NUR 254 Exam 4 Actual Exam Study
Questions with 100% Correct
Answers| Brand New Version
1. Anemia - ANSWER The most common hematologic disorder of childhood
2. Iron Deficiency Anemia - ANSWER Caused by inadequate supply of
dietary iron
3. Sickle Cell Anemia - ANSWER A hereditary hemoglobinopathy
4. deferoxamine (Desferal) - ANSWER Binds excess iron for excretion by
kidney
5. B-Thalassemia - ANSWER Nursing Care Management: Observe for
complications of multiple blood transfusions
6. Neoplastic Disorders - ANSWER Leading cause of death from disease in
children past infancy
7. Leukemia - ANSWER Most common form of childhood cancer
8. Acute lymphoblastic leukemia (ALL) - ANSWER Most common
9. Acute Non-Lymphoide (myelogenous) leukemia (AML) - ANSWER No
peak age
, 10.The nurse is caring for a child who has leukemia with a white blood cell
(WBC) count of < 1000 mm. Which of the following should the nurse
include in the child's plan of care? - ANSWER Administer prescribed
influenza vaccination
11.The nurse is providing a teaching session to the health care staff regarding
osteosarcoma. Which of the following statements by an attendee indicates a
need for additional teaching? - ANSWER "In the early stage, the symptoms
of this disease are usually attributed to normal growing pains.
12.The nurse is caring for a child who is suspected of having a Wilm's tumor.
Which of the following actions by the nurse indicates the need for additional
training? - ANSWER Palpating the child's abdomen
13.The nurse is caring for a 5-year-old child who has sickle cell disease (SCD).
An assessment of the child includes the following: respirations 10 and
unarousable. The child is currently on intravenous (IV) fluids and
continuous IV morphine sulfate Based on the assessment information, which
of the following actions should the nurse take first? - ANSWER Administer
naloxone to reverse the effect of the morphine.
14.The nurse is admitting a child who has a vaso-occlusive sickle cell crisis.
Which of the following interventions should the nurse anticipate to be
prescribed for the child? - ANSWER Hydration and pain management
15.The nurse working in the emergency department (ED) is caring for a child
who has hemophilia and developed a swollen knee after falling off a bicycle.
The nurse is teaching the child's parents about care when similar incidents
occur at home in the future. Which of the following actions should the nurse
teach the parents? - ANSWER Apply an ice pack and compression
dressings to the knee.
Questions with 100% Correct
Answers| Brand New Version
1. Anemia - ANSWER The most common hematologic disorder of childhood
2. Iron Deficiency Anemia - ANSWER Caused by inadequate supply of
dietary iron
3. Sickle Cell Anemia - ANSWER A hereditary hemoglobinopathy
4. deferoxamine (Desferal) - ANSWER Binds excess iron for excretion by
kidney
5. B-Thalassemia - ANSWER Nursing Care Management: Observe for
complications of multiple blood transfusions
6. Neoplastic Disorders - ANSWER Leading cause of death from disease in
children past infancy
7. Leukemia - ANSWER Most common form of childhood cancer
8. Acute lymphoblastic leukemia (ALL) - ANSWER Most common
9. Acute Non-Lymphoide (myelogenous) leukemia (AML) - ANSWER No
peak age
, 10.The nurse is caring for a child who has leukemia with a white blood cell
(WBC) count of < 1000 mm. Which of the following should the nurse
include in the child's plan of care? - ANSWER Administer prescribed
influenza vaccination
11.The nurse is providing a teaching session to the health care staff regarding
osteosarcoma. Which of the following statements by an attendee indicates a
need for additional teaching? - ANSWER "In the early stage, the symptoms
of this disease are usually attributed to normal growing pains.
12.The nurse is caring for a child who is suspected of having a Wilm's tumor.
Which of the following actions by the nurse indicates the need for additional
training? - ANSWER Palpating the child's abdomen
13.The nurse is caring for a 5-year-old child who has sickle cell disease (SCD).
An assessment of the child includes the following: respirations 10 and
unarousable. The child is currently on intravenous (IV) fluids and
continuous IV morphine sulfate Based on the assessment information, which
of the following actions should the nurse take first? - ANSWER Administer
naloxone to reverse the effect of the morphine.
14.The nurse is admitting a child who has a vaso-occlusive sickle cell crisis.
Which of the following interventions should the nurse anticipate to be
prescribed for the child? - ANSWER Hydration and pain management
15.The nurse working in the emergency department (ED) is caring for a child
who has hemophilia and developed a swollen knee after falling off a bicycle.
The nurse is teaching the child's parents about care when similar incidents
occur at home in the future. Which of the following actions should the nurse
teach the parents? - ANSWER Apply an ice pack and compression
dressings to the knee.
