Peds Hematology and Immune NCLEX 100+ questions and all correct answers
A nurse is conducting a physical examination of a 5-year-old with suspected iron- deficiency
anemia. How would the nurse evaluate for changes in neurologic functioning?
A) "Open your mouth so I can look inside your cheeks and lips."
B) "Do you have any bruises on your feet or shins?"
C) "Will you show me how you walk across the room?"
D) "Let me see the palms of your hands and soles of your feet." - correct answer C) "Will you
show me how you walk across the room?"
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is
providing discharge instructions about home care and safety recommendations to the boy and
his parents. Which response indicates a need for further teaching?
A) "We should avoid aspirin and drugs like ibuprofen."
B) "He can resume participation in football in 2 weeks."
C) "Swimming would be a great activity."
D) "Our son cannot take any antihistamines." - correct answer B) "He can resume participation
in football in 2 weeks."
The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the
adolescent and her parents about this disorder and care, which response by the parents
indicates a need for additional teaching?
A) "We need to administer Stimate prior to dental work."
,Peds Hematology and Immune NCLEX 100+ questions and all correct answers
B) "We should be aware that she may suffer from menorrhagia."
C) "We should administer desmopressin as often as needed."
D) "We understand that she may have frequent nosebleeds." - correct answer C) "We should
administer desmopressin as often as needed."
The nurse is caring for a child who has been admitted for a sickle cell crisis. Which of the
following would the nurse do first to provide adequate pain management?
A) Administer a nonsteroidal anti-inflammatory drug as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale. - correct answer D) Initiate pain
assessment with a standardized pain scale.
The nurse is caring for a child who has been admitted for a sickle cell crisis. Which of the
following would the nurse do first to provide adequate pain management?
A) Administer a nonsteroidal anti-inflammatory drug as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale. - correct answer D) Initiate pain
assessment with a standardized pain scale.
,Peds Hematology and Immune NCLEX 100+ questions and all correct answers
A child with iron-deficiency anemia is prescribed ferrous fumarate, 3 mg/kg/day in two divided
doses. The nurse interprets this order as indicating which of the following?
A) The child requires a prophylactic dose of iron.
B)The child has mild to moderate iron deficiency.
C) The child has severe iron deficiency.
D) The child is being prepared for packed red blood cell administration. - correct answer B)The
child has mild to moderate iron deficiency.
The nurse is teaching the parents of a child with a hematologic disorder about the functions of
the various blood cells. The nurse determines that the teaching was successful when the
parents state which blood cell as being primarily responsible for blood clotting?
A)Granulocytes
B)Erythrocytes
C)Thrombocytes
D)Leukocytes - correct answer C)Thrombocytes
When providing care to a child with aplastic anemia, which nursing diagnosis most likely would
be the priority?
A) Risk for injury
B) Imbalanced nutrition, less than body requirements
, Peds Hematology and Immune NCLEX 100+ questions and all correct answers
C) Ineffective tissue perfusion
D) Impaired gas exchange - correct answer A) Risk for injury
The mother of a 5-year-old girl brings the child to the clinic for an evaluation. The mother tells
the nurse, "She seems to be so tired and irritable lately. And she looks so pale." Further
assessment reveals pale conjunctiva and oral mucous membranes. The nurse suspects iron-
deficiency anemia. Which additional finding would help provide additional evidence for this
suspicion?
A) Spooned nails
B) Negative splenomegaly
C) Oxygen saturation: 99%
D) Bradycardia - correct answer A) Spooned nails
The nurse is teaching the parents of a child diagnosed with iron-deficiency anemia about ways
to increase their child's intake of iron. The parents demonstrate understanding of the teaching
when they identify which foods as good choices for the child? Select all that apply.
A)
Tuna
B)
Salmon
C)
Tofu
A nurse is conducting a physical examination of a 5-year-old with suspected iron- deficiency
anemia. How would the nurse evaluate for changes in neurologic functioning?
A) "Open your mouth so I can look inside your cheeks and lips."
B) "Do you have any bruises on your feet or shins?"
C) "Will you show me how you walk across the room?"
D) "Let me see the palms of your hands and soles of your feet." - correct answer C) "Will you
show me how you walk across the room?"
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is
providing discharge instructions about home care and safety recommendations to the boy and
his parents. Which response indicates a need for further teaching?
A) "We should avoid aspirin and drugs like ibuprofen."
B) "He can resume participation in football in 2 weeks."
C) "Swimming would be a great activity."
D) "Our son cannot take any antihistamines." - correct answer B) "He can resume participation
in football in 2 weeks."
The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the
adolescent and her parents about this disorder and care, which response by the parents
indicates a need for additional teaching?
A) "We need to administer Stimate prior to dental work."
,Peds Hematology and Immune NCLEX 100+ questions and all correct answers
B) "We should be aware that she may suffer from menorrhagia."
C) "We should administer desmopressin as often as needed."
D) "We understand that she may have frequent nosebleeds." - correct answer C) "We should
administer desmopressin as often as needed."
The nurse is caring for a child who has been admitted for a sickle cell crisis. Which of the
following would the nurse do first to provide adequate pain management?
A) Administer a nonsteroidal anti-inflammatory drug as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale. - correct answer D) Initiate pain
assessment with a standardized pain scale.
The nurse is caring for a child who has been admitted for a sickle cell crisis. Which of the
following would the nurse do first to provide adequate pain management?
A) Administer a nonsteroidal anti-inflammatory drug as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale. - correct answer D) Initiate pain
assessment with a standardized pain scale.
,Peds Hematology and Immune NCLEX 100+ questions and all correct answers
A child with iron-deficiency anemia is prescribed ferrous fumarate, 3 mg/kg/day in two divided
doses. The nurse interprets this order as indicating which of the following?
A) The child requires a prophylactic dose of iron.
B)The child has mild to moderate iron deficiency.
C) The child has severe iron deficiency.
D) The child is being prepared for packed red blood cell administration. - correct answer B)The
child has mild to moderate iron deficiency.
The nurse is teaching the parents of a child with a hematologic disorder about the functions of
the various blood cells. The nurse determines that the teaching was successful when the
parents state which blood cell as being primarily responsible for blood clotting?
A)Granulocytes
B)Erythrocytes
C)Thrombocytes
D)Leukocytes - correct answer C)Thrombocytes
When providing care to a child with aplastic anemia, which nursing diagnosis most likely would
be the priority?
A) Risk for injury
B) Imbalanced nutrition, less than body requirements
, Peds Hematology and Immune NCLEX 100+ questions and all correct answers
C) Ineffective tissue perfusion
D) Impaired gas exchange - correct answer A) Risk for injury
The mother of a 5-year-old girl brings the child to the clinic for an evaluation. The mother tells
the nurse, "She seems to be so tired and irritable lately. And she looks so pale." Further
assessment reveals pale conjunctiva and oral mucous membranes. The nurse suspects iron-
deficiency anemia. Which additional finding would help provide additional evidence for this
suspicion?
A) Spooned nails
B) Negative splenomegaly
C) Oxygen saturation: 99%
D) Bradycardia - correct answer A) Spooned nails
The nurse is teaching the parents of a child diagnosed with iron-deficiency anemia about ways
to increase their child's intake of iron. The parents demonstrate understanding of the teaching
when they identify which foods as good choices for the child? Select all that apply.
A)
Tuna
B)
Salmon
C)
Tofu
