Hemophilia NCLEX Questions
Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis? 1. Child's reluctance to move a body part 2. Cool, pale, clammy extremity 3. Eccymosis formation around a joint 4. Instability of a long bone in passive movement
1
Which sign/symptom should the nurse expect to assess in the client diagnosed with hemophilia A? 1. Epistaxis. 2. Petechiae. 3. Subcutaneous emphysema. 4. Intermittent claudication.
1
Which measures would the RN know to avoid when planning care for a child with hemophilia? (Select all that apply) 1. Frequent blood pressures 2. Rectal suppositories 3. Rectal temperatures 4. Administering aspirin for pain 5. Carbonated beverages
1, 2, 3, 4
The client with hemophilia A is experiencing hemarthrosis. Which intervention should the nurse recommend to the client? 1. Alternate aspirin and acetaminophen to help with the pain. 2. Apply cold packs for 24 to 48 hours to the affected area. 3. Perform active range-of-motion exercise on the extremity. 4. Put the affected extremity in the dependent position.
2
A pediatric nurse health educator provides a teaching session to the nursing staff regarding hemophilia. Which of the following information regarding this disorder would the nurse plan to include in this discussion? 1. Hemophilia is a Y linked disorder 2. Females inherit hemophilia from their fathers 3. Males inherit hemophilia from their mothers 4. Hemophilia B results from a deficiency in clotting factor VIII
3
Which of the following disorders is a deficiency of factor VIII? 1. Sickle cell disease 2. Christmas disease 3. Hemophilia A 4. Hemophilia B
3
Which nursing interventions should the nurse implement when caring for a client diagnosed with hemophilia A? Select all that apply. 1. Instruct the client to use a razor blade to shave. 2. Avoid administering enemas to the client. 3. Encourage participation in noncontact sports. 4. Teach the client how to apply direct pressure if bleeding occurs. 5. Explain the importance of not flossing the gums
2,3,4
27. Which of the following disorders results from a deficiency of factor VIII? 1. Sickle cell disease 2. Christmas disease 3. Hemophilia A 4. Hemophilia B
3
A child with hemophilia wishes to participate in sports. Which sport should the nurse recommend as the most appropriate for the child? 1. Basketball 2. Biking 3. Baseball 4. Swimming
4
A pediatric nurse health educator provides a teaching session to the nursing staff regarding hemophilia. Which of the following information regarding this disorder would the nurse plan to include in the discussion? 1. Hemophilia is a Y linked hereditary disorder 2. Males inherit hemophilia from their fathers 3. Females inherit hemophilia from their mothers 4. Hemophilia A results from a deficiency of factor VIII
4
Hemophilia mostly affects 1. Babies 2. Senior Citizens 3. Females 4. Males
4
The physician has ordered several laboratory tests to help diagnose an infant's bleeding disorder. Which of the following tests, if abnormal, would the nurse interpret as most likely to indicate hemophilia? 1. Bleeding time 2. Tourniquet test 3. Clot retraction test 4. Partial thromboplastin time (PTT)
4
The unlicensed assistive personnel (UAP) asks the primary nurse, "How does someone get hemophilia A?" Which statement would be the primary nurse's best response? 1. "It is an inherited X-linked recessive disorder." 2. "There is a deficiency of the clotting factor VIII." 3. "The person is born with hemophilia A." 4. "The mother carries the gene and gives it to the son."
4
