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NUR 410 PREPU EXAM QUESTIONS AND ACCURATE ANSWERS
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NUR 410 PREPU EXAM QUESTIONS AND ACCURATEANSWERS 2024-2025
A 5-year-old girl with sickle-cell disease has thrown a temper tantrum in the office
waiting room and the mother has handled it poorly. When the two are back in the exam
room, how should the nurse confront the parent about the apparent lack of discipline?
Answer "How did feel about your daughter's behavior in the waiting room?"
A toddler learning to walk falls and bumps the side of his head against the edge of a low
table. The caregiver has been unable to control the bleeding and brings the child into
the pediatric clinic. The nurse is collecting admission data and notes multiple bruises
and swollen joints. The diagnosis is hemophilia. To which of the following blood factors
does this child most likely have a deficiency? - Answer Factor VIII
The child with thalassemia may be prescribed what class of medication to prevent one
of the complications that is often seen with the treatment of this disorder? - Answer
Iron-chelating drugs
A child is diagnosed with sickle cell anemia. What test can the nurse expect the primary
health care provider ordering for this client? - Answer Hemoglobin level
A 7-year-old boy with hemophilia is receiving care from a nurse and must receive an
infusion of factor VIII. He is nervous and resistant to the treatment. How does the nurse
respond? -Answer "Would you help me dilute this and mix it up?"
A 7-year-old client is admitted with sickle cell anemia. Which of the following clinical
manifestations would the nurse most likely report to the health care provider first? -
Answer Hyperactive bowel sounds
The nurse is caring for a 10-year-old boy who has hemophilia. The client requests
suggestions from the nurse regarding physical activities that are appropriate for him.
Which activity is most likely to be recommended by the nurse? - Answer Baseball
, The nurse is conducting a program on the topic of HIV and children for nursing
students. The nurse knows that additional teaching is needed when the students identify
which of the following as a mode of transmission? - Answer Skin to skin contact
A nurse is teaching a class of parents about sickle cell anemia. Which of the following
statements by a parent would be indicative that effective teaching has occurred? "The
sickle shape of red blood cells decreases oxygen to tissues."
A parent calls the pediatric clinic and says, "I think my child is having a sickle cell crisis.
Should I bring the child to the office?" What is the best response by the nurse? -Answer
"Tell me about the symptoms your child is experiencing"
The nurse is working with a 6-year-old sickle-cell client in an acute care environment.
Pain relief is considered a high priority for this client's plan of care. The nurse
understands that untreated acute pain results in which physiological effects? - Answer
Impaired mobility, anorexia, anxiety, sleep disturbances, and developmental regression
A child with hemophilia has warm, swollen, painful joints. What is the first nursing
response? - Answer The nurse will prepare to administer factor replacement medication
The nurse practices in a local clinic serving children with hemophilia. The nurse
understands that if the bleeding is not treated appropriately these children are at high
risk of forming chronic disabling disease of the: -Answer joints.
A nurse is caring for a child with beta-thalassemia who needs a blood transfusion. The
child says they are bored and want to go to the playroom. What is the best course of
action by the nurse? - Answer Have a child-life specialist find an appropriate activity to
occupy the child during the transfusion.
The parents of a 2-month-old infant have just been given the diagnosis that their infant
has hemophilia. Both parents appear to be in a state of shock and ask how this could
have happened to them. What is the best response by the nurse? Answer "News like this
is difficult to hear. Let's talk about what this means for your child."
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