8/26/25, 9:27
AM
PEDS HEMETOLOGY EXAM ACTUAL
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A+ 2025/2026
Terms in this set (22)
The nurse is reviewing a Answer 1 and 6
health care
provider's prescription
for a child with sickle
cell anemia who was Rationale:
admitted to the hospital Sickle cell anemia is one of a group of diseases
for the treatment of called hemoglobinopathies in which
vaso-occlusive crisis. hemoglobin A is partly or completely replaced
Which prescriptions by abnormal sickle hemoglobin S. It is caused
documented in the by the inheritance of a gene for a
child's record should structurally abnormal portion of the
the nurse question? hemoglobin chain. Hemoglobin S is sensitive
Select all that apply. to changes in the oxygen content of the red
blood cell, and insufficient oxygen causes the
1. Restrict fluid intake. cells to assume a sickle shape; the cells become
rigid and clumped together, thus obstructing
capillary blood flow. Oral and intravenous fluids
2. Position for comfort.
are important parts of treatment. Meperidine
(Demerol) is not recommended for the child
3. Avoid strain on
with sickle cell disease because of the risk
painful joints.
for
1/
22
,8/26/25, 9:27
AM
4. Apply nasal oxygen normeperidine-induced seizures.
at 2 L per minute. Normeperidine, which is a metabolite of
meperidine, is a central nervous system
stimulant that produces anxiety, tremors,
5. Provide a high-
myoclonus, and generalized seizures when it
calorie, high-protein
accumulates with repetitive dosing.
diet.
Therefore, the nurse would question the
prescriptions for restricted fluids and
6. Administer meperidine for pain control. Positioning for
meperidine (Demerol) comfort, avoiding strain in painful joints,
25 mg for pain. oxygen, and a high-calorie, high-protein diet are
important parts of the treatment
plan.
2/
22
, 8/26/25, 9:27
AM
The nurse, caring for a Ans 3
child with aplastic
anemia, is reviewing the Rationale:
laboratory results and
Precautionary measures to prevent bleeding
notes a white blood cell
should be taken when a child has a low platelet
(WBC) count of 6000
count. These include no injections, no rectal
cells/mm3 and a
temperatures, the use of a soft toothbrush,
platelet count of
and abstinence from contact sports or
20,000 cells/mm3.
activities that could cause an
Which nursing
injury. Strict isolation would be required if the
intervention should be
WBC count was low. Naps and a diet high in
incorporated into the
iron are unrelated to the risk of bleeding.
plan of care?
1. Encourage naps.
2. Encourage
a diet high in
iron. 3.Encourage
quiet play
activities.
4.Maintain strict isolation
precautions.
The nurse reinforces Ans 4
home-care instructions
to the parents of a 3- Rationale:
year-old child who has
The nurse needs to stress the importance of
been hospitalized with
immunizations, dental hygiene, and routine
3/
22
AM
PEDS HEMETOLOGY EXAM ACTUAL
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A+ 2025/2026
Terms in this set (22)
The nurse is reviewing a Answer 1 and 6
health care
provider's prescription
for a child with sickle
cell anemia who was Rationale:
admitted to the hospital Sickle cell anemia is one of a group of diseases
for the treatment of called hemoglobinopathies in which
vaso-occlusive crisis. hemoglobin A is partly or completely replaced
Which prescriptions by abnormal sickle hemoglobin S. It is caused
documented in the by the inheritance of a gene for a
child's record should structurally abnormal portion of the
the nurse question? hemoglobin chain. Hemoglobin S is sensitive
Select all that apply. to changes in the oxygen content of the red
blood cell, and insufficient oxygen causes the
1. Restrict fluid intake. cells to assume a sickle shape; the cells become
rigid and clumped together, thus obstructing
capillary blood flow. Oral and intravenous fluids
2. Position for comfort.
are important parts of treatment. Meperidine
(Demerol) is not recommended for the child
3. Avoid strain on
with sickle cell disease because of the risk
painful joints.
for
1/
22
,8/26/25, 9:27
AM
4. Apply nasal oxygen normeperidine-induced seizures.
at 2 L per minute. Normeperidine, which is a metabolite of
meperidine, is a central nervous system
stimulant that produces anxiety, tremors,
5. Provide a high-
myoclonus, and generalized seizures when it
calorie, high-protein
accumulates with repetitive dosing.
diet.
Therefore, the nurse would question the
prescriptions for restricted fluids and
6. Administer meperidine for pain control. Positioning for
meperidine (Demerol) comfort, avoiding strain in painful joints,
25 mg for pain. oxygen, and a high-calorie, high-protein diet are
important parts of the treatment
plan.
2/
22
, 8/26/25, 9:27
AM
The nurse, caring for a Ans 3
child with aplastic
anemia, is reviewing the Rationale:
laboratory results and
Precautionary measures to prevent bleeding
notes a white blood cell
should be taken when a child has a low platelet
(WBC) count of 6000
count. These include no injections, no rectal
cells/mm3 and a
temperatures, the use of a soft toothbrush,
platelet count of
and abstinence from contact sports or
20,000 cells/mm3.
activities that could cause an
Which nursing
injury. Strict isolation would be required if the
intervention should be
WBC count was low. Naps and a diet high in
incorporated into the
iron are unrelated to the risk of bleeding.
plan of care?
1. Encourage naps.
2. Encourage
a diet high in
iron. 3.Encourage
quiet play
activities.
4.Maintain strict isolation
precautions.
The nurse reinforces Ans 4
home-care instructions
to the parents of a 3- Rationale:
year-old child who has
The nurse needs to stress the importance of
been hospitalized with
immunizations, dental hygiene, and routine
3/
22
