NUR 254 Exam 4 QUESTIONS AND
VERIFIED CORRECT ANSWERS
GRADED A+ [LATEST 2026-2027] 100%
GUARANTEED PASS
-Thrombocytopenia (low platelets, bleeding risk)
-Monitor for bleeding
-Avoid uncecessary venipunctures
Pediatric Oncology: Radiation - CORRECT ANSWER-Wear losse fitting clothes
Cardinal Symptoms of cancer - CORRECT ANSWER-o Unusual mass or swelling
o Unexplained paleness and loss of energy
o Sudden tendency to bruise
o Persistent localized pain or limping
o Prolonged unexplained fever or illness
o Frequent headaches often with vomiting
o Sudden eye or vision changes
-Excessive, rapid weight loss
Leukemia: Acute lymphocytic leukemia (ALL) - CORRECT ANSWER--Most common type of
childhood cancer*
o PEAK: 2-5 years
,Leukemia: Acute Myelogenous Leukemia (AML) - CORRECT ANSWER-o 20% of leukemia cases o
Higher rates in infants
Leukemia: Etiology/Diagnostics - CORRECT ANSWER--Malignant disease of the bone marrow,
lymphatic system, immature WBCs in the blood forming issues
o Peripheral blood smear
o Bone marrow aspiraon
o LP
o WBC:
Under 2 years old: 6-17,000
Over 2 years old: 2-15,0000
Leukemia: S/S - CORRECT ANSWER-o Anemia
o Infection
o Pale
o Bleeding
o Enlarged organs* Spleen and liver
o Fever*, Lethargy, Malaise
o Petechiae (early)
o Weight loss, Anorexia* (early)
o Easily Bruising, Joint pain and Pallor*
Leukemia: Treatment & Interventions - CORRECT ANSWER-o Chemotherapy*
o Bone marrow transplant: IF not reacting well to Chemo in ALL, AML might need a BMT in the
first remission
,o Prep family for procedures
o Emotional support
o Manage side effects
o Decrease infection risk
Private rooms
Hand hygiene
No sick Visitors
Neuroblastoma: term - CORRECT ANSWER-SILENT***, poor prognosis, always spreads before
diagnosis (metastasizes)
Neuroblastoma: Etiology/Diagnostics - CORRECT ANSWER-Most common cancer diagnosed in
infancy, primary site is the abdomen** CT, Bone marrow aspiration
Neuroblastoma: Education - CORRECT ANSWER-Surgery is 90% effective
Neuroblastoma: Intervention - CORRECT ANSWER-Address family needs during this time
Neuroblastoma: S/S - CORRECT ANSWER-o Firm, irregular mass non-tender mass in abdomen,
CROSSES midline*
o Pallor, anorexia, weakness, irritability, weight loss
o Urinary Catecholamines (epinephrine, norepinephrine)
o Possible respiratory obstruction from the mass
Neuroblastoma: Treatment - CORRECT ANSWER-o Surgery resection of the tumor
o Chemo
, Osteosarcoma: term - CORRECT ANSWER-(Bone) Long bones (Femur most common, over 50%):
Tissue**
Osteosarcoma: Etiology/Diagnostics - CORRECT ANSWER--Most common Bone cancer, arises
from osseous tissue
o Peak at 15 years old
o Most found in metaphyseal of long bones in lower extremities
o X-ray, CT, MRI
Osteosarcoma: S/S - CORRECT ANSWER-o Limp: may interfere with normal activity
o Pain at affected site, severe or dull -> growing pains
o May have a palpable mass
Osteosarcoma: Treatment & Interventions - CORRECT ANSWER-o Limb Salvage (prosthec
placement of bones)
o Amputaon: be honest to paents and families
-Physical Therapy
o Suggest a Wig
o Could have phantom Limb pain*
o Show them someone else/introduce them to someone with amputation
education: Stump care if applicable, show them someone with a prosthetic or amputation,
show them pictures and Chemo side effects
Ewing Sarcoma: Location - CORRECT ANSWER-Bone marrow**
VERIFIED CORRECT ANSWERS
GRADED A+ [LATEST 2026-2027] 100%
GUARANTEED PASS
-Thrombocytopenia (low platelets, bleeding risk)
-Monitor for bleeding
-Avoid uncecessary venipunctures
Pediatric Oncology: Radiation - CORRECT ANSWER-Wear losse fitting clothes
Cardinal Symptoms of cancer - CORRECT ANSWER-o Unusual mass or swelling
o Unexplained paleness and loss of energy
o Sudden tendency to bruise
o Persistent localized pain or limping
o Prolonged unexplained fever or illness
o Frequent headaches often with vomiting
o Sudden eye or vision changes
-Excessive, rapid weight loss
Leukemia: Acute lymphocytic leukemia (ALL) - CORRECT ANSWER--Most common type of
childhood cancer*
o PEAK: 2-5 years
,Leukemia: Acute Myelogenous Leukemia (AML) - CORRECT ANSWER-o 20% of leukemia cases o
Higher rates in infants
Leukemia: Etiology/Diagnostics - CORRECT ANSWER--Malignant disease of the bone marrow,
lymphatic system, immature WBCs in the blood forming issues
o Peripheral blood smear
o Bone marrow aspiraon
o LP
o WBC:
Under 2 years old: 6-17,000
Over 2 years old: 2-15,0000
Leukemia: S/S - CORRECT ANSWER-o Anemia
o Infection
o Pale
o Bleeding
o Enlarged organs* Spleen and liver
o Fever*, Lethargy, Malaise
o Petechiae (early)
o Weight loss, Anorexia* (early)
o Easily Bruising, Joint pain and Pallor*
Leukemia: Treatment & Interventions - CORRECT ANSWER-o Chemotherapy*
o Bone marrow transplant: IF not reacting well to Chemo in ALL, AML might need a BMT in the
first remission
,o Prep family for procedures
o Emotional support
o Manage side effects
o Decrease infection risk
Private rooms
Hand hygiene
No sick Visitors
Neuroblastoma: term - CORRECT ANSWER-SILENT***, poor prognosis, always spreads before
diagnosis (metastasizes)
Neuroblastoma: Etiology/Diagnostics - CORRECT ANSWER-Most common cancer diagnosed in
infancy, primary site is the abdomen** CT, Bone marrow aspiration
Neuroblastoma: Education - CORRECT ANSWER-Surgery is 90% effective
Neuroblastoma: Intervention - CORRECT ANSWER-Address family needs during this time
Neuroblastoma: S/S - CORRECT ANSWER-o Firm, irregular mass non-tender mass in abdomen,
CROSSES midline*
o Pallor, anorexia, weakness, irritability, weight loss
o Urinary Catecholamines (epinephrine, norepinephrine)
o Possible respiratory obstruction from the mass
Neuroblastoma: Treatment - CORRECT ANSWER-o Surgery resection of the tumor
o Chemo
, Osteosarcoma: term - CORRECT ANSWER-(Bone) Long bones (Femur most common, over 50%):
Tissue**
Osteosarcoma: Etiology/Diagnostics - CORRECT ANSWER--Most common Bone cancer, arises
from osseous tissue
o Peak at 15 years old
o Most found in metaphyseal of long bones in lower extremities
o X-ray, CT, MRI
Osteosarcoma: S/S - CORRECT ANSWER-o Limp: may interfere with normal activity
o Pain at affected site, severe or dull -> growing pains
o May have a palpable mass
Osteosarcoma: Treatment & Interventions - CORRECT ANSWER-o Limb Salvage (prosthec
placement of bones)
o Amputaon: be honest to paents and families
-Physical Therapy
o Suggest a Wig
o Could have phantom Limb pain*
o Show them someone else/introduce them to someone with amputation
education: Stump care if applicable, show them someone with a prosthetic or amputation,
show them pictures and Chemo side effects
Ewing Sarcoma: Location - CORRECT ANSWER-Bone marrow**
