NUR 254 EXAM 4 REVIEW (Hematology
and Oncology) 2025 Question and
Answers
Anemia -Correct Answer ✔The most common hematologic disorder of childhood
Anemia -Correct Answer ✔Decrease in number of RBCs and/or hemoglobin (Hgb)
concentration below normal
Anemia -Correct Answer ✔Decreased oxygen-carrying capacity of blood
Consequences of Anemia -Correct Answer ✔Decrease in oxygen-carrying capacity of
blood and decreased amount of oxygen available to tissues
Consequences of Anemia -Correct Answer ✔When develops slowly, child adapts
Consequences of Anemia -Correct Answer ✔Diagnostic evaluation: Sometimes defined
as a Hgb <10 or 11 g/dl; however, this cutoff may be inappropriate for children
Newborn Anemia -Correct Answer ✔14 to 24 g/dl
Infant Anemia -Correct Answer ✔10 to 15 g/dl
Child Anemia -Correct Answer ✔11 to 16 g/dl
Anemia -Correct Answer ✔Pallor, paleness of mucous membranes, Tiredness, fatigue,
Tachycardia, Cool skin
Effects of Anemia on Circulatory System -Correct Answer ✔Hemodilution
Effects of Anemia on Circulatory System -Correct Answer ✔Decreased peripheral
resistance
Effects of Anemia on Circulatory System -Correct Answer ✔Increased cardiac
circulation and turbulence
Effects of Anemia on Circulatory System -Correct Answer ✔Cyanosis
Effects of Anemia on Circulatory System -Correct Answer ✔Growth retardation
NUR 254
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Increased cardiac circulation and turbulence -Correct Answer ✔May lead to cardiac
failure
Increased cardiac circulation and turbulence -Correct Answer ✔May have murmur
Anemia -Correct Answer ✔Treat underlying cause: Transfusion after hemorrhage if
needed
Anemia -Correct Answer ✔Treat underlying cause: Nutritional intervention for deficiency
anemias
Anemia -Correct Answer ✔Supportive care: Intravenous (IV) fluids to replace
intravascular volume, Oxygen, and Bed rest
Anemia -Correct Answer ✔Nursing Care Management: Prepare child and family for
laboratory tests
Anemia -Correct Answer ✔Nursing Care Management: Decrease oxygen demands
Anemia -Correct Answer ✔Nursing Care Management: Prevent complications
Anemia -Correct Answer ✔Nursing Care Management: Support family
Iron Deficiency Anemia -Correct Answer ✔Caused by inadequate supply of dietary iron
Iron Deficiency Anemia -Correct Answer ✔Iron-fortified cereals and formulas for infants
Iron Deficiency Anemia -Correct Answer ✔Special needs of premature infants
Iron Deficiency Anemia -Correct Answer ✔Adolescents at risk because of rapid growth
and poor eating habits
Iron Deficiency Anemia -Correct Answer ✔Therapeutic management: Increase the
amount of iron the child receives
Iron Deficiency Anemia -Correct Answer ✔Nursing care management: Diet and Iron
supplementation
Sickle Cell Anemia -Correct Answer ✔A hereditary hemoglobinopathy
Sickle Cell Anemia -Correct Answer ✔Occurs primarily in African-Americans
Sickle Cell Anemia -Correct Answer ✔Occurrence 1 in 375 infants born in United States
NUR 254