Which of the following can lead to a possible diagnosis of human immunodeficiency virus (HIV) in a child? (Select one that does not apply.)

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Hematology Exam Questions Questions

Question 1 of 5

Which of the following can lead to a possible diagnosis of human immunodeficiency virus (HIV) in a child? (Select one that does not apply.)

Correct Answer: D

Rationale: Children with HIV commonly exhibit frequent respiratory infections, intermittent diarrhea, and poor weight gain due to underlying cellular immunodeficiency.

Question 2 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 3 of 5

Prednisone is given to children being treated for leukemia. Why is this medication included in the treatment plan?

Correct Answer: D

Rationale: Prednisone helps destroy abnormal lymphocytes and is a key component of many leukemia treatment protocols.

Question 4 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 5 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.

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