Question 1

What is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin disease?

Accepted Answer

A)  Protuberant, firm abdomen 
B)  Enlarged, painless, firm cervical lymph nodes 
C)  Soft tissue swelling 
D)  Soft to hard, nontender mass in pelvic area 
A)  Protuberant, firm abdomen 
B)  Enlarged, painless, firm cervical lymph nodes 
C)  Soft tissue swelling 
D)  Soft to hard, nontender mass in pelvic area B

Question 2

A child with acute myeloblastic leukemia is scheduled to have a bone marrow transplant (BMT).The donor is the child's own umbilical cord blood that had been previously harvested and banked.This type of BMT is termed

Accepted Answer

A)  Autologous 
B)  Allogeneic 
C)  Syngeneic 
D)  Stem cell 
A)  Autologous 
B)  Allogeneic 
C)  Syngeneic 
D)  Stem cell A

Question 3

What is the nurse's best response to a mother whose child has a diagnosis of acute lymphoblastic leukemia and is expressing guilt about not having responded sooner to her boy's symptoms?

Accepted Answer

A)  "You should always call the physician when your child has a change in what is normal for him." 
B)  "It is better to be safe than sorry." 
C)  "It is not uncommon for parents not to notice subtle changes in their children's health." 
D)  "I hope this delay does not affect the treatment plan." 
A)  "You should always call the physician when your child has a change in what is normal for him." 
B)  "It is better to be safe than sorry." 
C)  "It is not uncommon for parents not to notice subtle changes in their children's health." 
D)  "I hope this delay does not affect the treatment plan." C

Question 4

A nurse determines that parents understood the teaching from the pediatric oncologist if the parents indicate that which test confirms the diagnosis of leukemia in children?

Accepted Answer

A)  Complete blood cell count (CB
C)  
B)  Lumbar puncture 
C)  Bone marrow biopsy 
D)  Computed tomography (CT) scan 
A)  Complete blood cell count (CB
C)  
B)  Lumbar puncture 
C)  Bone marrow biopsy 
D)  Computed tomography (CT) scan

Question 5

Which clinical finding is an overt sign of retinoblastoma in children?

Accepted Answer

A)  Whitish reflex in the eye 
B)  Lymphadenopathy 
C)  Bone pain 
D)  Change in gait 
A)  Whitish reflex in the eye 
B)  Lymphadenopathy 
C)  Bone pain 
D)  Change in gait

Question 6

What is a priority nursing diagnosis for the 4-year-old child newly diagnosed with leukemia?

Accepted Answer

A)  Ineffective Breathing Pattern related to mediastinal disease 
B)  Risk for Infection related to immunosuppressed state 
C)  Disturbed Body Image related to alopecia 
D)  Impaired Skin Integrity related to radiation therapy 
A)  Ineffective Breathing Pattern related to mediastinal disease 
B)  Risk for Infection related to immunosuppressed state 
C)  Disturbed Body Image related to alopecia 
D)  Impaired Skin Integrity related to radiation therapy

Question 7

What should the nurse recognize as symptoms of a brain tumor in a school-age child for whom she is caring? Select all that apply.

Accepted Answer

A)  Blurred vision 
B)  Increased head circumference 
C)  Vomiting when getting out of bed 
D)  Intermittent headache 
E)  Declining academic performance 
A)  Blurred vision 
B)  Increased head circumference 
C)  Vomiting when getting out of bed 
D)  Intermittent headache 
E)  Declining academic performance

Question 8

What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?

Accepted Answer

A)  Brush the teeth briskly to remove bacteria. 
B)  Use a mouthwash that contains alcohol. 
C)  Inspect the child's mouth daily for ulcers. 
D)  Perform oral hygiene twice a day. 
A)  Brush the teeth briskly to remove bacteria. 
B)  Use a mouthwash that contains alcohol. 
C)  Inspect the child's mouth daily for ulcers. 
D)  Perform oral hygiene twice a day.

Question 9

Which statement,if made by a nurse to the parents of a child with leukemia,indicates an understanding of teaching related to home care associated with the disease?

Accepted Answer

A)  "Your son's blood pressure must be taken daily while he is on chemotherapy." 
B)  "Limit your son's fluid intake just in case he has central nervous system involvement." 
C)  "Your son must receive all of his immunizations in a timely manner." 
D)  "Your son's temperature should be taken frequently." 
A)  "Your son's blood pressure must be taken daily while he is on chemotherapy." 
B)  "Limit your son's fluid intake just in case he has central nervous system involvement." 
C)  "Your son must receive all of his immunizations in a timely manner." 
D)  "Your son's temperature should be taken frequently."

Question 10

What is the most appropriate nursing action when the nurse notes a reddened area on the forearm of a neutropenic child with leukemia?

Accepted Answer

A)  Massage the area. 
B)  Turn the child more frequently. 
C)  Document the finding and continue to observe the area. 
D)  Notify the physician. 
A)  Massage the area. 
B)  Turn the child more frequently. 
C)  Document the finding and continue to observe the area. 
D)  Notify the physician.

Question 11

A child with non-Hodgkin lymphoma will be starting chemotherapy.What intervention is initiated before chemotherapy to prevent tumor lysis syndrome?

Accepted Answer

A)  Insertion of a central venous catheter 
B)  Intravenous (IV) hydration containing sodium bicarbonate 
C)  Placement of an externalized ventriculoperitoneal (VP) shunt 
D)  Administration of pneumococcal and Haemophilus influenzae type B vaccines 
A)  Insertion of a central venous catheter 
B)  Intravenous (IV) hydration containing sodium bicarbonate 
C)  Placement of an externalized ventriculoperitoneal (VP) shunt 
D)  Administration of pneumococcal and Haemophilus influenzae type B vaccines

Question 12

Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).The nurse should assess for

Accepted Answer

A)  Liver failure 
B)  CNS deficit 
C)  Kidney failure 
D)  Respiratory distress 
A)  Liver failure 
B)  CNS deficit 
C)  Kidney failure 
D)  Respiratory distress

Question 13

The nurse should base a response to a parent's question about the prognosis of acute lymphoblastic leukemia (ALL)on the knowledge that

Accepted Answer

A)  Leukemia is a fatal disease, although chemotherapy provides increasingly longer periods of remission. 
B)  Research to find a cure for childhood cancers is very active. 
C)  The majority of children go into remission and remain symptom free when treatment is completed. 
D)  It usually takes several months of chemotherapy to achieve a remission. 
A)  Leukemia is a fatal disease, although chemotherapy provides increasingly longer periods of remission. 
B)  Research to find a cure for childhood cancers is very active. 
C)  The majority of children go into remission and remain symptom free when treatment is completed. 
D)  It usually takes several months of chemotherapy to achieve a remission.

Question 14

Complementary and alternative medical therapies (CAM)are those that are scientifically proven or are not proven; however,they are deemed to be useful as an adjunct to treatment.It is not uncommon for families to try CAM without disclosing this information to the health care team.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 15

The nurse is aware that an abdominal mass found in a 10-month-old infant corresponds with which childhood cancer?

Accepted Answer

A)  Osteogenic sarcoma 
B)  Rhabdomyosarcoma 
C)  Neuroblastoma 
D)  Non-Hodgkin lymphoma 
A)  Osteogenic sarcoma 
B)  Rhabdomyosarcoma 
C)  Neuroblastoma 
D)  Non-Hodgkin lymphoma

Question 16

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which actions of chemotherapeutic agents?

Accepted Answer

A)  Gastrointestinal upset 
B)  Bone marrow suppression 
C)  Decreased creatinine level 
D)  Alopecia 
A)  Gastrointestinal upset 
B)  Bone marrow suppression 
C)  Decreased creatinine level 
D)  Alopecia

Question 17

What is an appropriate nursing action before surgery when caring for a child diagnosed with a Wilms' tumor?

Accepted Answer

A)  Limit fluid intake. 
B)  Do not palpate the abdomen. 
C)  Force oral fluids. 
D)  Palpate the abdomen every 4 hours. 
A)  Limit fluid intake. 
B)  Do not palpate the abdomen. 
C)  Force oral fluids. 
D)  Palpate the abdomen every 4 hours.

Question 18

When an adolescent with a new diagnosis of Ewing sarcoma asks the nurse about treatment,the nurse's response is based on the knowledge that (select all that apply)

Accepted Answer

A)  This type of tumor invades the bone. 
B)  Management includes chemotherapy, surgery, and radiation. 
C)  Ewing sarcoma is usually not responsive to either chemotherapy or radiation. 
D)  Affected bones such as ribs and proximal fibula may be removed to excise the tumor. 
E)  Is the most common bone tumor seen in children. 
A)  This type of tumor invades the bone. 
B)  Management includes chemotherapy, surgery, and radiation. 
C)  Ewing sarcoma is usually not responsive to either chemotherapy or radiation. 
D)  Affected bones such as ribs and proximal fibula may be removed to excise the tumor. 
E)  Is the most common bone tumor seen in children.

Question 19

A child with a history of fever of unknown origin,excessive bruising,lymphadenopathy,anemia,and fatigue is exhibiting symptoms most suggestive of

Accepted Answer

A)  Ewing sarcoma 
B)  Wilms' tumor 
C)  Neuroblastoma 
D)  Leukemia. 
A)  Ewing sarcoma 
B)  Wilms' tumor 
C)  Neuroblastoma 
D)  Leukemia.

Question 20

Hematopoietic stem cell transplantation (HSCT)is the standard treatment for a child in his or her first remission with what cancer?

Accepted Answer

A)  ALL 
B)  Non-Hodgkin lymphoma 
C)  Wilms' tumor 
D)  Acute myeloblastic leukemia (AML) 
A)  ALL 
B)  Non-Hodgkin lymphoma 
C)  Wilms' tumor 
D)  Acute myeloblastic leukemia (AML)

Exam 48: The Child With Cancer

What is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin disease?

A child with acute myeloblastic leukemia is scheduled to have a bone marrow transplant (BMT).The donor is the child's own umbilical cord blood that had been previously harvested and banked.This type of BMT is termed

What is the nurse's best response to a mother whose child has a diagnosis of acute lymphoblastic leukemia and is expressing guilt about not having responded sooner to her boy's symptoms?

A nurse determines that parents understood the teaching from the pediatric oncologist if the parents indicate that which test confirms the diagnosis of leukemia in children?

Which clinical finding is an overt sign of retinoblastoma in children?

What is a priority nursing diagnosis for the 4-year-old child newly diagnosed with leukemia?

What should the nurse recognize as symptoms of a brain tumor in a school-age child for whom she is caring? Select all that apply.

What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?

Which statement,if made by a nurse to the parents of a child with leukemia,indicates an understanding of teaching related to home care associated with the disease?

What is the most appropriate nursing action when the nurse notes a reddened area on the forearm of a neutropenic child with leukemia?

A child with non-Hodgkin lymphoma will be starting chemotherapy.What intervention is initiated before chemotherapy to prevent tumor lysis syndrome?

Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).The nurse should assess for

The nurse should base a response to a parent's question about the prognosis of acute lymphoblastic leukemia (ALL)on the knowledge that

The nurse is aware that an abdominal mass found in a 10-month-old infant corresponds with which childhood cancer?

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which actions of chemotherapeutic agents?

What is an appropriate nursing action before surgery when caring for a child diagnosed with a Wilms' tumor?

When an adolescent with a new diagnosis of Ewing sarcoma asks the nurse about treatment,the nurse's response is based on the knowledge that (select all that apply)

A child with a history of fever of unknown origin,excessive bruising,lymphadenopathy,anemia,and fatigue is exhibiting symptoms most suggestive of

Hematopoietic stem cell transplantation (HSCT)is the standard treatment for a child in his or her first remission with what cancer?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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