A nurse is caring for a child with von Willebrand disease. Which of the following is (are) clinical manifestation(s) of von Willebrand disease? (Select one that does not apply.)

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Hematology Final Exam Questions Pdf Questions

Question 1 of 5

A nurse is caring for a child with von Willebrand disease. Which of the following is (are) clinical manifestation(s) of von Willebrand disease? (Select one that does not apply.)

Correct Answer: D

Rationale: Von Willebrand disease is characterized by abnormal platelet adhesion, leading to mucosal bleeding, easy bruising, heavy menstrual bleeding, and frequent nosebleeds.

Question 2 of 5

A child receiving extensive radiation for Hodgkin disease may experience which side effect that requires nursing intervention?

Correct Answer: C

Rationale: Malaise and fatigue are common side effects of radiation therapy; ensuring adequate rest is essential.

Question 3 of 5

A child who has just received chemotherapy for neuroblastoma is being discharged. Which statement by the parent indicates a need for additional teaching?

Correct Answer: D

Rationale: Taking a rectal temperature can be harmful in a neutropenic child due to the risk of mucosal injury; an axillary or oral temperature is preferred.

Question 4 of 5

The parent of a child diagnosed with Wilms tumor asks about the treatment plan. What should the nurse explain?

Correct Answer: C

Rationale: The standard treatment often involves surgical removal of the tumor (and the affected kidney) followed by chemotherapy; radiation is used depending on staging and histology.

Question 5 of 5

Where is the primary site of origin for neuroblastoma in children?

Correct Answer: C

Rationale: Neuroblastoma typically arises from embryonic neural crest cells in the adrenal medulla or the retroperitoneal sympathetic chain, most often within the abdomen.

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