Question 1

What side effect commonly occurs with corticosteroid (prednisone)therapy?

Accepted Answer

A)  Alopecia 
B)  Anorexia 
C)  Nausea and vomiting 
D)  Susceptibility to infection 
A)  Alopecia 
B)  Anorexia 
C)  Nausea and vomiting 
D)  Susceptibility to infection

Question 2

What chemotherapeutic agent is classified as an antitumor antibiotic?

Accepted Answer

A)  Cisplatin (Platinol AQ) 
B)  Vincristine (Oncovin) 
C)  Methotrexate (Texall) 
D)  Daunorubicin (Cerubidine) 
A)  Cisplatin (Platinol AQ) 
B)  Vincristine (Oncovin) 
C)  Methotrexate (Texall) 
D)  Daunorubicin (Cerubidine)

Question 3

What is a common clinical manifestation of Hodgkin disease?

Accepted Answer

A)  Petechiae 
B)  Bone and joint pain 
C)  Painful, enlarged lymph nodes 
D)  Nontender enlargement of lymph nodes 
A)  Petechiae 
B)  Bone and joint pain 
C)  Painful, enlarged lymph nodes 
D)  Nontender enlargement of lymph nodes

Question 4

An adolescent will receive a bone marrow transplant (BMT).The nurse should explain that the bone marrow will be administered by which method?

Accepted Answer

A)  Bone grafting 
B)  Intravenous infusion 
C)  Bone marrow injection 
D)  Intraabdominal infusion 
A)  Bone grafting 
B)  Intravenous infusion 
C)  Bone marrow injection 
D)  Intraabdominal infusion

Question 5

An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma.What approach should the nurse implement?

Accepted Answer

A)  Answer questions with straightforward honesty. 
B)  Avoid discussing the seriousness of the condition. 
C)  Explain that although the amputation is difficult, it will cure the cancer. 
D)  Help the adolescent accept the amputation as better than a long course of chemotherapy. 
A)  Answer questions with straightforward honesty. 
B)  Avoid discussing the seriousness of the condition. 
C)  Explain that although the amputation is difficult, it will cure the cancer. 
D)  Help the adolescent accept the amputation as better than a long course of chemotherapy.

Question 6

Calculate the absolute neutrophil count (ANC)for the following: WBC count of 5000 mm³; neutrophils (segs)of 10%; and nonsegmented neutrophils (bands)of 12%.

Accepted Answer

A)  110/mm³ 
B)  500/mm³ 
C)  1100/mm³ 
D)  5000/mm³ 
A)  110/mm³ 
B)  500/mm³ 
C)  1100/mm³ 
D)  5000/mm³

Question 7

A child on chemotherapy has developed rectal ulcers.What interventions should the nurse teach to the child and parents to relieve the discomfort of rectal ulcers?

Accepted Answer

A)  Warm sitz baths 
B)  Use of stool softeners 
C)  Record bowel movements 
D)  Use of an opioid for discomfort 
E)  Occlusive ointment applied to the area 
A)  Warm sitz baths 
B)  Use of stool softeners 
C)  Record bowel movements 
D)  Use of an opioid for discomfort 
E)  Occlusive ointment applied to the area

Question 8

A 5-year-old child is being prepared for surgery to remove a brain tumor.Preparation for surgery should be based on which information?

Accepted Answer

A)  Removal of the tumor will stop the various signs and symptoms. 
B)  Usually the postoperative dressing covers the entire scalp. 
C)  He is not old enough to be concerned about his head being shaved. 
D)  He is not old enough to understand the significance of the brain. 
A)  Removal of the tumor will stop the various signs and symptoms. 
B)  Usually the postoperative dressing covers the entire scalp. 
C)  He is not old enough to be concerned about his head being shaved. 
D)  He is not old enough to understand the significance of the brain.

Question 9

As part of the diagnostic evaluation of a child with cancer,biopsies are important for staging.What statement explains what staging means?

Accepted Answer

A)  Extent of the disease at the time of diagnosis 
B)  Rate normal cells are being replaced by cancer cells 
C)  Biologic characteristics of the tumor or lymph nodes 
D)  Abnormal, unrestricted growth of cancer cells producing organ damage 
A)  Extent of the disease at the time of diagnosis 
B)  Rate normal cells are being replaced by cancer cells 
C)  Biologic characteristics of the tumor or lymph nodes 
D)  Abnormal, unrestricted growth of cancer cells producing organ damage

Question 10

The nurse is preparing a child for possible alopecia from chemotherapy.What information should the nurse include?

Accepted Answer

A)  Wearing hats or scarves is preferable to a wig. 
B)  Expose head to sunlight to stimulate hair regrowth. 
C)  Hair may have a slightly different color or texture when it regrows. 
D)  Regrowth of hair usually begins 12 months after chemotherapy ends. 
A)  Wearing hats or scarves is preferable to a wig. 
B)  Expose head to sunlight to stimulate hair regrowth. 
C)  Hair may have a slightly different color or texture when it regrows. 
D)  Regrowth of hair usually begins 12 months after chemotherapy ends.

Question 11

Calculate the absolute neutrophil count for a child with a WBC = 10,000/mm³,neutrophils = 25%,and nonsegmented neutrophils (bands)= 22%.Record your answer in a whole number.
_____________

Accepted Answer

4700
Perform the calculation Determine t

Question 12

Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which therapeutic intervention?

Accepted Answer

A)  Restrict oral fluids. 
B)  Institute strict isolation. 
C)  Use good hand-washing technique. 
D)  Give immunizations appropriate for age. 
A)  Restrict oral fluids. 
B)  Institute strict isolation. 
C)  Use good hand-washing technique. 
D)  Give immunizations appropriate for age.

Question 13

A parent tells the nurse that 80% of children with the same type of leukemia as his son's have a 5-year survival.He believes that because another child on the same protocol as his son has just died,his son now has a better chance of success.What is the best response by the nurse?

Accepted Answer

A)  "It is sad for the other family but good news for your child." 
B)  "Each child has an 80% likelihood of 5-year survival." 
C)  "The data suggest that 20% of the children in the clinic will die. There are still many hurdles for your son." 
D)  "You should avoid the grieving family because you will be benefiting from their loss." 
A)  "It is sad for the other family but good news for your child." 
B)  "Each child has an 80% likelihood of 5-year survival." 
C)  "The data suggest that 20% of the children in the clinic will die. There are still many hurdles for your son." 
D)  "You should avoid the grieving family because you will be benefiting from their loss."

Question 14

The health care provider prescribes vancomycin 200 mg per intravenous piggyback (IVPB)every 6 hours for a child with cancer admitted to the hospital for fever and neutropenia.The pharmacy sends the medication to the unit in a 240-ml bag with directions to run the medication over 120 minutes.What milliliters per hour will the nurse set the intravenous pump to run the medication over 120 minutes? Fill in the blank and record your answer in a whole number.
_____________

Accepted Answer

120
Perform the calculation.
C

Question 15

Essential postoperative nursing management of a child after removal of a brain tumor includes which nursing care?

Accepted Answer

A)  Turning and positioning every 2 hours 
B)  Measuring all fluid intake and output 
C)  Changing the dressing when it becomes soiled 
D)  Using maximum lighting to ensure accurate observations 
A)  Turning and positioning every 2 hours 
B)  Measuring all fluid intake and output 
C)  Changing the dressing when it becomes soiled 
D)  Using maximum lighting to ensure accurate observations

Question 16

Chemotherapeutic agents are classified according to what feature?

Accepted Answer

A)  Side effects 
B)  Effectiveness 
C)  Mechanism of action 
D)  Route of administration 
A)  Side effects 
B)  Effectiveness 
C)  Mechanism of action 
D)  Route of administration

Question 17

What chemotherapeutic agent can cause an anaphylactic reaction?

Accepted Answer

A)  Prednisone (Deltasone) 
B)  Vincristine (Oncovin) 
C)  L-Asparaginase (Elspar) 
D)  Methotrexate (Trexall) 
A)  Prednisone (Deltasone) 
B)  Vincristine (Oncovin) 
C)  L-Asparaginase (Elspar) 
D)  Methotrexate (Trexall)

Question 18

The nurse is caring for a child with retinoblastoma that was treated with an enucleation.What interventions should the nurse plan for care of an eye socket after enucleation?

Accepted Answer

A)  Clean the prosthesis. 
B)  Change the eye pad daily. 
C)  Keep the opposite eye covered initially. 
D)  Irrigate the socket daily with a prescribed solution. 
E)  Apply a prescribed antibiotic ointment after irrigation. 
A)  Clean the prosthesis. 
B)  Change the eye pad daily. 
C)  Keep the opposite eye covered initially. 
D)  Irrigate the socket daily with a prescribed solution. 
E)  Apply a prescribed antibiotic ointment after irrigation.

Question 19

A child is receiving vincristine (Oncovin).The nurse should monitor for which side effect of this medication?

Accepted Answer

A)  Diarrhea 
B)  Photosensitivity 
C)  Constipation 
D)  Ototoxicity 
A)  Diarrhea 
B)  Photosensitivity 
C)  Constipation 
D)  Ototoxicity

Question 20

The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT)may be necessary.What information should the nurse recognize as important when discussing this with the family?

Accepted Answer

A)  BMT should be done at the time of diagnosis. 
B)  Parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  If BMT fails, chemotherapy or radiotherapy will need to be continued. 
D)  Finding a suitable donor involves matching antigens from the human leukocyte antigen (HL
A)  system. 
A)  BMT should be done at the time of diagnosis. 
B)  Parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  If BMT fails, chemotherapy or radiotherapy will need to be continued. 
D)  Finding a suitable donor involves matching antigens from the human leukocyte antigen (HL
A)  system.

Exam 31: The Child With Cancer

What side effect commonly occurs with corticosteroid (prednisone)therapy?

What chemotherapeutic agent is classified as an antitumor antibiotic?

What is a common clinical manifestation of Hodgkin disease?

An adolescent will receive a bone marrow transplant (BMT).The nurse should explain that the bone marrow will be administered by which method?

An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma.What approach should the nurse implement?

Calculate the absolute neutrophil count (ANC)for the following: WBC count of 5000 mm³; neutrophils (segs)of 10%; and nonsegmented neutrophils (bands)of 12%.

A child on chemotherapy has developed rectal ulcers.What interventions should the nurse teach to the child and parents to relieve the discomfort of rectal ulcers?

A 5-year-old child is being prepared for surgery to remove a brain tumor.Preparation for surgery should be based on which information?

As part of the diagnostic evaluation of a child with cancer,biopsies are important for staging.What statement explains what staging means?

The nurse is preparing a child for possible alopecia from chemotherapy.What information should the nurse include?

Calculate the absolute neutrophil count for a child with a WBC = 10,000/mm³,neutrophils = 25%,and nonsegmented neutrophils (bands)= 22%.Record your answer in a whole number. _____________

Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which therapeutic intervention?

A parent tells the nurse that 80% of children with the same type of leukemia as his son's have a 5-year survival.He believes that because another child on the same protocol as his son has just died,his son now has a better chance of success.What is the best response by the nurse?

Essential postoperative nursing management of a child after removal of a brain tumor includes which nursing care?

Chemotherapeutic agents are classified according to what feature?

What chemotherapeutic agent can cause an anaphylactic reaction?

The nurse is caring for a child with retinoblastoma that was treated with an enucleation.What interventions should the nurse plan for care of an eye socket after enucleation?

A child is receiving vincristine (Oncovin).The nurse should monitor for which side effect of this medication?

The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT)may be necessary.What information should the nurse recognize as important when discussing this with the family?

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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