Question 1

A child had surgery for a brain tumor.Which provider orders does the nurse question?

Accepted Answer

A)  Place the child in the Trendelenburg position. 
B)  Perform neurologic assessments. 
C)  Assess dressings for drainage. 
D)  Monitor temperature. 
A)  Place the child in the Trendelenburg position. 
B)  Perform neurologic assessments. 
C)  Assess dressings for drainage. 
D)  Monitor temperature.

Question 2

A child is in the hospital receiving chemotherapy,and the nurse suspects the child has an infection.What action by the nurse takes priority?

Accepted Answer

A)  Monitor the child's temperature. 
B)  Assess the daily white blood cell count. 
C)  Administer antibiotics. 
D)  Obtain blood and urine cultures. 
A)  Monitor the child's temperature. 
B)  Assess the daily white blood cell count. 
C)  Administer antibiotics. 
D)  Obtain blood and urine cultures.

Question 3

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 4

A nurse routinely administers chemotherapy to hospitalized children with cancer.What safety measures does this nurse take as a routine part of practice? (Select all that apply.)

Accepted Answer

A)  Calculates child's body-surface area in meters squared 
B)  Ensures a CBC is obtained within 72 hours of starting chemotherapy 
C)  Double checks ordered doses against established protocols 
D)  Obtains emergency equipment 
E)  Monitors child based on provider orders 
A)  Calculates child's body-surface area in meters squared 
B)  Ensures a CBC is obtained within 72 hours of starting chemotherapy 
C)  Double checks ordered doses against established protocols 
D)  Obtains emergency equipment 
E)  Monitors child based on provider orders

Question 5

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

Accepted Answer

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

Question 6

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 7

The nurse understands that the types of precautions needed for children receiving chemotherapy are based on which action 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

Exam 48: The Child with Cancer

A child had surgery for a brain tumor.Which provider orders does the nurse question?

A child is in the hospital receiving chemotherapy,and the nurse suspects the child has an infection.What action by the nurse takes priority?

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

A nurse routinely administers chemotherapy to hospitalized children with cancer.What safety measures does this nurse take as a routine part of practice? (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 which of the following?

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

The nurse understands that the types of precautions needed for children receiving chemotherapy are based on which action of chemotherapeutic agents?

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

Filters