Hematology Practice Questions Foreign Language

Which component of blood is responsible for transporting oxygen? A. Plasma B. Platelets C. White blood cells (WBCs) D. Red blood cells (RBCs)

Which component of blood is responsible for transporting oxygen? A. Plasma B. Platelets C. White blood cells (WBCs) D. Red blood cells (RBCs)

D

True or False: Iron deficiency anemia can result from excessive cow’s milk consumption in toddlers.

True

A nurse is educating a parent about iron deficiency anemia. Which statements should the nurse include in the teaching? (Select All That Apply) A. Serve iron-rich foods like red meat, leafy greens, and fortified cereals. B. Limit cow’s milk to <20 oz/day for toddlers. C. Avoid giving iron supplements with orange juice. D. Monitor for symptoms like fatigue, pallor, and pica. E. Breastfed infants need iron supplementation after 4–6 months.

A,B,D,E

What is a hallmark symptom of lead poisoning in children? A. Leukocoria (White Pupil) B. Gingival hyperplasia C. Developmental delays and pica D. Jaundice

C

True or False: Lead poisoning can exacerbate anemia by interfering with hemoglobin synthesis.

True

Which finding would indicate a vaso-occlusive crisis in a child with sickle cell anemia? A. Generalized rash and pruritus. B. Severe pain in joints and extremities. C. Persistent cough and cyanosis. D. Petechiae and purpura.

B

During a sickle cell crisis, which nursing interventions should the nurse implement? (Select All That Apply) A. Administer prescribed IV fluids. B. Provide pain management with opioids. C. Apply ice packs to affected areas. D. Administer oxygen therapy as needed. E. Monitor for signs of infection.

A,B,D,E

True or False: Penicillin prophylaxis and routine vaccinations are essential in preventing infections in children with sickle cell anemia.

True

Which of the following is a priority intervention for a child with acute chest syndrome due to sickle cell anemia? A. Position the child in Trendelenburg. B. Administer oxygen and monitor respiratory status. C. Restrict fluid intake to reduce workload on the lungs. D. Apply a heating pad to the chest for comfort.

B

Which nursing interventions are appropriate for a child with idiopathic thrombocytopenic purpura (ITP)? (Select All That Apply) A. Avoid aspirin or NSAIDs. B. Encourage safety precautions to prevent injury. C. Administer iron supplements to improve platelet count. D. Educate the family on activity restrictions. E. Perform frequent venipunctures to monitor platelet levels.

A,B,D

True or False: Hemophilia is caused by a deficiency in von Willebrand factor.

False

Which intervention is recommended for a child experiencing hemarthrosis due to hemophilia? A. Elevate the limb and apply ice packs. B. Massage the affected joint to promote circulation. C. Administer oral analgesics only. D. Avoid immobilization to prevent stiffness.

A

A nurse is providing discharge instructions to the parents of a child with von Willebrand disease. What should the nurse include? (Select All That Apply) A. Avoid contact sports. B. Use antifibrinolytics during dental procedures. C. Administer DDAVP for minor bleeding episodes. D. Avoid rectal temperatures and unnecessary needle sticks. E. Apply heat therapy for bruising.

A,B,C,D

What is the first action a nurse should take when a child presents with epistaxis? A. Tilt the child’s head backward. B. Apply pressure to the bridge of the nose. C. Tilt the head forward and apply pressure to the lower nose. D. Use a nasal spray to stop the bleeding.

C

True or False: Children with anemia may exhibit symptoms such as fatigue, pallor, and shortness of breath.

True

Which diagnostic finding is consistent with iron deficiency anemia? A. High hemoglobin and hematocrit. B. Decreased serum ferritin levels. C. Normal red blood cell size. D. Increased white blood cell count.

B

A nurse is preparing to administer oral iron supplements to a child. What considerations are correct? (Select All That Apply) A. Give the supplement with vitamin C-rich foods. B. Use a straw to prevent teeth staining. C. Administer the supplement with milk to improve absorption. D. Expect black, tarry stools as a side effect. E. Assess the child for constipation.

A,B,D,E

True or False: Children with sickle cell anemia are at increased risk for stroke.

True

Which clinical manifestation is common in a child with von Willebrand disease? A. Hemarthrosis. B. Easy bruising and menorrhagia. C. Frequent joint deformities. D. Rashes and urticaria.

B

Which are appropriate nursing interventions for a child with severe anemia? (Select All That Apply) A. Administer packed red blood cells as prescribed. B. Limit physical activity to reduce oxygen demand. C. Encourage high-calorie, high-protein meals. D. Monitor for signs of cardiac strain, such as tachycardia. E. Administer vitamin B12 supplements to improve oxygenation.

A,B,C,D

Which nursing intervention is the priority when caring for a child with a platelet count of 20,000/mm³ and a history of epistaxis? A. Administer IV iron supplements. B. Encourage increased fluid intake. C. Avoid invasive procedures, such as venipunctures. D. Apply a warm compress to the nasal bridge.

C

A nurse is teaching a parent about managing epistaxis in their child. Which instructions should the nurse include? (Select All That Apply) A. Tilt the child’s head forward. B. Pinch the soft part of the nose. C. Apply an ice pack across the nasal bridge. D. Place the child in a supine position. E. Seek medical care if bleeding lasts more than 30 minutes.

A,B,C,E

A nurse is providing education on anemia prevention. The nurse should explain that cow’s milk intake should be limited to ___ ounces per day in toddlers.

20

A child with sickle cell anemia is admitted with severe pain and suspected acute chest syndrome. Match the nursing interventions to their purposes. Nursing Intervention: Administer prescribed IV fluids Purpose: A. Treat Hypoxia B. Hydrate and reduce blood viscosity C. Detect early signs of respiratory distress or infection D. Alleviate discomfort caused by vaso-occlusion

B

A child with sickle cell anemia is admitted with severe pain and suspected acute chest syndrome. Match the nursing interventions to their purposes. Nursing Intervention: Administer oxygen therapy Purpose: A. Treat Hypoxia B. Hydrate and reduce blood viscosity C. Detect early signs of respiratory distress or infection D. Alleviate discomfort caused by vaso-occlusion

A.

A child with sickle cell anemia is admitted with severe pain and suspected acute chest syndrome. Match the nursing interventions to their purposes. Nursing Intervention: Monitor respiratory rate & oxygenation Purpose: A. Treat Hypoxia B. Hydrate and reduce blood viscosity C. Detect early signs of respiratory distress or infection D. Alleviate discomfort caused by vaso-occlusion

C.

A child with sickle cell anemia is admitted with severe pain and suspected acute chest syndrome. Match the nursing interventions to their purposes. Nursing Intervention: Administer pain medications as prescribed Purpose: A. Treat Hypoxia B. Hydrate and reduce blood viscosity C. Detect early signs of respiratory distress or infection D. Alleviate discomfort caused by vaso-occlusion

D.

Which clinical manifestations would indicate a complication in a child with sickle cell anemia? (Select All That Apply) A.Severe Abdominal Plane B.Dactylitis (swelling in the hands and feet). C. Bruising and petechiae. D. Difficulty breathing and chest pain. E. Fatigue and jaundice.

A,B,D,E