SAUNDERS__PEDS_ONCOLOGY.docx
SAUNDERS ONCOLOGY
1. The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks
the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing.
Which intervention should the nurse perform immediately?
Notify the health care provider (HCP).
2. The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen.
During further assessment, the mother tells the nurse that the child is eating well and that the activity
level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid
which during the physical assessment?
Palpating the abdomen for a mass
3. The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a
member of the nursing staff indicates a need for information?
"The child does not experience pain at the primary tumor site."
4. The nurse analyzes the laboratory values of a child with leukemia who is
receiving chemotherapy. The nurse notes that the platelet count is 19,500
mm3 (19.5 × 109/L). On the basis of this laboratory result, which
intervention should the nurse include in the plan of care?
Initiate bleeding precautions.
5. The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure
(ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?
Vomiting
6. A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has
been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and
hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic
leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?
Bone marrow biopsy showing blast cells
7. A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory
results indicate that the child is neutropenic, and protective isolation procedures are initiated. The
grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden, and asks
the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother?
"The flowers from your garden are beautiful, but should not be placed in the
child's room at this time."
8. A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic studies are
performed to determine the presence of this disease. Which diagnostic test result will confirm the
diagnosis of Hodgkin's disease?
The presence of Reed-Sternberg cells in the lymph nodes
9. Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk
for infection? Select all that apply.
1
, SAUNDERS__PEDS_ONCOLOGY.docx
Ensure that anyone entering the child's room wears a mask
Use strict aseptic technique for all procedures.
Reduce exposure to environmental organisms.
2
SAUNDERS ONCOLOGY
1. The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks
the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing.
Which intervention should the nurse perform immediately?
Notify the health care provider (HCP).
2. The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen.
During further assessment, the mother tells the nurse that the child is eating well and that the activity
level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid
which during the physical assessment?
Palpating the abdomen for a mass
3. The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a
member of the nursing staff indicates a need for information?
"The child does not experience pain at the primary tumor site."
4. The nurse analyzes the laboratory values of a child with leukemia who is
receiving chemotherapy. The nurse notes that the platelet count is 19,500
mm3 (19.5 × 109/L). On the basis of this laboratory result, which
intervention should the nurse include in the plan of care?
Initiate bleeding precautions.
5. The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure
(ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?
Vomiting
6. A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has
been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and
hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic
leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?
Bone marrow biopsy showing blast cells
7. A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory
results indicate that the child is neutropenic, and protective isolation procedures are initiated. The
grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden, and asks
the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother?
"The flowers from your garden are beautiful, but should not be placed in the
child's room at this time."
8. A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic studies are
performed to determine the presence of this disease. Which diagnostic test result will confirm the
diagnosis of Hodgkin's disease?
The presence of Reed-Sternberg cells in the lymph nodes
9. Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk
for infection? Select all that apply.
1
, SAUNDERS__PEDS_ONCOLOGY.docx
Ensure that anyone entering the child's room wears a mask
Use strict aseptic technique for all procedures.
Reduce exposure to environmental organisms.
2
