Test-Taking Tip

The question calls for an order that is not "OK." Think "prevent blood loss" when answering this question.

Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures

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Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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Answer 1 is incorrect because hepatitis B vaccine should be given at birth, or definitely prior to discharge from the birth hospital. There is no contraindication in beginning vaccinations for an infant with hemophilia. The nurse does not need to question this order. Answer 2 is incorrect because a circumcision would involve a small amount of bleeding, which could be difficult to control and might lead to hemorrhage. It should be delayed until the disease is confirmed and the severity of the factor deficiency is determined. The nurse does not need to question this order. Answer 3 is incorrect because s etting up a series of well-infant appointments at the time of discharge from the birth hospital is a requirement for all infants and especially those who might have a chronic disease process. The nurse does not need to question this order. Answer 4 is correct because venipuncture for blood draws are usually preferred in infants/children with hemophilia. There is usually less bleeding after venipuncture than after finger or heel punctures.

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