Examl 4:l NUR230l /l NURl 230l (NEWl
2025/l 2026l Update)l Conceptsl ofl Nursing:l
Thel Childbearing/Childl Caringl Familyl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
malignantl diseasesl ofl bonel marrowl &l lymphaticl system,l proliferationl ofl immaturel WBCl
inl bloodl formingl tissuesl inl body
Answer:
leukemia
QUESTION
whatl arel thel twol typesl ofl leukemia
Answer:
ALLl (acutel lymphoidl leukemia)-l mostl commonl childhoodl cancer,l peakl onsetl 2-5yr
AMLl (acutel myelogenousl leukemia)-l 20%l ofl cases,l higherl ratesl seenl inl infantsl <1yr
QUESTION
RFl ofl ALL
Answer:
males,l hispanics
QUESTION
Threel mainl consequencesl ofl leukemial thatl thel CMl canl bel linkedl to
Answer:
1.l anemial (RBC),l causel fatiguel
,2.l neutropenial (lowl WBC)l riskl forl infx
3.l thrombocytopenial (lowl platelets)l riskl forl bleeding
QUESTION
CMl ofl leukemia
Answer:
anemia,l infx,l bleeding,l enlargedl organs,l
fever,l lethargy,l malaisie,l petechiae,l wtl loss
QUESTION
diagnosisl forl leukemia
Answer:
1.l peripherall bloodl smear,l
2.l bonel marrowl aspiration:l definitivel test
LP:l determinesl CNSl involvement
QUESTION
firstl stagel ofl leukemial treatment?
Answer:
inductionl phase-l beginsl atl dx,l lastsl 4-5wk
ex:l chemo
QUESTION
secondl stagel ofl leukemial treatment?
Answer:
intensificationl therapy-l decreasel cancerl cells,l
"pulses"l ofl chemol overl 6mo
metl whenl ptl inl remission
startl tol treatl CNSl involvement
,QUESTION
thirdl stagel ofl leukemial treatment?
Answer:
maintenancel therapy:l combinedl drugl regimenl tol keepl inl remission
usedl forl 2-3l yrs
QUESTION
ifl al ptl withl leukemial triesl chemotherapyl andl itl doesl notl work,l wasl ineffective,l whatl isl
thel nextl step?
Answer:
bonel marrowl transplant-l reservedl forl poorl responsel tol chemo,l notl firstl linel treatment
QUESTION
leukemia:l nursingl management
Answer:
prepl familyl forl procedures
managel sidel effectsl (palliativel carel team)
QUESTION
ifl ptl isl havingl al reactionl tol chemotherapyl whatl isl thel stepsl youl wouldl takel inl order?
Answer:
FIRSTl stopl thel pump
SECONDl flushl line
THIRDl calll MD
QUESTION
forl al ptl withl leukemial howl canl wel decreasel infxl risk?
Answer:
privatel room,l
handl hygienel (#1),l
, nol sickl visitors,l
neutropenicl precautionsl (nol flowers/fruits/vegfgies)
QUESTION
mostl commonl cancerl diagnosedl inl infancyl (19mo),l primaryl sitel isl abdomen,l poorl
prognosis,l originatesl froml embryonicl neurall crestl (neuroblasts)l cells,l isl thel silentl tumor
Answer:
neuroblastoma
QUESTION
CMl ofl neuroblastoma
Answer:
firml irregularl nonl tenderl massl inl abdl CROSSESl MIDLINE,l
pain,l discomfort,l vomiting,l anorexia,l urinaryl frequency
QUESTION
1.l withl neuroblastomal ifl tumorl arisesl inl thoracicl regionl wel willl havel whatl CM?
2.l severel abdominall involvementl wel willl havel whatl kindl ofl complications?
Answer:
1.l dyspnea,l stridor,l dysphagia
2.l respiratory
QUESTION
ifl wel havel spinall cordl andl brainl tumorsl we'lll havel whatl kindl ofl complications?
Answer:
neurologicall defects,l
possiblel difficultyl breathing,l
bowel/bladderl dysfunction,l
seizures
2025/l 2026l Update)l Conceptsl ofl Nursing:l
Thel Childbearing/Childl Caringl Familyl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
malignantl diseasesl ofl bonel marrowl &l lymphaticl system,l proliferationl ofl immaturel WBCl
inl bloodl formingl tissuesl inl body
Answer:
leukemia
QUESTION
whatl arel thel twol typesl ofl leukemia
Answer:
ALLl (acutel lymphoidl leukemia)-l mostl commonl childhoodl cancer,l peakl onsetl 2-5yr
AMLl (acutel myelogenousl leukemia)-l 20%l ofl cases,l higherl ratesl seenl inl infantsl <1yr
QUESTION
RFl ofl ALL
Answer:
males,l hispanics
QUESTION
Threel mainl consequencesl ofl leukemial thatl thel CMl canl bel linkedl to
Answer:
1.l anemial (RBC),l causel fatiguel
,2.l neutropenial (lowl WBC)l riskl forl infx
3.l thrombocytopenial (lowl platelets)l riskl forl bleeding
QUESTION
CMl ofl leukemia
Answer:
anemia,l infx,l bleeding,l enlargedl organs,l
fever,l lethargy,l malaisie,l petechiae,l wtl loss
QUESTION
diagnosisl forl leukemia
Answer:
1.l peripherall bloodl smear,l
2.l bonel marrowl aspiration:l definitivel test
LP:l determinesl CNSl involvement
QUESTION
firstl stagel ofl leukemial treatment?
Answer:
inductionl phase-l beginsl atl dx,l lastsl 4-5wk
ex:l chemo
QUESTION
secondl stagel ofl leukemial treatment?
Answer:
intensificationl therapy-l decreasel cancerl cells,l
"pulses"l ofl chemol overl 6mo
metl whenl ptl inl remission
startl tol treatl CNSl involvement
,QUESTION
thirdl stagel ofl leukemial treatment?
Answer:
maintenancel therapy:l combinedl drugl regimenl tol keepl inl remission
usedl forl 2-3l yrs
QUESTION
ifl al ptl withl leukemial triesl chemotherapyl andl itl doesl notl work,l wasl ineffective,l whatl isl
thel nextl step?
Answer:
bonel marrowl transplant-l reservedl forl poorl responsel tol chemo,l notl firstl linel treatment
QUESTION
leukemia:l nursingl management
Answer:
prepl familyl forl procedures
managel sidel effectsl (palliativel carel team)
QUESTION
ifl ptl isl havingl al reactionl tol chemotherapyl whatl isl thel stepsl youl wouldl takel inl order?
Answer:
FIRSTl stopl thel pump
SECONDl flushl line
THIRDl calll MD
QUESTION
forl al ptl withl leukemial howl canl wel decreasel infxl risk?
Answer:
privatel room,l
handl hygienel (#1),l
, nol sickl visitors,l
neutropenicl precautionsl (nol flowers/fruits/vegfgies)
QUESTION
mostl commonl cancerl diagnosedl inl infancyl (19mo),l primaryl sitel isl abdomen,l poorl
prognosis,l originatesl froml embryonicl neurall crestl (neuroblasts)l cells,l isl thel silentl tumor
Answer:
neuroblastoma
QUESTION
CMl ofl neuroblastoma
Answer:
firml irregularl nonl tenderl massl inl abdl CROSSESl MIDLINE,l
pain,l discomfort,l vomiting,l anorexia,l urinaryl frequency
QUESTION
1.l withl neuroblastomal ifl tumorl arisesl inl thoracicl regionl wel willl havel whatl CM?
2.l severel abdominall involvementl wel willl havel whatl kindl ofl complications?
Answer:
1.l dyspnea,l stridor,l dysphagia
2.l respiratory
QUESTION
ifl wel havel spinall cordl andl brainl tumorsl we'lll havel whatl kindl ofl complications?
Answer:
neurologicall defects,l
possiblel difficultyl breathing,l
bowel/bladderl dysfunction,l
seizures
