Pediatric Cancer NCLEX Test Questions with Verified Answers
"The mother of a child diagnosed with a potentially
life-threatening form of cancer says to the nurse, ""I don't
understand how this could happen to us. We have been
so careful to make sure our child is healthy."" Which re-
"Correct Answer: A
sponse by the nurse is most appropriate?
Parents of children diagnosed with cancer require major
"A. ""This must be a diflcult time for you and your family.
emotional support, and should be allowed to express their
Would you like to talk about how you are feeling?""
feelings. Prevention and blaming oneself is not support-
B. ""Why do you say that? Do you think that you could have
ive, nor is telling the parents that there are many other
prevented this?""
children with cancer."
C. ""You shouldn't feel that you could have prevented the
cancer. It is not your fault.""
D. ""Many children are diagnosed with cancer. It is not
always life-threatening."""
"A preschool-age child undergoing chemotherapy experi-
ences nausea and vomiting. Which of the following would
be the best intervention to include in the child's plan of "Correct answer: D
care? While all options can be done to encourage nutrition, al-
"a. Administer tube feedings. lowing the preschooler choices meets two issues: nutrition
b. Otter small, frequent meals. and developmental tasks."
c. Otter fluids only between meals.
d. Allow the child to choose what to eat for meals."
A 12 year old boy seen in the clinic, and a diagnosis of Correct Answer 4 . Hodgkin's disease is a neoplasm of lym-
Hodgkin's disease is suspected . Which diagnostic test phatic tissue. The presence of gaint multinucleated cells
results confirm the diagnosis of Hodgkin's disease? ( Reed- Sternbergs cells) is the hallmark of this disease.
1 . Elevated vanillylmandelic acid urinary level. The presence of blast cells in the bone marrow indicates
2. The presence of blast cells in the bone marrow leukemia. The Epstein-Barr virus is associated with infec-
3. The presence of Epsetin-Barr virus in the blood. tious mononucleosis . Elevated levels of vanillylmandelic
4. The presence of Reed-Sternberg cells in the lymph acid in the urine may be found in children with neroblas-
nodes toma.
, Pediatric Cancer NCLEX Test Questions with Verified Answers
"Which nursing diagnosis is highest-priority for a child
undergoing chemotherapy and experiencing nausea and
"Correct Answer: A
vomiting?
While all of the nursing diagnoses listed here are impor-
"A. Fluid and Electrolyte Imbalance
tant, dehydration and fluid and electrolyte loss secondary
B. Alterations in Nutrition
to vomiting is the priority for this client."
C. Alterations in Skin Integrity
D. Body Image Disturbances"
"A child with cancer has the following lab result: WBC
10,000, RBC 5, and plts of 20,000. When planning this
child's care, which risk should the nurse consider most "Correct answer: A Hemorrhage
significant? The lab values presented all are normal except for the
"A. Hemorrage platelet count. Decreases in platelet counts place the child
B. Anemia at greatest risk for hemorrhage."
C. Infection
D. Pain"
"Chemotherapy dosage is frequently based on total body
"Answer: 4 To ensure that the client receives optimal doses
surFace area (BSA), so it is important for the nurse to do
of chemotherapy, dosing is usually based on the total
which of the following before administering chemothera-
Body surface area(BSA) which requires accurate height
py?
and weight before each med administration.
"1. Measure abdominal girth
Simply asking the client about height/weight may lead
2. Claculate BMI
to inaccuracies in determining BSA. Calculating BMI and
3. Ask the client about his/her height and weight
measuring abdominal girth does not provide the data
4. Weigh and measure the client on the day of medication
needed."
administration"
"Which diagnostic test should be performed annually af- Answer d: Surface blood vessels of polyps and cancers
ter age 50 to screen for colon cancer? are fragile and often bleed with the passage of stools, so
"a. Abdominal computed tomography (CT) a fecal occult blood test and CT scan can help establish
b. Abdominal X-ray tumor size and metastasis. A colonoscopy can help to
c. Colonoscopy locate a tumor as well as polyps, but is only recommended
d. Fecal occult blood test" every 10 years.
, Pediatric Cancer NCLEX Test Questions with Verified Answers
"David, age 15 months, is recovering from surgery to
"Correct: D
remove Wilms' tumor. Which findings best indicates that
Answer D. One of the most valuable clues to pain is a be-
the child is free from pain?
havior change: A child who's pain-free likes to play. A child
"a. Decreased appetite
in pain is less likely to consume food or fluids. An increased
b. Increased heart rate
heart rate may indicate increased pain; decreased urine
c. Decreased urine output
output may signify dehydration."
d. Increased interest in play"
A nurse analyzes the lab values of a child with leukemia
who is receiving chemotherapy. The nurse notices that the 4. **Correct... Rationale: Leukemia is a malignant increase
platelet count is 19,500 cell/mm3. Based on this lab value in the number of leukocytes, usually at an immature stage,
which intervention would the nurse document in her plan in the bone marrow. It attects the bone marrow, causing
of care. " from decreased erythrocytes, infection from neutropenia,
"1. Monitor closely for signs of infection. and bleeding from decreased platelet production. If the
2. Temp every four hours. platelet count is les than 20,000 than bleeding precau-
3. Isolation precautions tions need to be taken.
4. Use a small toothbrush for mouth care"
"The parent of a child undergoing chemotherapy asks
the nurse why the child must wear a mask in public places.
Which of the
"Correct: B
following responses by the nurse would be most appro-
Chemotherapeutic agents decrease the immunity of
priate?
the child. Proper use of the mask will decrease the chance
"A) ""Chemotherapy causes dry mouth, and the mask will
of acquiring
help contain moisture.""
an infection. Cancer is not spread; a mask cannot contain
B) ""Chemotherapy decreases immune system function,
moisture; and
increasing the risk of acquiring an infection.""
unsightly mouth sores are not a medical reason to wear a
C) ""Chemotherapy makes the oral mucous membranes
mask."
deteriorate and makes them susceptible to infection.""
D) ""Chemotherapy kills cancer cells, and your child might
spread those cells to others."""
A child is diagnosed with Wilms' tumor. In planning teach-
ing interventions, what key point should the nurse em-
"The mother of a child diagnosed with a potentially
life-threatening form of cancer says to the nurse, ""I don't
understand how this could happen to us. We have been
so careful to make sure our child is healthy."" Which re-
"Correct Answer: A
sponse by the nurse is most appropriate?
Parents of children diagnosed with cancer require major
"A. ""This must be a diflcult time for you and your family.
emotional support, and should be allowed to express their
Would you like to talk about how you are feeling?""
feelings. Prevention and blaming oneself is not support-
B. ""Why do you say that? Do you think that you could have
ive, nor is telling the parents that there are many other
prevented this?""
children with cancer."
C. ""You shouldn't feel that you could have prevented the
cancer. It is not your fault.""
D. ""Many children are diagnosed with cancer. It is not
always life-threatening."""
"A preschool-age child undergoing chemotherapy experi-
ences nausea and vomiting. Which of the following would
be the best intervention to include in the child's plan of "Correct answer: D
care? While all options can be done to encourage nutrition, al-
"a. Administer tube feedings. lowing the preschooler choices meets two issues: nutrition
b. Otter small, frequent meals. and developmental tasks."
c. Otter fluids only between meals.
d. Allow the child to choose what to eat for meals."
A 12 year old boy seen in the clinic, and a diagnosis of Correct Answer 4 . Hodgkin's disease is a neoplasm of lym-
Hodgkin's disease is suspected . Which diagnostic test phatic tissue. The presence of gaint multinucleated cells
results confirm the diagnosis of Hodgkin's disease? ( Reed- Sternbergs cells) is the hallmark of this disease.
1 . Elevated vanillylmandelic acid urinary level. The presence of blast cells in the bone marrow indicates
2. The presence of blast cells in the bone marrow leukemia. The Epstein-Barr virus is associated with infec-
3. The presence of Epsetin-Barr virus in the blood. tious mononucleosis . Elevated levels of vanillylmandelic
4. The presence of Reed-Sternberg cells in the lymph acid in the urine may be found in children with neroblas-
nodes toma.
, Pediatric Cancer NCLEX Test Questions with Verified Answers
"Which nursing diagnosis is highest-priority for a child
undergoing chemotherapy and experiencing nausea and
"Correct Answer: A
vomiting?
While all of the nursing diagnoses listed here are impor-
"A. Fluid and Electrolyte Imbalance
tant, dehydration and fluid and electrolyte loss secondary
B. Alterations in Nutrition
to vomiting is the priority for this client."
C. Alterations in Skin Integrity
D. Body Image Disturbances"
"A child with cancer has the following lab result: WBC
10,000, RBC 5, and plts of 20,000. When planning this
child's care, which risk should the nurse consider most "Correct answer: A Hemorrhage
significant? The lab values presented all are normal except for the
"A. Hemorrage platelet count. Decreases in platelet counts place the child
B. Anemia at greatest risk for hemorrhage."
C. Infection
D. Pain"
"Chemotherapy dosage is frequently based on total body
"Answer: 4 To ensure that the client receives optimal doses
surFace area (BSA), so it is important for the nurse to do
of chemotherapy, dosing is usually based on the total
which of the following before administering chemothera-
Body surface area(BSA) which requires accurate height
py?
and weight before each med administration.
"1. Measure abdominal girth
Simply asking the client about height/weight may lead
2. Claculate BMI
to inaccuracies in determining BSA. Calculating BMI and
3. Ask the client about his/her height and weight
measuring abdominal girth does not provide the data
4. Weigh and measure the client on the day of medication
needed."
administration"
"Which diagnostic test should be performed annually af- Answer d: Surface blood vessels of polyps and cancers
ter age 50 to screen for colon cancer? are fragile and often bleed with the passage of stools, so
"a. Abdominal computed tomography (CT) a fecal occult blood test and CT scan can help establish
b. Abdominal X-ray tumor size and metastasis. A colonoscopy can help to
c. Colonoscopy locate a tumor as well as polyps, but is only recommended
d. Fecal occult blood test" every 10 years.
, Pediatric Cancer NCLEX Test Questions with Verified Answers
"David, age 15 months, is recovering from surgery to
"Correct: D
remove Wilms' tumor. Which findings best indicates that
Answer D. One of the most valuable clues to pain is a be-
the child is free from pain?
havior change: A child who's pain-free likes to play. A child
"a. Decreased appetite
in pain is less likely to consume food or fluids. An increased
b. Increased heart rate
heart rate may indicate increased pain; decreased urine
c. Decreased urine output
output may signify dehydration."
d. Increased interest in play"
A nurse analyzes the lab values of a child with leukemia
who is receiving chemotherapy. The nurse notices that the 4. **Correct... Rationale: Leukemia is a malignant increase
platelet count is 19,500 cell/mm3. Based on this lab value in the number of leukocytes, usually at an immature stage,
which intervention would the nurse document in her plan in the bone marrow. It attects the bone marrow, causing
of care. " from decreased erythrocytes, infection from neutropenia,
"1. Monitor closely for signs of infection. and bleeding from decreased platelet production. If the
2. Temp every four hours. platelet count is les than 20,000 than bleeding precau-
3. Isolation precautions tions need to be taken.
4. Use a small toothbrush for mouth care"
"The parent of a child undergoing chemotherapy asks
the nurse why the child must wear a mask in public places.
Which of the
"Correct: B
following responses by the nurse would be most appro-
Chemotherapeutic agents decrease the immunity of
priate?
the child. Proper use of the mask will decrease the chance
"A) ""Chemotherapy causes dry mouth, and the mask will
of acquiring
help contain moisture.""
an infection. Cancer is not spread; a mask cannot contain
B) ""Chemotherapy decreases immune system function,
moisture; and
increasing the risk of acquiring an infection.""
unsightly mouth sores are not a medical reason to wear a
C) ""Chemotherapy makes the oral mucous membranes
mask."
deteriorate and makes them susceptible to infection.""
D) ""Chemotherapy kills cancer cells, and your child might
spread those cells to others."""
A child is diagnosed with Wilms' tumor. In planning teach-
ing interventions, what key point should the nurse em-
