NCLEX CRUSADE ACADEMY TEST - 7 LIVE VIDEO PEDIATRIC CARE

1. Sickle cell disease is classified as which type of genetic disorder?. Autosomal dominant. X-linked recessive. Autosomal recessive. Mitochondrial inheritance.

2. The primary pathophysiologic event in sickle cell crisis is: Platelet destruction. RBC sickling causing vascular obstruction. Excess hemoglobin production. Bone marrow hyperplasia.

3. The priority intervention during vaso-occlusive crisis is: Immediate transfusion. Hydration. Antibiotics. Ice packs only.

4. Meperidine (Demerol) is contraindicated in sickle cell because of: Respiratory depression. Kidney toxicity. Normeperidine-induced seizures. Hypotension risk.

5. Hemophilia A is caused by deficiency of: Factor IX. Factor VIII. Factor V. Platelets.

6. Hallmark lab finding in hemophilia is: Low platelets. Prolonged PT. Prolonged aPTT. Elevated RBC.

7. A nursing intervention contraindicated in hemophilia is: Applying pressure to bleed. Using SubQ vaccines. Rectal temperature measurement. RICE for joint bleed.

8. Aplastic anemia results in: Polycythemia. Pancytopenia. Thrombocytosis. Leukocytosis.

9. Priority precaution for aplastic anemia is: Bleeding precautions. Neutropenic precautions. Contact isolation. Fluid restriction.

10. Which is NOT allowed under neutropenic precautions?. Positive pressure room. Fresh flowers. Hand hygiene. Mask use.

11. Iron deficiency anemia lab pattern includes: High ferritin. Low TIBC. High TIBC. Normal Hgb.

12. Best method to prevent teeth staining with liquid iron is: Give with milk. Use straw. Give at bedtime. Crush tablet.

13. Iron absorption increases when given with: Calcium. Vitamin C. Antacids. Dairy products.

14. Major complication of Kawasaki disease is: Renal failure. Coronary artery aneurysm. Stroke. Liver failure.

15. First-line treatment for Kawasaki includes: Steroids only. Antibiotics. IVIG and Aspirin. Antivirals.

16. Aspirin is used in Kawasaki despite Reyes risk because it provides: Sedation. Anti-inflammatory and antiplatelet effects. Antibiotic effect. Oxygenation.

17. A Kawasaki patient with hypotension and tachycardia requires: Pain assessment. IV fluids immediately. Delay until labs return. Oral hydration only.

18. Lethargy in sickle cell should prompt: Oral fluids. Discharge. IV fluids due to aspiration risk. Oxygen first always.

19. Minor head injury in hemophilia should trigger: Observation only. Ice pack and discharge. Immediate neuro assessment. NSAID administration.

20. Final clinical takeaway emphasizes prioritizing: Lab values first. Machines first. Patient stability (airway, shock, lethargy). Disease memorization.