Pediatric Cancer NCLEX Questions with 100% Verified Answers
Graded A+
"The mother of a child diagnosed with a 2. The presence of blast cells in the bone marrow
potentially life-threatening form of cancer says to 3. The presence of Epsetin-Barr virus in the
the nurse, ""I don't understand how this could blood.
happen to us. We have been so careful to make 4. The presence of Reed-Sternberg cells in the
sure our child is healthy."" Which response by lymph nodes - - Correct Answer 4 .
the nurse is most appropriate? Hodgkin's disease is a neoplasm of lymphatic
"A. ""This must be a difficult time for you and tissue. The presence of gaint multinucleated cells
your family. Would you like to talk about how you ( Reed- Sternbergs cells) is the hallmark of this
are feeling?"" disease. The presence of blast cells in the bone
B. ""Why do you say that? Do you think that you marrow indicates leukemia. The Epstein-Barr
could have prevented this?"" virus is associated with infectious mononucleosis
C. ""You shouldn't feel that you could have . Elevated levels of vanillylmandelic acid in the
prevented the cancer. It is not your fault."" urine may be found in children with
D. ""Many children are diagnosed with cancer. It neroblastoma.
is not always life-threatening.""" - - "Correct
Answer: A
Parents of children diagnosed with cancer
require major emotional support, and should be "Which nursing diagnosis is highest-priority for a
allowed to express their feelings. Prevention and child undergoing chemotherapy and experiencing
blaming oneself is not supportive, nor is telling nausea and vomiting?
the parents that there are many other children "A. Fluid and Electrolyte Imbalance
with cancer." B. Alterations in Nutrition
C. Alterations in Skin Integrity
D. Body Image Disturbances" - - "Correct
Answer: A
"A preschool-age child undergoing While all of the nursing diagnoses listed here are
chemotherapy experiences nausea and vomiting. important, dehydration and fluid and electrolyte
Which of the following would be the best loss secondary to vomiting is the priority for this
intervention to include in the child's plan of care? client."
"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 "A child with cancer has the following lab result:
meals." - - "Correct answer: D WBC 10,000, RBC 5, and plts of 20,000. When
While all options can be done to encourage planning this child's care, which risk should the
nutrition, allowing the preschooler choices meets nurse consider most significant?
two issues: nutrition and developmental tasks." "A. Hemorrage
B. Anemia
C. Infection
D. Pain" - - "Correct answer: A
A 12 year old boy seen in the clinic, and a Hemorrhage
diagnosis of Hodgkin's disease is suspected . The lab values presented all are normal except
Which diagnostic test results confirm the for the platelet count. Decreases in platelet
diagnosis of Hodgkin's disease? counts place the child at greatest risk for
1 . Elevated vanillylmandelic acid urinary level. hemorrhage."
, Pediatric Cancer NCLEX Questions with 100% Verified Answers
Graded A+
c. Decreased urine output
d. Increased interest in play" - - "Correct: D
Answer D. One of the most valuable clues to pain
"Chemotherapy dosage is frequently based on is a behavior change: A child who's pain-free
total body surFace area (BSA), so it is important likes to play. A child in pain is less likely to
for the nurse to do which of the following before consume food or fluids. An increased heart rate
administering chemotherapy? may indicate increased pain; decreased urine
"1. Measure abdominal girth output may signify dehydration."
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" - - "Answer: 4 A nurse analyzes the lab values of a child with
To ensure that the client receives optimal doses leukemia who is receiving chemotherapy. The
of chemotherapy, dosing is usually based on the nurse notices that the platelet count is 19,500
total Body surface area(BSA) which requires cell/mm3. Based on this lab value which
accurate height and weight before each med intervention would the nurse document in her
administration. plan of care. "
Simply asking the client about height/weight may "1. Monitor closely for signs of infection.
lead to inaccuracies in determining BSA. 2. Temp every four hours.
Calculating BMI and measuring abdominal girth 3. Isolation precautions
does not provide the data needed." 4. Use a small toothbrush for mouth care" -
- 4. **Correct... Rationale: Leukemia is a
malignant increase in the number of leukocytes,
usually at an immature stage, in the bone
"Which diagnostic test should be performed marrow. It affects the bone marrow, causing from
annually after age 50 to screen for colon cancer? decreased erythrocytes, infection from
"a. Abdominal computed tomography (CT) neutropenia, and bleeding from decreased
b. Abdominal X-ray platelet production. If the platelet count is les than
c. Colonoscopy 20,000 than bleeding precautions need to be
d. Fecal occult blood test" - - Answer d: taken.
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 "The parent of a child undergoing chemotherapy
colonoscopy can help to locate a tumor as well asks
as polyps, but is only recommended every 10 the nurse why the child must wear a mask in
years. public places. Which of the
following responses by the nurse would be most
appropriate?
"A) ""Chemotherapy causes dry mouth, and the
"David, age 15 months, is recovering from mask will help contain moisture.""
surgery to remove Wilms' tumor. Which findings B) ""Chemotherapy decreases immune system
best indicates that the child is free from pain? function, increasing the risk of acquiring an
"a. Decreased appetite infection.""
b. Increased heart rate C) ""Chemotherapy makes the oral mucous
Graded A+
"The mother of a child diagnosed with a 2. The presence of blast cells in the bone marrow
potentially life-threatening form of cancer says to 3. The presence of Epsetin-Barr virus in the
the nurse, ""I don't understand how this could blood.
happen to us. We have been so careful to make 4. The presence of Reed-Sternberg cells in the
sure our child is healthy."" Which response by lymph nodes - - Correct Answer 4 .
the nurse is most appropriate? Hodgkin's disease is a neoplasm of lymphatic
"A. ""This must be a difficult time for you and tissue. The presence of gaint multinucleated cells
your family. Would you like to talk about how you ( Reed- Sternbergs cells) is the hallmark of this
are feeling?"" disease. The presence of blast cells in the bone
B. ""Why do you say that? Do you think that you marrow indicates leukemia. The Epstein-Barr
could have prevented this?"" virus is associated with infectious mononucleosis
C. ""You shouldn't feel that you could have . Elevated levels of vanillylmandelic acid in the
prevented the cancer. It is not your fault."" urine may be found in children with
D. ""Many children are diagnosed with cancer. It neroblastoma.
is not always life-threatening.""" - - "Correct
Answer: A
Parents of children diagnosed with cancer
require major emotional support, and should be "Which nursing diagnosis is highest-priority for a
allowed to express their feelings. Prevention and child undergoing chemotherapy and experiencing
blaming oneself is not supportive, nor is telling nausea and vomiting?
the parents that there are many other children "A. Fluid and Electrolyte Imbalance
with cancer." B. Alterations in Nutrition
C. Alterations in Skin Integrity
D. Body Image Disturbances" - - "Correct
Answer: A
"A preschool-age child undergoing While all of the nursing diagnoses listed here are
chemotherapy experiences nausea and vomiting. important, dehydration and fluid and electrolyte
Which of the following would be the best loss secondary to vomiting is the priority for this
intervention to include in the child's plan of care? client."
"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 "A child with cancer has the following lab result:
meals." - - "Correct answer: D WBC 10,000, RBC 5, and plts of 20,000. When
While all options can be done to encourage planning this child's care, which risk should the
nutrition, allowing the preschooler choices meets nurse consider most significant?
two issues: nutrition and developmental tasks." "A. Hemorrage
B. Anemia
C. Infection
D. Pain" - - "Correct answer: A
A 12 year old boy seen in the clinic, and a Hemorrhage
diagnosis of Hodgkin's disease is suspected . The lab values presented all are normal except
Which diagnostic test results confirm the for the platelet count. Decreases in platelet
diagnosis of Hodgkin's disease? counts place the child at greatest risk for
1 . Elevated vanillylmandelic acid urinary level. hemorrhage."
, Pediatric Cancer NCLEX Questions with 100% Verified Answers
Graded A+
c. Decreased urine output
d. Increased interest in play" - - "Correct: D
Answer D. One of the most valuable clues to pain
"Chemotherapy dosage is frequently based on is a behavior change: A child who's pain-free
total body surFace area (BSA), so it is important likes to play. A child in pain is less likely to
for the nurse to do which of the following before consume food or fluids. An increased heart rate
administering chemotherapy? may indicate increased pain; decreased urine
"1. Measure abdominal girth output may signify dehydration."
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" - - "Answer: 4 A nurse analyzes the lab values of a child with
To ensure that the client receives optimal doses leukemia who is receiving chemotherapy. The
of chemotherapy, dosing is usually based on the nurse notices that the platelet count is 19,500
total Body surface area(BSA) which requires cell/mm3. Based on this lab value which
accurate height and weight before each med intervention would the nurse document in her
administration. plan of care. "
Simply asking the client about height/weight may "1. Monitor closely for signs of infection.
lead to inaccuracies in determining BSA. 2. Temp every four hours.
Calculating BMI and measuring abdominal girth 3. Isolation precautions
does not provide the data needed." 4. Use a small toothbrush for mouth care" -
- 4. **Correct... Rationale: Leukemia is a
malignant increase in the number of leukocytes,
usually at an immature stage, in the bone
"Which diagnostic test should be performed marrow. It affects the bone marrow, causing from
annually after age 50 to screen for colon cancer? decreased erythrocytes, infection from
"a. Abdominal computed tomography (CT) neutropenia, and bleeding from decreased
b. Abdominal X-ray platelet production. If the platelet count is les than
c. Colonoscopy 20,000 than bleeding precautions need to be
d. Fecal occult blood test" - - Answer d: taken.
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 "The parent of a child undergoing chemotherapy
colonoscopy can help to locate a tumor as well asks
as polyps, but is only recommended every 10 the nurse why the child must wear a mask in
years. public places. Which of the
following responses by the nurse would be most
appropriate?
"A) ""Chemotherapy causes dry mouth, and the
"David, age 15 months, is recovering from mask will help contain moisture.""
surgery to remove Wilms' tumor. Which findings B) ""Chemotherapy decreases immune system
best indicates that the child is free from pain? function, increasing the risk of acquiring an
"a. Decreased appetite infection.""
b. Increased heart rate C) ""Chemotherapy makes the oral mucous
