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PEDIATRIC CANCER NCLEX QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (50)
"The mother of a child diagnosed with a "Correct Answer: A
potentially life-threatening form of cancer Parents of children diagnosed with cancer require major emotional support, and
says to the nurse, ""I don't understand how should be allowed to express their feelings. Prevention and blaming oneself is
this could happen to us. We have been so not supportive, nor is telling the parents that there are many other children with
careful to make sure our child is cancer."
healthy.""
Which response by the nurse is most
appropriate?
"A. ""This must be a difficult time for you
and your family. Would you like to talk
about how you are feeling?""
B. ""Why do you say that? Do you think that
you could have prevented this?""
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 "Correct answer: D
chemotherapy experiences nausea While all options can be done to encourage nutrition, allowing the preschooler
and vomiting. Which of the following choices meets two issues: nutrition and developmental tasks."
would be the best intervention to
include in the
child's plan of care?
"a. Administer tube feedings.
b. Offer small, frequent meals.
c. Offer fluids only between meals.
d. Allow the child to choose what to eat
for meals."
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, 3/23/25, 8:19 Pediatric Cancer NCLEX Questions Flashcards |
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A 12 year old boy seen in the clinic, and a Correct Answer 4 . Hodgkin's disease is a neoplasm of lymphatic tissue. The
diagnosis of Hodgkin's disease is suspected presence of gaint multinucleated cells ( Reed- Sternbergs cells) is the hallmark of
. Which diagnostic test results confirm the this disease. The presence of blast cells in the bone marrow indicates leukemia.
diagnosis of Hodgkin's disease? The Epstein-Barr virus is associated with infectious mononucleosis . Elevated
1 . Elevated vanillylmandelic acid urinary levels of vanillylmandelic acid in the urine may be found in children with
level. neroblastoma.
2. The presence of blast cells in
the bone marrow
3.The presence of Epsetin-Barr virus in
the blood.
4.The presence of Reed-Sternberg cells in
the lymph nodes
"Which nursing diagnosis is highest-priority "Correct Answer: A
for a child undergoing chemotherapy and While all of the nursing diagnoses listed here are important, dehydration and fluid
experiencing nausea and vomiting? and electrolyte loss secondary to vomiting is the priority for this client."
"A. Fluid and Electrolyte Imbalance
B. Alterations in Nutrition
C. Alterations in Skin Integrity
D. Body Image Disturbances"
"A child with cancer has the following lab "Correct answer: A Hemorrhage
result: WBC 10,000, RBC 5, and plts of The lab values presented all are normal except for the platelet count. Decreases in
20,000. When planning this child's care, platelet counts place the child at greatest risk for hemorrhage."
which risk should the nurse consider most
significant?
"A. Hemorrage
B. Anemia
C. Infection
D. Pain"
"Chemotherapy dosage is frequently based "Answer: 4 To ensure that the client receives optimal doses of chemotherapy, dosing
on total body surFace area (BSA), so it is is usually based on the total Body surface area(BSA) which requires accurate
important for the nurse to do which of the height and weight before each med administration.
following before administering Simply asking the client about height/weight may lead to inaccuracies in
chemotherapy? determining BSA. Calculating BMI and measuring abdominal girth does not
"1. Measure abdominal girth provide the data needed."
2.Claculate BMI
3.Ask the client about his/her height
and weight
4.Weigh and measure the client on the
day of medication administration"
"Which diagnostic test should be Answer d: Surface blood vessels of polyps and cancers are fragile and often bleed
performed annually after age 50 to screen with the passage of stools, so a fecal occult blood test and CT scan can help
for colon cancer? establish tumor size and metastasis. A colonoscopy can help to locate a tumor as
"a. Abdominal computed tomography (CT) well as polyps, but is only recommended every 10 years.
b.Abdominal X-ray
c. Colonoscopy
d. Fecal occult blood test"
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