:-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 ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/24 b. Splenic sequestration crisis c. Aplastic crisis d. Hyperhemolytic crisis - Ans:-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 differentia