Question 1

What are the most common clinical manifestations of brain tumors in children?

Accepted Answer

A)  Headaches and vomiting 
B)  Blurred vision and ataxia 
C)  Hydrocephalus and clumsy gait 
D)  Fever and poor fine motor control 
A)  Headaches and vomiting 
B)  Blurred vision and ataxia 
C)  Hydrocephalus and clumsy gait 
D)  Fever and poor fine motor control

Question 2

The mother of an infant tells the nurse that sometimes there is a whitish "glow" in the pupil of his eye.The nurse should suspect which condition?

Accepted Answer

A)  Brain tumor 
B)  Retinoblastoma 
C)  Neuroblastoma 
D)  Rhabdomyosarcoma 
A)  Brain tumor 
B)  Retinoblastoma 
C)  Neuroblastoma 
D)  Rhabdomyosarcoma

Question 3

A child with osteosarcoma is experiencing phantom limb pain after an amputation.What prescribed medication is effective for short-term phantom pain relief?

Accepted Answer

A)  Phenytoin (Dilantin) 
B)  Gabapentin (Neurontin) 
C)  Valproic Acid (Depakote) 
D)  Phenobarbital (Phenobarbital) 
A)  Phenytoin (Dilantin) 
B)  Gabapentin (Neurontin) 
C)  Valproic Acid (Depakote) 
D)  Phenobarbital (Phenobarbital)

Question 4

A child with cancer being treated with chemotherapy is receiving a platelet transfusion.The nurse understands that the transfused platelets should survive the body for how many days?

Accepted Answer

A)  1 to 3 days 
B)  4 to 6 days 
C)  7 to 9 days 
D)  10 to 12 days 
A)  1 to 3 days 
B)  4 to 6 days 
C)  7 to 9 days 
D)  10 to 12 days

Question 5

The nurse is caring for a child receiving chemotherapy for leukemia.The child's granulocyte count is 600/mm³ and platelet count is 45,000/mm³.What oral care should the nurse recommend for this child?

Accepted Answer

A)  Rinsing mouth with water 
B)  Daily toothbrushing and flossing 
C)  Lemon glycerin swabs for cleansing 
D)  Wiping teeth with moistened gauze or Toothettes 
A)  Rinsing mouth with water 
B)  Daily toothbrushing and flossing 
C)  Lemon glycerin swabs for cleansing 
D)  Wiping teeth with moistened gauze or Toothettes

Question 6

What childhood cancer may demonstrate patterns of inheritance that suggest a familial basis?

Accepted Answer

A)  Leukemia 
B)  Retinoblastoma 
C)  Rhabdomyosarcoma 
D)  Osteogenic sarcoma 
A)  Leukemia 
B)  Retinoblastoma 
C)  Rhabdomyosarcoma 
D)  Osteogenic sarcoma

Question 7

Total-body irradiation is indicated for what reason?

Accepted Answer

A)  Palliative care 
B)  Lymphoma therapy 
C)  Definitive therapy for leukemia 
D)  Preparation for bone marrow transplant 
A)  Palliative care 
B)  Lymphoma therapy 
C)  Definitive therapy for leukemia 
D)  Preparation for bone marrow transplant

Question 8

The nurse is collecting a 24-hour urine sample on a child with suspected diagnosis of neuroblastoma.What finding in the urine is expected with neuroblastomas?

Accepted Answer

A)  Ketones 
B)  Catecholamines 
C)  Red blood cells 
D)  Excessive white blood cells 
A)  Ketones 
B)  Catecholamines 
C)  Red blood cells 
D)  Excessive white blood cells

Question 9

Calculate the absolute neutrophil count for a child with a WBC = 3000/mm³,neutrophils = 10%,and nonsegmented neutrophils (bands)= 10%.Record your answer below in a whole number.
_____________

Accepted Answer

600
Perform the calculation Determine th

Question 10

A child,age 10 years,has a neuroblastoma and is in the hospital for additional chemotherapy treatments.What laboratory values are most likely this child's?

Accepted Answer

A)  White blood cell count, 17,000/mm³; hemoglobin, 15 g/dl 
B)  White blood cell count, 3,000/mm³; hemoglobin, 11.5 g/dl 
C)  Platelets, 450,000/mm³; hemoglobin, 12 g/dl 
D)  White blood cell count, 10,000/mm³; platelets, 175,000/mm³ 
A)  White blood cell count, 17,000/mm³; hemoglobin, 15 g/dl 
B)  White blood cell count, 3,000/mm³; hemoglobin, 11.5 g/dl 
C)  Platelets, 450,000/mm³; hemoglobin, 12 g/dl 
D)  White blood cell count, 10,000/mm³; platelets, 175,000/mm³

Question 11

A child has an absolute neutrophil count (ANC)of 500/mm³.The nurse should expect to be administering which prescribed treatment?

Accepted Answer

A)  Platelets 
B)  Packed red blood cells 
C)  Zofran (ondansetron) 
D)  G-CSF (Neupogen) daily 
A)  Platelets 
B)  Packed red blood cells 
C)  Zofran (ondansetron) 
D)  G-CSF (Neupogen) daily

Question 12

A child has been diagnosed with a Wilms tumor.What should preoperative nursing care include?

Accepted Answer

A)  Careful bathing and handling 
B)  Monitoring of behavioral status 
C)  Maintenance of strict isolation 
D)  Administration of packed red blood cells 
A)  Careful bathing and handling 
B)  Monitoring of behavioral status 
C)  Maintenance of strict isolation 
D)  Administration of packed red blood cells

Question 13

A young child with leukemia has anorexia and severe stomatitis.What approach should the nurse suggest that the parents try?

Accepted Answer

A)  Relax any eating pressures. 
B)  Firmly insist that the child eat normally. 
C)  Serve foods that are either hot or cold. 
D)  Provide only liquids because chewing is painful. 
A)  Relax any eating pressures. 
B)  Firmly insist that the child eat normally. 
C)  Serve foods that are either hot or cold. 
D)  Provide only liquids because chewing is painful.

Question 14

What pain management approach is most effective for a child who is having a bone marrow test?

Accepted Answer

A)  Relaxation techniques 
B)  Administration of an opioid 
C)  EMLA cream applied over site 
D)  Conscious or unconscious sedation 
A)  Relaxation techniques 
B)  Administration of an opioid 
C)  EMLA cream applied over site 
D)  Conscious or unconscious sedation

Question 15

What guidelines should the nurse follow when handling chemotherapeutic agents?

Accepted Answer

A)  Use clean technique. 
B)  Prepare medications in a safety cabinet. 
C)  Wear gloves designed for handling chemotherapy. 
D)  Wear face and eye protection when splashing is possible. 
E)  Discard gloves and protective clothing in a special container. 
A)  Use clean technique. 
B)  Prepare medications in a safety cabinet. 
C)  Wear gloves designed for handling chemotherapy. 
D)  Wear face and eye protection when splashing is possible. 
E)  Discard gloves and protective clothing in a special container.

Question 16

What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?

Accepted Answer

A)  Mouthwashes with plain saline 
B)  Lemon glycerin swabs for cleansing 
C)  Mouthwashes with hydrogen peroxide 
D)  Swish and swallow with viscous lidocaine 
A)  Mouthwashes with plain saline 
B)  Lemon glycerin swabs for cleansing 
C)  Mouthwashes with hydrogen peroxide 
D)  Swish and swallow with viscous lidocaine

Question 17

A health care provider prescribes ondansetron (Zofran)0.15 mg/kg intravenously (IV)30 minutes before chemotherapy for a child with acute lymphoblastic leukemia.The child weighs 22 kg.The medication label states: "Ondansetron (Zofran)2 mg/1 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer the dose? Fill in the blank.Round your answer to one decimal place.
________________

Accepted Answer

1.7
Follow the formula for dos

Question 18

A child with leukemia is receiving intrathecal chemotherapy to prevent which condition?

Accepted Answer

A)  Infection 
B)  Brain tumor 
C)  Central nervous system (CNS) disease 
D)  Drug side effects 
A)  Infection 
B)  Brain tumor 
C)  Central nervous system (CNS) disease 
D)  Drug side effects

Question 19

What strategies should the nurse implement to increase nutritional intake for the child receiving chemotherapy?

Accepted Answer

A)  Allow the child any food tolerated. 
B)  Fortify foods with nutritious supplements. 
C)  Allow the child to be involved in food selection. 
D)  Encourage the parents to place pressure on the importance of eating. 
E)  Encourage the child to eat favorite foods during infusion of chemotherapy medications. 
A)  Allow the child any food tolerated. 
B)  Fortify foods with nutritious supplements. 
C)  Allow the child to be involved in food selection. 
D)  Encourage the parents to place pressure on the importance of eating. 
E)  Encourage the child to eat favorite foods during infusion of chemotherapy medications.

Question 20

What statement related to clinical trials developed for pediatric cancers is most accurate?

Accepted Answer

A)  Are accessible only in major pediatric centers 
B)  Do not require consent for standard therapy 
C)  Provide the best available therapy compared with an expected improvement 
D)  Are standardized to provide the same treatment to all children with the disease 
A)  Are accessible only in major pediatric centers 
B)  Do not require consent for standard therapy 
C)  Provide the best available therapy compared with an expected improvement 
D)  Are standardized to provide the same treatment to all children with the disease

Exam 31: The Child With Cancer

What are the most common clinical manifestations of brain tumors in children?

The mother of an infant tells the nurse that sometimes there is a whitish "glow" in the pupil of his eye.The nurse should suspect which condition?

A child with osteosarcoma is experiencing phantom limb pain after an amputation.What prescribed medication is effective for short-term phantom pain relief?

A child with cancer being treated with chemotherapy is receiving a platelet transfusion.The nurse understands that the transfused platelets should survive the body for how many days?

The nurse is caring for a child receiving chemotherapy for leukemia.The child's granulocyte count is 600/mm³ and platelet count is 45,000/mm³.What oral care should the nurse recommend for this child?

What childhood cancer may demonstrate patterns of inheritance that suggest a familial basis?

Total-body irradiation is indicated for what reason?

The nurse is collecting a 24-hour urine sample on a child with suspected diagnosis of neuroblastoma.What finding in the urine is expected with neuroblastomas?

Calculate the absolute neutrophil count for a child with a WBC = 3000/mm³,neutrophils = 10%,and nonsegmented neutrophils (bands)= 10%.Record your answer below in a whole number. _____________

A child,age 10 years,has a neuroblastoma and is in the hospital for additional chemotherapy treatments.What laboratory values are most likely this child's?

A child has an absolute neutrophil count (ANC)of 500/mm³.The nurse should expect to be administering which prescribed treatment?

A child has been diagnosed with a Wilms tumor.What should preoperative nursing care include?

A young child with leukemia has anorexia and severe stomatitis.What approach should the nurse suggest that the parents try?

What pain management approach is most effective for a child who is having a bone marrow test?

What guidelines should the nurse follow when handling chemotherapeutic agents?

What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?

A child with leukemia is receiving intrathecal chemotherapy to prevent which condition?

What strategies should the nurse implement to increase nutritional intake for the child receiving chemotherapy?

What statement related to clinical trials developed for pediatric cancers is most accurate?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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