Pediatric Cancers (Leukemia/Wilms) NCLEX Quiz

1. Which chemotherapy regimen is standard for acute lymphoblastic leukemia in children?

Single-agent methotrexate

Multi-agent combination therapy

Radiation only

Surgery followed by observation

2. Which organ is most commonly affected by metastatic disease in Wilms tumor?

Liver

Lungs

Bone

Brain

Submit

4. Which symptom is more commonly associated with Wilms tumor than acute leukemia?

Pallor and fatigue

Fever and night sweats

Abdominal mass and hematuria

Petechiae and bleeding gums

5. A child with leukemia has a platelet count of 15,000/μL. Which nursing intervention is most appropriate?

Encourage vigorous tooth brushing

Use gentle handling and avoid trauma

Increase physical activity

Apply heat therapy to joints

6. True or False: Nephrectomy is the primary surgical treatment for Wilms tumor.

True

False

7. True or False: Acute leukemia in children presents with a palpable abdominal mass as the primary finding.

True

False

8. True or False: Wilms tumor typically metastasizes to the lungs and liver.

True

False

Submit

12. Which pediatric cancer is most commonly diagnosed before age 5 and arises from embryonic kidney tissue?

Acute lymphoblastic leukemia

Wilms tumor

Neuroblastoma

Hodgkin lymphoma

13. A 3-year-old with Wilms tumor has hematuria and abdominal pain. What is the mechanism of hematuria?

Thrombocytopenia

Tumor invasion of renal collecting system

Coagulopathy from chemotherapy

Glomerulonephritis

14. Which diagnostic test is most specific for confirming acute leukemia in a child?

Complete blood count

Bone marrow biopsy

Chest X-ray

Abdominal ultrasound

15. Tumor lysis syndrome is a medical emergency in pediatric leukemia. Which electrolyte abnormality is most dangerous?

Hypernatremia

Hyperkalemia

Hypercalcemia

Hypermagnesemia

16. A child with Wilms tumor undergoes nephrectomy. What is the primary nursing concern postoperatively?

Monitoring renal function with one kidney

Managing chemotherapy side effects

Preventing spinal cord compression

Reducing blast cell count

17. Which leukemia type accounts for approximately 80% of childhood leukemias?

Acute myeloid leukemia

Chronic myeloid leukemia

Acute lymphoblastic leukemia

Chronic lymphocytic leukemia

18. Wilms tumor is associated with which genetic syndrome?

Down syndrome

WAGR syndrome

Marfan syndrome

Turner syndrome

19. A child with acute leukemia presents with fever, sore throat, and oral ulcers. Which complication is this child at risk for?

Tumor lysis syndrome

Infection due to neutropenia

Renal failure

Spinal cord compression

20. Which finding is characteristic of Wilms tumor on imaging?

Blast cells in bone marrow

Large unilateral renal mass

Mediastinal mass

Bone marrow hypoplasia

21. A 4-year-old presents with pallor, bruising, and petechiae. Lab work shows WBC 150,000/μL and blasts on smear. What is the most likely diagnosis?

Wilms tumor

Acute leukemia

Neuroblastoma

Lymphoma

Peds Cancer Quiz: Leukemia or Wilms Tumor?

1. Which chemotherapy regimen is standard for acute lymphoblastic leukemia in children?

2.

What first name or nickname would you like us to use?

2. Which organ is most commonly affected by metastatic disease in Wilms tumor?

3. Prophylaxis against tumor lysis syndrome in leukemia patients includes ____.

4. Which symptom is more commonly associated with Wilms tumor than acute leukemia?

5. A child with leukemia has a platelet count of 15,000/μL. Which nursing intervention is most appropriate?

6. True or False: Nephrectomy is the primary surgical treatment for Wilms tumor.

7. True or False: Acute leukemia in children presents with a palpable abdominal mass as the primary finding.

8. True or False: Wilms tumor typically metastasizes to the lungs and liver.

9. The prognosis for acute lymphoblastic leukemia in children has improved significantly due to ____.

10. A child receiving chemotherapy for leukemia develops mouth sores and difficulty eating. This is called ____.

11. Wilms tumor staging is based primarily on ____.

12. Which pediatric cancer is most commonly diagnosed before age 5 and arises from embryonic kidney tissue?

13. A 3-year-old with Wilms tumor has hematuria and abdominal pain. What is the mechanism of hematuria?

14. Which diagnostic test is most specific for confirming acute leukemia in a child?

15. Tumor lysis syndrome is a medical emergency in pediatric leukemia. Which electrolyte abnormality is most dangerous?

16. A child with Wilms tumor undergoes nephrectomy. What is the primary nursing concern postoperatively?

17. Which leukemia type accounts for approximately 80% of childhood leukemias?

18. Wilms tumor is associated with which genetic syndrome?

19. A child with acute leukemia presents with fever, sore throat, and oral ulcers. Which complication is this child at risk for?

20. Which finding is characteristic of Wilms tumor on imaging?

21. A 4-year-old presents with pallor, bruising, and petechiae. Lab work shows WBC 150,000/μL and blasts on smear. What is the most likely diagnosis?