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Peds Nclex Saunders Exam Latest Update 2024/2025
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Peds Nclex Saunders Exam Latest Update 2024/2025
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Saunders and NCLEX q’s Chapters28-34
Chapter 28: The child with Hematologic or
Immunologic Dysfunction
The nurse is explaining blood components to an 8-year-old child. What is the nurse’s best
description and action of platelets?
A. Make up the liquid portion of blood.
B. Help keep germs from causing infection.
C. Carry the oxygen you breathe from your lungs to all
parts ofyour body.
D. Help your body stop bleeding by forming a clot (scab) over
thehurt area.
What is the cause for the signs and symptoms when hemoglobin falls sufficiently to produce
clinical manifestations?
A. Phagocytosis
B. Tissue hypoxia
C. Pulmonary hypertension
D. Depressed bone marrow
,The nurse suspects a child is having an adverse reaction to a blood transfusion. What is the
initial action by the nurse?
A. Notify the physician.
B. Take the vital signs and blood pressure and compare them
withbaseline levels.
C. Dilute infusing blood with equal amounts of normal saline.
D. Stop transfusion and maintain a patent intravenous line
withnormal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child’s stools area
tarry green color. What information does the nurse include in discussion with this
parent?
A. Symptom of iron-deficiency anemia
B. Adverse effect of the iron preparation
C. Indicator of an iron preparation overdose
D. Normally expected change resulting from the iron preparation
,What is a priority nursing consideration when caring for a child with sicklecell
anemia?
A. Refer the parents and child for genetic counseling.
B. Teach the parents and child how to recognize the signs
andsymptoms of crises.
C. Help the child and family adjust to a short-term disease.
D. Observe complications of multiple blood transfusions.
The parents of a child hospitalized with sickle cell anemia tell the nurse that
they are concerned about narcotic analgesics causing addiction. The nurse
would explain what concerning narcotic analgesics?
A. They are often ordered but not usually needed.
B. When they are medically indicated, children rarely
becomeaddicted.
C. They are given as a last resort because of the threat of
addiction.
D. They are used only if other measures, such as ice packs,
areineffective.
Chelation therapy is begun on a child with alpha-thalassemia major.
What is the purpose of this therapy?
A. Treat the disease.
, B. Eliminate excess iron.
C. Decrease risk of hypoxia.
D. Manage nausea and vomiting.
The school nurse is caring for a child with hemophilia who fell on his
arm during recess. What supportive measures would the nurse
implement first?
A. Apply warm, moist compresses.
B. Apply a tourniquet for at least 5 minutes.
C. Elevate the arm above the level of the heart.
D. Begin passive range of motion unless pain is severe.
The school nurse is discussing prevention of acquired immunodeficiency
syndrome with some adolescents. What is appropriate to include?
A. The virus is easily transmitted.
B. It is only transmitted through blood.
C. Condoms should be used if adolescents are homosexual.
D. Recreational drug users should not share needles or
otherequipment.
Chapter 29: The Child with Cancer
What is the reason that chemotherapeutic drugs to treat cancer are often given in
combination?
A. Drugs can be given by various routes.
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