peds exam 3 practice questions

The health care provider has just informed the parents of a 3-year-old that their child has leukemia. The mother begins crying and tells the nurse she does not want her baby to die. What is the nurse's best response? "I know this is scary, but leukemia has a 95% cure rate in children these days." "You are very lucky to have caught it so early; that makes the treatments easier." "I don't blame you for being upset; any parent would be scared too." "Don't worry, the health care provider is very good at treating leukemia."

"I know this is scary, but leukemia has a 95% cure rate in children these days."

The parents of a 6-year-old male with idiopathic thrombocytopenic purpura (ITP) ask the nurse conducting an assessment of the child what causes the disease. What is the nurse's best response?

"ITP is primarily an autoimmune disease in that the immune system attacks and destroys the body's own platelets, for an unknown reason."

Which nursing interventions would be appropriate for the plan of care designed for a child diagnosed with hemophilia who is experiencing an episode of active bleeding? Select all that apply. Applying splints to extremities Schedule physical therapy Performing passive range-of-motion exercises Administer ibuprofen as prescribed for pain Schedule regular active range of motion exercises

Applying splints to extremities Administer ibuprofen as prescribed for pain Schedule regular range of motion exercises

The nurse is caring for a child with leukemia. The parent states a variety of symptoms and the nurse identifies which symptoms as directly related to the child's cancer. Select all that apply. Increased platelet count Bruising Anorexia Sore throat Lymphadenopathy Increased hemoglobin

bruising, anorexia, sore throat, lymphadenopathy

After teaching a group of students about hemophilia, the instructor determines that the students have understood the information when they identify hemophilia A as involving a problem with:

factor 8

true or false: in hemophilia A, the classic form, only females manifest a bleeding disorder.

false

For the child diagnosed with iron deficiency anemia, what would the nurse anticipate being done in treating this disorder? given enteric coated aspirin with milk given IVIG given MDI given ferrous sulfate w OJ between meals

ferrous sulfate w OJ between meals

A symptom often seen in the child diagnosed with hemophilia is that the child has bleeding into the joints. This symptom is referred to as: nuchal rigidity hemarthrosis pupuric rash encephalopathy

hemarthrosis

A 5-year-old child is at the pediatric clinic for a well-child visit. Which symptom alerts the health care provider that this child might have acute lymphocytic leukemia? anorexia and weight loss joint pain and swelling abdominal pain, nausea, and vomiting lethargy, bruises, and lymphadenopathy

lethargy, bruises, and lymphadenopathy

The nurse is working with a child who is in sickle cell crisis. Treatment and nursing care for this child include which actions?

oxygen, analgesics, maintaining fluid intake

A child has been diagnosed with acute lymphocytic leukemia (ALL). The nurse knows that which possible complication can occur?

renal impairment epistaxis bone pain infertility blindness infections

To prevent further sickle cell crisis, the nurse would advise the parents of a child with sickle cell anemia to:

tell the Dr if the child develops an URI

A 3-year-old female is brought to the ER by her parents and presents with bruising and mucous membrane bleeding from the nose and mouth. The nurse knows that these symptoms are indicative of: disseminated intravascular coagulation hemophilia chronic iron deficiency anemia von Willdebrand disease

von Willdebrand disease

Individuals with hemophilia B have a deficiency in factor IX, which can cause excessive blood loss. What is another name for this clotting factor?

Christmas factor

In understanding the cardiovascular and hematologic systems of the body it is important to know that the blood is made up of plasma, red blood cells, white blood cells, and platelets. These blood cells are formed in the: bone marrow arteries capillaries lymph nodes

bone marrow

The nurse is preparing a discharge teaching plan for the parents of an 8-year-old girl with leukemia. Which instruction would be the priority? Using acetaminophen if the child needs an analgesic Keeping a written copy of the treatment plan Writing down phone numbers and appointments Calling the doctor if the child gets a sore throat

calling the dr if the child gets a sore throat

The nurse is assessing a 10-year-old girl with acute lymphoblastic leukemia. What information would lead the nurse to suspect that the cancer has infiltrated the central nervous system? Palpation of abdomen reveals enlarged liver and spleen Observing petechiae, purpura, or unusual bruising Child reports of facial palsy and vision problems Noting adventitious breath sounds during auscultation

child reports of facial palsy and visual problems

In a child diagnosed with sickle cell disease, which clinical manifestation would the nurse most likely see? hyperactive bowel sounds increased appetite decreased hemoglobin level strawberry colored tongue

decreased hemoglobin level

a child is diagnosed with sickle cell anemia. what component of the blood is defective in this disorder?

hemoglobin (responsible for the transport of oxygen)

The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. What intervention will best help the teen's sense of control? Acknowledging the boy's feelings of anger with the disease Providing realistic expectations of treatments and outcomes Involving the boy in decisions whenever possible Recognizing abilities that are unaffected by the disease

involving the boy in decisions whenever possible

What is the best response by the nurse to the parents of a child with leukemia who express guilt because they did not take immediate action when their child seemed to develop one respiratory infection after another? "You need to focus on the present treatment now and not worry about the past." "Keep in mind that the signs of leukemia are often subtle and difficult to recognize." "Don't feel bad. Children get lots of colds." "Young children develop minor illness easily and often. Stop being hard on yourselves."

keep in mind that the signs of leukemia are often subtle and difficult to recognize

A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. The nurse is gathering data during the admission process and notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child most likely has a deficiency of which blood factor?

factor 8

Which site is most frequently used to perform a bone marrow aspiration? humerus femur rib cage illiac crest

iliac crest

A 9-year-old child is admitted to the hospital with a diagnosis of idiopathic thrombocytopenic purpura. When receiving shift handoff, which description is anticipated? purpural lesions only on forehead/chest crusted lesions on the roof of mouth petichial rash all over body vesicular lesions on the fifth cranial nerve

petichial rash all over body