1 Exampromax - Stuvia US 2025/2026
Pediatric Cancer NCLEX Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
"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
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
Exampromax - Stuvia US
your fault.""
Approved By:
D. ""Many children are diagnosed with cancer. It is not always life-
threatening."""
Ans: "Correct Answer: A
Parents of children diagnosed with cancer require major emotional support,
and should be allowed to express their feelings. Prevention and blaming
oneself is not supportive, nor is telling the parents that there are many other
children with cancer."
"A preschool-age child undergoing chemotherapy experiences nausea and
vomiting. Which of the following 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."
Ans: "Correct answer: D
While all options can be done to encourage nutrition, allowing the
preschooler choices meets two issues: nutrition and developmental tasks."
, 2 Exampromax - Stuvia US 2025/2026
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is
suspected . Which diagnostic test results confirm the diagnosis of Hodgkin's
disease?
1 . Elevated vanillylmandelic acid urinary level.
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
Ans: Correct Answer 4 . Hodgkin's disease is a neoplasm of lymphatic
tissue. The presence of gaint multinucleated cells ( Reed- Sternbergs cells) is
the hallmark of this disease. The presence of blast cells in the bone marrow
indicates leukemia. The Epstein-Barr virus is associated with infectious
mononucleosis . Elevated levels of vanillylmandelic acid in the urine may
be found in children with neroblastoma.
Exampromax - Stuvia US
"Which nursing diagnosis is highest-priority for a child undergoing
Approved By:
chemotherapy and experiencing nausea and vomiting?
"A. Fluid and Electrolyte Imbalance
B. Alterations in Nutrition
C. Alterations in Skin Integrity
D. Body Image Disturbances"
Ans: "Correct Answer: A
While all of the nursing diagnoses listed here are important, dehydration
and fluid and electrolyte loss secondary to vomiting is the priority for this
client."
"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 significant?
"A. Hemorrage
B. Anemia
C. Infection
D. Pain"
, 3 Exampromax - Stuvia US 2025/2026
Ans: "Correct answer: A Hemorrhage
The lab values presented all are normal except for the platelet count.
Decreases in platelet counts place the child at greatest risk for hemorrhage."
"Chemotherapy dosage is frequently based on total body surFace area
(BSA), so it is important for the nurse to do which of the following before
administering chemotherapy?
"1. Measure abdominal girth
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"
Ans: "Answer: 4 To ensure that the client receives optimal doses of
chemotherapy, dosing is usually based on the total Body surface area(BSA)
Exampromax - Stuvia US
which requires accurate height and weight before each med administration.
Approved By:
Simply asking the client about height/weight may lead to inaccuracies in
determining BSA. Calculating BMI and measuring abdominal girth does
not provide the data needed."
"Which diagnostic test should be performed annually after age 50 to screen
for colon cancer?
"a. Abdominal computed tomography (CT)
b. Abdominal X-ray
c. Colonoscopy
d. Fecal occult blood test"
Ans: Answer d: Surface blood vessels of polyps and cancers are fragile and
often bleed with the passage of stools, so a fecal occult blood test and CT
scan can help establish tumor size and metastasis. A colonoscopy can help
to locate a tumor as well as polyps, but is only recommended every 10
years.
"David, age 15 months, is recovering from surgery to remove Wilms' tumor.
Which findings best indicates that the child is free from pain?
"a. Decreased appetite
b. Increased heart rate
Pediatric Cancer NCLEX Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
"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
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
Exampromax - Stuvia US
your fault.""
Approved By:
D. ""Many children are diagnosed with cancer. It is not always life-
threatening."""
Ans: "Correct Answer: A
Parents of children diagnosed with cancer require major emotional support,
and should be allowed to express their feelings. Prevention and blaming
oneself is not supportive, nor is telling the parents that there are many other
children with cancer."
"A preschool-age child undergoing chemotherapy experiences nausea and
vomiting. Which of the following 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."
Ans: "Correct answer: D
While all options can be done to encourage nutrition, allowing the
preschooler choices meets two issues: nutrition and developmental tasks."
, 2 Exampromax - Stuvia US 2025/2026
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is
suspected . Which diagnostic test results confirm the diagnosis of Hodgkin's
disease?
1 . Elevated vanillylmandelic acid urinary level.
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
Ans: Correct Answer 4 . Hodgkin's disease is a neoplasm of lymphatic
tissue. The presence of gaint multinucleated cells ( Reed- Sternbergs cells) is
the hallmark of this disease. The presence of blast cells in the bone marrow
indicates leukemia. The Epstein-Barr virus is associated with infectious
mononucleosis . Elevated levels of vanillylmandelic acid in the urine may
be found in children with neroblastoma.
Exampromax - Stuvia US
"Which nursing diagnosis is highest-priority for a child undergoing
Approved By:
chemotherapy and experiencing nausea and vomiting?
"A. Fluid and Electrolyte Imbalance
B. Alterations in Nutrition
C. Alterations in Skin Integrity
D. Body Image Disturbances"
Ans: "Correct Answer: A
While all of the nursing diagnoses listed here are important, dehydration
and fluid and electrolyte loss secondary to vomiting is the priority for this
client."
"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 significant?
"A. Hemorrage
B. Anemia
C. Infection
D. Pain"
, 3 Exampromax - Stuvia US 2025/2026
Ans: "Correct answer: A Hemorrhage
The lab values presented all are normal except for the platelet count.
Decreases in platelet counts place the child at greatest risk for hemorrhage."
"Chemotherapy dosage is frequently based on total body surFace area
(BSA), so it is important for the nurse to do which of the following before
administering chemotherapy?
"1. Measure abdominal girth
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"
Ans: "Answer: 4 To ensure that the client receives optimal doses of
chemotherapy, dosing is usually based on the total Body surface area(BSA)
Exampromax - Stuvia US
which requires accurate height and weight before each med administration.
Approved By:
Simply asking the client about height/weight may lead to inaccuracies in
determining BSA. Calculating BMI and measuring abdominal girth does
not provide the data needed."
"Which diagnostic test should be performed annually after age 50 to screen
for colon cancer?
"a. Abdominal computed tomography (CT)
b. Abdominal X-ray
c. Colonoscopy
d. Fecal occult blood test"
Ans: Answer d: Surface blood vessels of polyps and cancers are fragile and
often bleed with the passage of stools, so a fecal occult blood test and CT
scan can help establish tumor size and metastasis. A colonoscopy can help
to locate a tumor as well as polyps, but is only recommended every 10
years.
"David, age 15 months, is recovering from surgery to remove Wilms' tumor.
Which findings best indicates that the child is free from pain?
"a. Decreased appetite
b. Increased heart rate
