Hematological Alterations Practice
Questions With Correct Answers
The cnurse cis ctaking ccare cof ca cchild cwith csickle ccell cdisease. cThe cnurse cis caware
cthat cwhich cof cthe cfollowing cproblems cis c(are) cassociated cwith csickle ccell cdisease?
cSelect call cthat capply.
1. cPolycythemia.
2. cHemarthrosis.
3. cAplastic ccrisis.
4. cThrombocytopenia.
5. cSplenic csequestration.
6. cVaso-occlusive ccrisis. c- cCORRECT cANS✔✔3, c5, c6.
3. cAplastic ccrisis cis cassociated cwith csickle ccell canemia.
5. cSplenic csequestration cis cassociated cwith csickle ccell canemia.
6. cVaso-occlusive ccrisis cis cthe cmost ccommon cproblem cin cchildren cwith csickle ccell
cdisease.
An c18-month-old cmale cis cbrought cto cthe cclinic cby chis cmother. cHis cheight cis cin cthe
c50th cpercentile, cand cweight cis cin cthe c80th cpercentile. cThe cchild cis cpale. cThe
cphysical cexamination cis cnormal, cbut chis chematocrit clevel cis c20%. cWhich cof cthe
cfollowing cquestions cshould cassist cthe cnurse cin cmaking ca cdiagnosis? cSelect call cthat
capply.
1. c"How cmany cbowel cmovements ca cday cdoes cyour cchild chave?"
2. c"How cmuch cdid cyour cbaby cweigh cat cbirth?"
3. c"What cdoes cyour cchild ceat cevery cday?"
4. c"Has cthe cchild cbeen cgiven cany cnew cmedications?"
5. c"How cmuch cmilk cdoes cyour cchild cdrink cper cday?" c- cCORRECT cANS✔✔3, c5.
3. cA cdiet chistory cis cnecessary cto cdetermine cthe cnutritional cstatus cof cthe cchild cand
cwhether cthe cchild cis cgetting csufficient csources cof ciron.
5. cBy casking chow cmuch cmilk cthe cchild ccon-sumes, cthe cnurse ccan cdetermine
cwhether cthe cchild cis cfilling cup con cmilk cand cthen cnot cwanting cto ctake cfood.
Which cof cthe cfollowing cfactors cneed(s) cto cbe cincluded cin ca cteaching cplan cfor ca
cchild cwith csickle ccell canemia? cSelect call cthat capply.
, 1. cThe cchild cneeds cto cbe ctaken cto ca cphysician cwhen csick.
2. cThe cparent cshould cmake csure cthe cchild csleeps cin can cair-conditioned croom.
3. cEmotional cstress cshould cbe cavoided.
4. cIt cis cimportant cto ckeep cthe cchild cwell chydrated.
5. cIt cis cimportant cto cmake csure cthe cchild cgets cadequate cnutrition. c- cCORRECT
cANS✔✔1, c3, c4, c5.
1. cSeek cmedical cattention cfor cillness cto cprevent cthe cchild cfrom cgoing cinto ca ccrisis.
3. cStress ccan ccause ca cdepressed cimmune csystem, cmaking cthe cchild cmore
csusceptible cto cinfection cand ccrisis. cParents cand cchildren care cadvised cto cavoid
cstress.
4. cThe cchild cneeds cgood chydration cand cnutrition cto cmaintain cgood chealth.
5. cThe cchild cneeds cgood chydration cand cnutrition cto cmaintain cgood chealth.
A cnurse cis ccaring cfor ca c5-year-old cwith csickle ccell cvaso-occlusive ccrisis. cWhich cof
cthe cfollowing corders cshould cthe cnurse cquestion? cSelect call cthat capply.
1. cPosition cthe cchild cfor ccomfort.
2. cApply chot cpacks cto cpainful careas.
3. cGive cDemerol c25 cmg cintravenously cevery c4 chours cas cneeded cfor cpain.
4. cRestrict coral cfluids.
5. cApply coxygen cper cnasal ccannula cto ckeep coxygen csaturations cabove c94%. c-
cCORRECT cANS✔✔3, c4.
3. cTissue chypoxia cis cvery cpainful. cNarcotics csuch cas cmorphine care cusually cgiven
cfor cpain cwhen cthe cchild cis cin ca ccrisis. cDemerol cshould cbe cavoided cbecause cof
cthe crisk cof cDemerol-induced cseizures.
4. cThe cchild cshould creceive chydration cbecause cwhen cthe cchild cis cin ccrisis, cthe
cabnormal cS-shaped cred cblood ccells cclump, ccausing ctissue chypoxia cand cpain.
A cchild cwith chemophilia cA cfell cand cinjured ca cknee cwhile cplaying coutside. cThe cknee
cis cswollen cand cpainful. cWhich cof cthe cfollowing cmeasures cshould cbe ctaken cto cstop
cthe cbleeding? cSelect call cthat capply.
1. cThe cextremity cshould cbe cimmobilized.
2. cThe cextremity cshould cbe celevated.
3. cWarm cmoist ccompresses cshould cbe capplied cto cdecrease cpain.
4. cPassive crange-of-motion cexercises cshould cbe cadministered cto cthe cextremity.
5. cFactor cVIII cshould cbe cadministered. c- cCORRECT cANS✔✔1, c2, c5.
5. cITP cis ccharacterized cby cpurpuras, cwhich care careas cof chemorrhage cunder cthe
cskin.
1. cMeasures care cneeded cto cinduce cvasoconstriction cand cstop cthe cbleeding,
cincluding cimmobilization cof cthe cextremity.
2. cMeasures care cneeded cto cinduce cvasoconstriction cand cstop cthe cbleeding.
cTreatment cshould cinclude celevating cthe cextremity.
5. cHemophilia cA cis ca cdeficiency cin cfactor cVIII, cwhich ccauses cdelay cin cclotting
cwhen cthere cis ca cbleed.
Which cof cthe cfollowing cactivities cshould ca cnurse csuggest cfor ca cclient cdiagnosed
cwith chemophilia? cSelect call cthat capply.
Questions With Correct Answers
The cnurse cis ctaking ccare cof ca cchild cwith csickle ccell cdisease. cThe cnurse cis caware
cthat cwhich cof cthe cfollowing cproblems cis c(are) cassociated cwith csickle ccell cdisease?
cSelect call cthat capply.
1. cPolycythemia.
2. cHemarthrosis.
3. cAplastic ccrisis.
4. cThrombocytopenia.
5. cSplenic csequestration.
6. cVaso-occlusive ccrisis. c- cCORRECT cANS✔✔3, c5, c6.
3. cAplastic ccrisis cis cassociated cwith csickle ccell canemia.
5. cSplenic csequestration cis cassociated cwith csickle ccell canemia.
6. cVaso-occlusive ccrisis cis cthe cmost ccommon cproblem cin cchildren cwith csickle ccell
cdisease.
An c18-month-old cmale cis cbrought cto cthe cclinic cby chis cmother. cHis cheight cis cin cthe
c50th cpercentile, cand cweight cis cin cthe c80th cpercentile. cThe cchild cis cpale. cThe
cphysical cexamination cis cnormal, cbut chis chematocrit clevel cis c20%. cWhich cof cthe
cfollowing cquestions cshould cassist cthe cnurse cin cmaking ca cdiagnosis? cSelect call cthat
capply.
1. c"How cmany cbowel cmovements ca cday cdoes cyour cchild chave?"
2. c"How cmuch cdid cyour cbaby cweigh cat cbirth?"
3. c"What cdoes cyour cchild ceat cevery cday?"
4. c"Has cthe cchild cbeen cgiven cany cnew cmedications?"
5. c"How cmuch cmilk cdoes cyour cchild cdrink cper cday?" c- cCORRECT cANS✔✔3, c5.
3. cA cdiet chistory cis cnecessary cto cdetermine cthe cnutritional cstatus cof cthe cchild cand
cwhether cthe cchild cis cgetting csufficient csources cof ciron.
5. cBy casking chow cmuch cmilk cthe cchild ccon-sumes, cthe cnurse ccan cdetermine
cwhether cthe cchild cis cfilling cup con cmilk cand cthen cnot cwanting cto ctake cfood.
Which cof cthe cfollowing cfactors cneed(s) cto cbe cincluded cin ca cteaching cplan cfor ca
cchild cwith csickle ccell canemia? cSelect call cthat capply.
, 1. cThe cchild cneeds cto cbe ctaken cto ca cphysician cwhen csick.
2. cThe cparent cshould cmake csure cthe cchild csleeps cin can cair-conditioned croom.
3. cEmotional cstress cshould cbe cavoided.
4. cIt cis cimportant cto ckeep cthe cchild cwell chydrated.
5. cIt cis cimportant cto cmake csure cthe cchild cgets cadequate cnutrition. c- cCORRECT
cANS✔✔1, c3, c4, c5.
1. cSeek cmedical cattention cfor cillness cto cprevent cthe cchild cfrom cgoing cinto ca ccrisis.
3. cStress ccan ccause ca cdepressed cimmune csystem, cmaking cthe cchild cmore
csusceptible cto cinfection cand ccrisis. cParents cand cchildren care cadvised cto cavoid
cstress.
4. cThe cchild cneeds cgood chydration cand cnutrition cto cmaintain cgood chealth.
5. cThe cchild cneeds cgood chydration cand cnutrition cto cmaintain cgood chealth.
A cnurse cis ccaring cfor ca c5-year-old cwith csickle ccell cvaso-occlusive ccrisis. cWhich cof
cthe cfollowing corders cshould cthe cnurse cquestion? cSelect call cthat capply.
1. cPosition cthe cchild cfor ccomfort.
2. cApply chot cpacks cto cpainful careas.
3. cGive cDemerol c25 cmg cintravenously cevery c4 chours cas cneeded cfor cpain.
4. cRestrict coral cfluids.
5. cApply coxygen cper cnasal ccannula cto ckeep coxygen csaturations cabove c94%. c-
cCORRECT cANS✔✔3, c4.
3. cTissue chypoxia cis cvery cpainful. cNarcotics csuch cas cmorphine care cusually cgiven
cfor cpain cwhen cthe cchild cis cin ca ccrisis. cDemerol cshould cbe cavoided cbecause cof
cthe crisk cof cDemerol-induced cseizures.
4. cThe cchild cshould creceive chydration cbecause cwhen cthe cchild cis cin ccrisis, cthe
cabnormal cS-shaped cred cblood ccells cclump, ccausing ctissue chypoxia cand cpain.
A cchild cwith chemophilia cA cfell cand cinjured ca cknee cwhile cplaying coutside. cThe cknee
cis cswollen cand cpainful. cWhich cof cthe cfollowing cmeasures cshould cbe ctaken cto cstop
cthe cbleeding? cSelect call cthat capply.
1. cThe cextremity cshould cbe cimmobilized.
2. cThe cextremity cshould cbe celevated.
3. cWarm cmoist ccompresses cshould cbe capplied cto cdecrease cpain.
4. cPassive crange-of-motion cexercises cshould cbe cadministered cto cthe cextremity.
5. cFactor cVIII cshould cbe cadministered. c- cCORRECT cANS✔✔1, c2, c5.
5. cITP cis ccharacterized cby cpurpuras, cwhich care careas cof chemorrhage cunder cthe
cskin.
1. cMeasures care cneeded cto cinduce cvasoconstriction cand cstop cthe cbleeding,
cincluding cimmobilization cof cthe cextremity.
2. cMeasures care cneeded cto cinduce cvasoconstriction cand cstop cthe cbleeding.
cTreatment cshould cinclude celevating cthe cextremity.
5. cHemophilia cA cis ca cdeficiency cin cfactor cVIII, cwhich ccauses cdelay cin cclotting
cwhen cthere cis ca cbleed.
Which cof cthe cfollowing cactivities cshould ca cnurse csuggest cfor ca cclient cdiagnosed
cwith chemophilia? cSelect call cthat capply.
