NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
A child with leukemia is receiving triple intrathecal
chemotherapy consisting of methotrexate, cytarabine, and
hydrocortisone. What will the triple intrathecal
chemotherapy prevent?
a.Infection
b.Brain tumor
c.Drug side effects
d.Central nervous system
(CNS) disease ANS: D
For certain children, CNS prophylactic therapy is indicated. This
drug regimen is used to prevent CNS leukemia and will not
prevent infection or drug side effects. If the child has a brain
tumor in addition to leukemia, additional therapy would be
indicated.
DIF: Cognitive Level: Analyze REF: p. 831
A young boy will receive a bone marrow transplant (BMT).
This is possible because one of his older siblings is a
histocompatible donor. Which is this type of BMT called?
a.Syngeneic -twin
b.Allogeneic -another individual
c.Monoclonal -made up
d. Autologous -
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
,NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
own marrow ANS: B
Allogeneic transplants are from another individual. Because he
and his sibling are histocompatible, the BMT can be done.
Syngeneic marrow is from an identical twin. There is no such
thing as a monoclonal BMT. Autologous refers to the individual's
own marrow. DIF: Cognitive Level: Understand REF: p. 824
Which is the most effective pain-management approach for a
child who is having a bone marrow aspiration?
a.Relaxation techniques
b. Administration of an opioid
c.EMLA cream applied over site
d.Conscious or unconscious
sedation ANS: D
Effective pharmacologic and nonpharmacologic measures should
be used to minimize pain associated with procedures. For bone
marrow aspiration, conscious or unconscious sedation should be
used. Relaxation, opioids, and EMLA can be used to augment the
conscious or unconscious sedation.
DIF: Cognitive Level: Apply REF: p. 824
Which immunization should not be given to a child
receiving chemotherapy for cancer?
a.Tetanus vaccine
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
,NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
b.Inactivated poliovirus vaccine
c.Diphtheria, pertussis, tetanus (DPT)
d.Measles, rubella, mumps –
live virus ANS: D
The vaccine used for measles, mumps, and rubella is a live virus
and can result in an overwhelming infection. Tetanus vaccine,
inactivated poliovirus vaccine, and diphtheria, pertussis, tetanus
(DPT) are not live virus vaccines.
DIF: Cognitive Level: Apply REF: p. 825
Which is often administered to prevent or control hemorrhage
in a child with cancer?
a. Nitrosoureas
b. Platelets
c. Whole blood
d. Corticoster
oids ANS: B
Most bleeding episodes can be prevented or controlled with the
administration of platelet concentrate or platelet-rich plasma.
Nitrosoureas, whole blood, and corticosteroids would not prevent
or control hemorrhage.
DIF: Cognitive Level: Apply REF: p. 826
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
, NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
The nurse is administering an IV chemotherapeutic agent to
a child with leukemia. The child suddenly begins to wheeze and
have severe urticaria. Which is the most appropriate nursing
action?
a. Stop drug infusion immediately.
b. Recheck rate of drug infusion.
c. Observe child closely for next 10 minutes.
d. Explain to child that this is an expected side effect.
A school-age child with leukemia experienced severe nausea
and vomiting when receiving chemotherapy for the first time.
Which is the most appropriate nursing action to prevent or
minimize these reactions with subsequent treatments?
a. Encourage drinking large amounts of favorite fluids.
b. Encourage child to take nothing by mouth (remain NPO) until
nausea and vomiting subside.
c. Administer an antiemetic before chemotherapy begins.
d. Administer an antiemetic as soon as
child has nausea. ANS: C
The most beneficial regimen to minimize nausea and vomiting
associated with chemotherapy is to administer the antiemetic
before the chemotherapy is begun. The goal is to prevent
anticipatory symptoms. Drinking fluids will add to the discomfort
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
Questions and Answers 100%correct/verified
assured success new update 2022
A child with leukemia is receiving triple intrathecal
chemotherapy consisting of methotrexate, cytarabine, and
hydrocortisone. What will the triple intrathecal
chemotherapy prevent?
a.Infection
b.Brain tumor
c.Drug side effects
d.Central nervous system
(CNS) disease ANS: D
For certain children, CNS prophylactic therapy is indicated. This
drug regimen is used to prevent CNS leukemia and will not
prevent infection or drug side effects. If the child has a brain
tumor in addition to leukemia, additional therapy would be
indicated.
DIF: Cognitive Level: Analyze REF: p. 831
A young boy will receive a bone marrow transplant (BMT).
This is possible because one of his older siblings is a
histocompatible donor. Which is this type of BMT called?
a.Syngeneic -twin
b.Allogeneic -another individual
c.Monoclonal -made up
d. Autologous -
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
,NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
own marrow ANS: B
Allogeneic transplants are from another individual. Because he
and his sibling are histocompatible, the BMT can be done.
Syngeneic marrow is from an identical twin. There is no such
thing as a monoclonal BMT. Autologous refers to the individual's
own marrow. DIF: Cognitive Level: Understand REF: p. 824
Which is the most effective pain-management approach for a
child who is having a bone marrow aspiration?
a.Relaxation techniques
b. Administration of an opioid
c.EMLA cream applied over site
d.Conscious or unconscious
sedation ANS: D
Effective pharmacologic and nonpharmacologic measures should
be used to minimize pain associated with procedures. For bone
marrow aspiration, conscious or unconscious sedation should be
used. Relaxation, opioids, and EMLA can be used to augment the
conscious or unconscious sedation.
DIF: Cognitive Level: Apply REF: p. 824
Which immunization should not be given to a child
receiving chemotherapy for cancer?
a.Tetanus vaccine
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
,NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
b.Inactivated poliovirus vaccine
c.Diphtheria, pertussis, tetanus (DPT)
d.Measles, rubella, mumps –
live virus ANS: D
The vaccine used for measles, mumps, and rubella is a live virus
and can result in an overwhelming infection. Tetanus vaccine,
inactivated poliovirus vaccine, and diphtheria, pertussis, tetanus
(DPT) are not live virus vaccines.
DIF: Cognitive Level: Apply REF: p. 825
Which is often administered to prevent or control hemorrhage
in a child with cancer?
a. Nitrosoureas
b. Platelets
c. Whole blood
d. Corticoster
oids ANS: B
Most bleeding episodes can be prevented or controlled with the
administration of platelet concentrate or platelet-rich plasma.
Nitrosoureas, whole blood, and corticosteroids would not prevent
or control hemorrhage.
DIF: Cognitive Level: Apply REF: p. 826
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
, NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
The nurse is administering an IV chemotherapeutic agent to
a child with leukemia. The child suddenly begins to wheeze and
have severe urticaria. Which is the most appropriate nursing
action?
a. Stop drug infusion immediately.
b. Recheck rate of drug infusion.
c. Observe child closely for next 10 minutes.
d. Explain to child that this is an expected side effect.
A school-age child with leukemia experienced severe nausea
and vomiting when receiving chemotherapy for the first time.
Which is the most appropriate nursing action to prevent or
minimize these reactions with subsequent treatments?
a. Encourage drinking large amounts of favorite fluids.
b. Encourage child to take nothing by mouth (remain NPO) until
nausea and vomiting subside.
c. Administer an antiemetic before chemotherapy begins.
d. Administer an antiemetic as soon as
child has nausea. ANS: C
The most beneficial regimen to minimize nausea and vomiting
associated with chemotherapy is to administer the antiemetic
before the chemotherapy is begun. The goal is to prevent
anticipatory symptoms. Drinking fluids will add to the discomfort
NURS 340 Chapter 25 Cancer Kids Practice Exam
Questions and Answers 100%correct/verified
assured success new update 2022
