Hematology & Immunology Peds NCLEX ?'s

Laboratory tests are done for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? A. Elevated hemoglobin level B. Decreased reticulocyte count C. Elevated red blood cell count D. Microcytic and hypochromic red blood cells

D

The nurse analyzes the laboratory results of a child with hemophilia. The nurse recognizes that which result would most likely be abnormal in this child? A. Platelet count B. Hematocrit level C. Hemoglobin level D. Partial thromboplastin time

D

The nurse expects which of the following clinical manifestations in a child diagnosed with SCID? A. Prolonged bleeding B. Failure to thrive C. Fatigue and malaise D. Susceptibility to infection

D

Which of the following confirms a diagnosis of Hodgkin disease in a 15-year-old? A. Creatinine in the urine B. Blast cells in the blood C. Lymphocytes in the bone marrow D. Reed-Sternberg cells in the lymph nodes

D

Which of the following laboratory tests will be ordered to determine the presence of the human immunodeficiency virus antigen in an infant whose parent is HIV+? A. CD4 cell count B. Western blot C. IgG levels D. P24 antigen assay

D

Which of the following should the nurse expect to administer to a child with ITP and a platelet count of 5000/mm3? A. Platelets B. Intravenous immunoglobulin C. Packed red blood cells D. White blood cells

B

Sepsis has a systemic effect on the body and is most likely to impair which organs? A. Lungs, liver, and kidneys B. Bowels, kidneys, and lungs C. Gallbladder and appendix D. Heart and spleen

A

The nurse is caring for a child who is experiencing hives and respiratory difficulty following exposure to latex. Which drug should the nurse initially plan to administer to this child if indicated? A. Give epinephrine through an EpiPen B. Administer prednisone immediately C. Place the child on oxygen D. Give diphenhydramine (Benadryl)

A

The nurse is caring for child being treated for ALL. Laboratory results indicate that the child has a white blood count of 5ooo/mm3 with 5% polys and 3% bands. Which of the following analyses is most appropriate? A. The absolute neutrophil count (ANC) is 400/mm3, and the child is neutropenic. B. The absolute neutrophil count is 800/mm3, and the child is neutropenic C. The absolute neutrophil count is 4000/mm3, and the child is not neutropenic D. The absolute neutrophil count is 5800/mm3, and the child is not neutropenic

A

Which of the following is the most common opportunistic infection in children infected with human immunodeficiency virus (HIV)? A. Pneumosystic pneumonia B. Cytomegalovirus C. Encephalitis D. Meningitis

A

Which test provides a definitive diagnosis of aplastic anemia? A. Complete blood count with differential B. Bone marrow aspiration C. Serum IgG levels D. Basic metabolic panel

B

The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that apply. A. Easy bruising occurs B. Gum bleeding occurs C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia. E. It is characterized by high white blood cell levels. F. The disorder causes platelets to adhere to damaged endothelium. G. Excessive menstruation in post-pubertal female

ABCDG not EF

Clinical manifestations of sepsis in infants with septicemia include (select all that apply): A. Temperature instability B. Hypotonia C. Lethargy D. Weight loss E. Decreased urine output

ABCE not D

Symptoms that define anaphylaxis include (select all that apply): pg. 942 A. Lip and tongue edema B. Urticarial and pruritis C. Shortness of breath D. Nonadventitious breath sounds E. Hypertension F. Stridor G. Wheezing

ABCFG not DE

A child with hemophilia A fell and injured a knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding? Select all that apply. A. The extremity should be immobilized. B. The extremity should be elevated. C. Warm, moist compresses should be applied to decrease pain. D. Passive range of motion should be administered to the extremity. E. Factor VIII should be administered.

ABE

A nurse is reviewing the health care provider's orders for a child with sickle cell anemia being admitted to the pediatric floor for treatment of vaso-occlusive crisis. Which orders should the nurse question? Select all that apply. A. Restrict fluid intake B. Position for comfort C. Avoid strain on painful joints D. Apply nasal oxygen at 2L/minute E. Provide a high calorie, high protein diet F. Give Meperidine (Demerol) intravenously, every four hours for pain.

AF

Which of the following describe(s) idiopathic thrombocytopenia purpura (ITP)? Select all that apply. A. ITP is a congenital hematological disorder. B. ITP causes excessive destruction of platelets. C. Children with ITP have normal bone marrow. D. Platelets are small in ITP. E. Purpura is involved in ITP.

BCE

A child with ẞ-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Which medication should the nurse expect to administer for chelation therapy? A. Fragamin B. Deferoxamine (Desferal) C. Metroprolol (Toprol - XL) D. Meropenem (Merrem)

B

Sepsis results from the effects of circulating bacterial toxins and is mediated by: A. IgM B. Cytokines C. Hemoglobin D. Proteins

B

The home health nurse visits a child with infectious mononucleosis and provides home care instructions to the parents about the care of the child. Which instructions should the nurse give to the parents? Select all that apply. A. Maintain the child on bed rest for 2 weeks. B. Notify the health care provider if the child develops abdominal pain or left shoulder pain. C. Maintain respiratory isolation for 1 week. D. Notify the health care provider if the child develops a fever. E. The child should refrain from contact sports until splenomegaly resolves.

BE

The nurse is caring for a child with sickle cell disease who is scheduled to have a splenectomy. What information should the nurse explain to the parents regarding the reason for the splenectomy? A. To decrease potential for infection. B. To prevent sickling of the red blood cells C. To prevent splenic sequestration D. To prevent sickle cell crisis

C

The nurse is instructing the parent of a child with HIV about immunizations. Which of the following should the nurse tell the parent? A. Hepatitis B vaccine will not be given to this child. B. Members of the family should be cautioned not to receive the varicella vaccine. C. Inactivated pneumococcal and influenza vaccines are recommended. D. The child will need to have a Western blot done prior to all immunizations.

C

When providing dietary guidance to a child with spina bifida with a known latex allergy, the nurse should encourage the child/caretaker to avoid which foods? A. Oranges, apples, and brussel sprouts B. Broccoli, corn, and strawberries C. Kiwi fruit, avocados, and bananas D. Carrots, onions, and blueberries

C