GNUR 293 UPDATED ACTUAL Exam
Questions and CORRECT Answers
A 5-year-old male is diagnosed with idiopathic thrombocytic purpura (ITP). Which information
should the nurse give the staff regarding the cause of this condition?
A. An allergic reaction to vaccinations
B. Maternal antibodies that target platelets in the neonate
C. Virally induced antibody destruction of platelets
D. Normal postnatal platelet lysis - CORRECT ANSWER - Virally induced antibody
destruction of platelets
A 12-year-old male is diagnosed with sickle cell anemia. A blood smear reveals severely sickled
cells. A nurse recalls the sickled cells will be removed from circulation mostly by the:
A. Liver
B. Kidney
C. Spleen
D. Pancreas - CORRECT ANSWER - Spleen
A nurse wants to chart the other name for hemophilia B. Which term should the nurse write?
A. von Willebrand disease
B. Classic hemophilia
C. Thalassemia
,D. Christmas disease - CORRECT ANSWER - Christmas disease
A 22-year-old female gives birth at 20 weeks' gestation to a stillborn fetus. Physical exam of the
fetus by the nurse reveals gross edema of the entire body and anemia. This condition is referred
to as:
A. Hyperbilirubinemia.
B. Hydrops fetalis.
C. Erythroblastosis fetalis.
D. Ascites. - CORRECT ANSWER - Hydrops fetalis.
A 12-month-old toddler weighing 18 pounds is brought to the clinic because of weakness, slow
physical growth, and developmental delays. His mother reports that the only food he will
consume is cow's milk. Considering this information, the nurse decides that the child probably
has _____ anemia.
A. Iron deficiency
B. Hemolytic
C. Pernicious
D. Aplastic - CORRECT ANSWER - Iron deficiency
What is a priority assessment for Hodgkin lymphoma in children?
A. Painless adenopathy in cervical nodes
, B. Significant bruising
C. Petechiae
D. Weight gain - CORRECT ANSWER - Painless adenopathy in cervical nodes
A 5-year-old male is diagnosed with leukemia. Which of the following symptoms would the
nurse expect? (Select all that apply.)
A. Fever
B. Pallor
C. Fatigue
D. Petechiae
E. Jaundice - CORRECT ANSWER - Pallor, fatigue, petechiae, purpura, bleeding, and
fever generally are present. Jaundice is not.
A nurse monitors for the most common childhood cancer, which is:
A. Chronic myelocytic leukemia (CML)
B. Non-Hodgkin lymphoma
C. Acute lymphoblastic leukemia (ALL)
D. Hodgkin lymphoma - CORRECT ANSWER - Acute lymphoblastic leukemia (ALL)
A 5-year-old female dies from sickle cell disease. The pediatrician will document the most likely
cause of death is:
Questions and CORRECT Answers
A 5-year-old male is diagnosed with idiopathic thrombocytic purpura (ITP). Which information
should the nurse give the staff regarding the cause of this condition?
A. An allergic reaction to vaccinations
B. Maternal antibodies that target platelets in the neonate
C. Virally induced antibody destruction of platelets
D. Normal postnatal platelet lysis - CORRECT ANSWER - Virally induced antibody
destruction of platelets
A 12-year-old male is diagnosed with sickle cell anemia. A blood smear reveals severely sickled
cells. A nurse recalls the sickled cells will be removed from circulation mostly by the:
A. Liver
B. Kidney
C. Spleen
D. Pancreas - CORRECT ANSWER - Spleen
A nurse wants to chart the other name for hemophilia B. Which term should the nurse write?
A. von Willebrand disease
B. Classic hemophilia
C. Thalassemia
,D. Christmas disease - CORRECT ANSWER - Christmas disease
A 22-year-old female gives birth at 20 weeks' gestation to a stillborn fetus. Physical exam of the
fetus by the nurse reveals gross edema of the entire body and anemia. This condition is referred
to as:
A. Hyperbilirubinemia.
B. Hydrops fetalis.
C. Erythroblastosis fetalis.
D. Ascites. - CORRECT ANSWER - Hydrops fetalis.
A 12-month-old toddler weighing 18 pounds is brought to the clinic because of weakness, slow
physical growth, and developmental delays. His mother reports that the only food he will
consume is cow's milk. Considering this information, the nurse decides that the child probably
has _____ anemia.
A. Iron deficiency
B. Hemolytic
C. Pernicious
D. Aplastic - CORRECT ANSWER - Iron deficiency
What is a priority assessment for Hodgkin lymphoma in children?
A. Painless adenopathy in cervical nodes
, B. Significant bruising
C. Petechiae
D. Weight gain - CORRECT ANSWER - Painless adenopathy in cervical nodes
A 5-year-old male is diagnosed with leukemia. Which of the following symptoms would the
nurse expect? (Select all that apply.)
A. Fever
B. Pallor
C. Fatigue
D. Petechiae
E. Jaundice - CORRECT ANSWER - Pallor, fatigue, petechiae, purpura, bleeding, and
fever generally are present. Jaundice is not.
A nurse monitors for the most common childhood cancer, which is:
A. Chronic myelocytic leukemia (CML)
B. Non-Hodgkin lymphoma
C. Acute lymphoblastic leukemia (ALL)
D. Hodgkin lymphoma - CORRECT ANSWER - Acute lymphoblastic leukemia (ALL)
A 5-year-old female dies from sickle cell disease. The pediatrician will document the most likely
cause of death is:
