Chapter 21: Hematology and Oncology Disorders

Chapter 21: Hematology and Oncology Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When teaching the mother of a young child about iron-deficiency anemia, the nurse would tell her that a rich source of iron is:

a.	Egg whites
b.	Fortified cereals
c.	Bananas
d.	Carrots

 

 

ANS:   B

Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, iron-fortified cereals, dried fruits, beans, nuts, and whole-grain breads.

 

DIF:    Cognitive Level: Application             REF:    p. 397              OBJ:    2

TOP:    Iron-Fortified Foods                          KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. The nurse giving a liquid iron preparation to a 5-year-old child with iron-deficiency anemia would take the precaution of:

a.	Giving the drug with meals
b.	Diluting the drug with milk
c.	Mixing the drug with ice cream to hide the taste
d.	Administering the drug through a straw

 

 

ANS:   D

The liquid solution should be given through a straw to prevent discoloration of the teeth. Calcium interferes with absorption of iron and should not be given with the drug. Iron is given on an empty stomach.

 

DIF:    Cognitive Level: Application             REF:    p. 398              OBJ:    2

TOP:    Iron Preparations                                KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

3. When advising the mother of a 1-year-old child, the nurse recommends that children 1 year of age and older should limit whole milk consumption to:

a.	8 ounces per day
b.	24 ounces per day
c.	32 ounces per day
d.	64 ounces per day

 

 

ANS:   B

Whole milk consumption for children 1 year of age and older should be limited to 16 to 24 ounces per day.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 398              OBJ:    2

TOP:    Whole Milk Consumption                 KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

4. A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis for sudden onset of severe abdominal pain. The nurse recognizes that the type of crisis the child is most likely experiencing is due to:

a.	A thrombus from vascular occlusion
b.	An intense gastrointestinal infection
c.	Swelling of the liver
d.	Enlargement of the spleen

 

 

ANS:   A

The deformed sickle cells cause painful infarcts in the gastrointestinal tracts. Although the spleen may be enlarged, the onset of pain is not sudden unless there is a splenic sequestration.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 399              OBJ:    3

TOP:    Sickle Cell Crisis                                KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation