ATI RN
Hematology Exam Questions Questions
Question 1 of 5
A nurse is caring for a 5-year-old with sickle cell vaso-occlusive crisis. Which of the following orders should the nurse question?
Correct Answer: D
Rationale: Demerol (meperidine) is generally avoided in sickle cell crisis because of its seizure risk. Oral fluids should not be restricted; hydration is critical to prevent further vaso-occlusion.
Question 2 of 5
A child receiving a transfusion of packed red blood cells develops signs of a hemolytic reaction. Which of the following would be expected? (Select one that does not apply.)
Correct Answer: B
Rationale: Hemolytic transfusion reactions may present with fever, hypotension, and oliguria due to renal failure.
Question 3 of 5
A child with sickle cell disease is scheduled to have a splenectomy. What is the primary reason for this surgery?
Correct Answer: B
Rationale: Splenic sequestration is a life-threatening complication in sickle cell disease; splenectomy is performed to prevent this event.
Question 4 of 5
A parent of a 4-year-old with suspected Wilms tumor is brought to the clinic. Which is most important during the physical examination?
Correct Answer: A
Rationale: Abdominal palpation in a child with suspected Wilms tumor should be avoided because manipulation may lead to tumor seeding.
Question 5 of 5
When caring for a child with lymphoma, the nurse should be aware that:
Correct Answer: B
Rationale: Aggressive combination chemotherapy along with central nervous system prophylaxis has significantly improved survival in children with lymphoma.