Introductory Concepts To Nursing care Of The Pediatric Oncology Patient

20 Questions | Total Attempts: 543

SettingsSettingsSettings
Please wait...
Introductory Concepts To Nursing care Of The Pediatric Oncology Patient

This quiz will be administered both as a pretest and post test. As the pretest information is gathered to assess the baseline knowledge of the class and will not be graded. The post test will be graded and a score of 80% is required in order to obtain contact hours.


Questions and Answers
  • 1. 
    1 in ______ children will develop cancer prior to reaching adulthood. 
  • 2. 
    A child newly diagnosed with Burkitt’s lymphoma is complaining of numbness and tingling in his hands and feet and has a decreasing urine output. The lab just reported the following: potassium 5.6 mEq/ml, calcium 7.9 mg/dl, and uric acid level of 9.3 mg/dl. Which of the following physician’s orders should the nurse anticipate receiving:
    • A. 

      Hyperhydration and urine alkalynization

    • B. 

      Obtain blood cultures and begin IV antibiotics

    • C. 

      Administration of fresh frozen plasma and heparin

    • D. 

      Administration of diphenhydramine, hydrocortisone, and epinephrine

  • 3. 
    A child with ALL CNS-1 is receiving triple intrathecal chemotherapy consisting of methotrexate, cytarabine, and hydrocortisone.  The purpose of this is:
    • A. 

      Treat infection

    • B. 

      Prevent infection

    • C. 

      Treat brain tumor

    • D. 

      Treat CNS disease

    • E. 

      Prevent CNS disease

  • 4. 
    A child with cancer is admitted to the hospital with a fever of 39.0C and cough.  His last round of history included high dose chemotherapy 8 days ago.  Which of the following interventions should the nurse do first?
    • A. 

      Obtain full history

    • B. 

      Obtain chest x-ray and administer brochodilators

    • C. 

      Give antipyretic for fever and being IV hydration

    • D. 

      Obtain blood cultures, begin IV hydration, and administer antibiotics

  • 5. 
    A nurse performs an assessment on a child with ALL in induction therapy.  Which of the following findings are most significant?
    • A. 

      Alopecia and jaw pain

    • B. 

      Polyphagia and increased energy

    • C. 

      Mood swings and irritability

    • D. 

      Decreased urine output and hyponatremia

  • 6. 
    A school age child with cancer experienced severe nausea and vomiting when receiving chemotherapy the first time.  Which of the following is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
    • A. 

      Encourage drinking large amounts of favorite fluids

    • B. 

      Adminster an antiemetic as soon as the child has nausea

    • C. 

      Administer an anti-emetic before the chemotherapy begins

    • D. 

      Encourage the child to take nothing by mouth (NPO) until nausea and vomiting subside

  • 7. 
    Childhood cancer symptoms are often localized to the specific site of the cancer. 
    • A. 

      True

    • B. 

      False

  • 8. 
    Common symptoms of childhood leukemia include?
    • A. 

      Fatigue, Bruising, Bone Pain

    • B. 

      Diarrhea, Abdominal Pain, Rash

    • C. 

      Weight gain, Headaches, Pruritis

    • D. 

      Palpitations, Chest Pain, Nausea

  • 9. 
    Most pediatric cancers arise from:
    • A. 

      Superficial tissue

    • B. 

      Epithetial tissue

    • C. 

      Mesodermal or ectodermal tissue

    • D. 

      Scientists aren't really sure

  • 10. 
    The classic cell seen under the microscope, which is diagnostic of Hodgkin’s disease is a
    • A. 

      Reed-Sternberg Cell

    • B. 

      Small round blue cell

    • C. 

      Reese-Ellsworth Cell

    • D. 

      Striated blue cell

  • 11. 
    The main purpose of a clinical trial is to:
    • A. 

      Decrease cost of treatment

    • B. 

      Shorten length of overall therapy

    • C. 

      Introduce new agents into therapy plans

    • D. 

      Determine effectiveness of new treatments

  • 12. 
    The most common clinical manifestation(s) of brain tumors in children is which of the following?
    • A. 

      Irritability

    • B. 

      Seizures

    • C. 

      Headache and vomiting

    • D. 

      Fever and poor fine motor control

  • 13. 
    The most common site for osteogenic sarcoma is?
    • A. 

      Ribs

    • B. 

      Femur

    • C. 

      Tibia

    • D. 

      Humerus

  • 14. 
    The nurse is preparing a teenager for possible alopecia from chemotherapy.  Which of the following should be included?
    • A. 

      Explain to teenager that hair usually re-grows in one year

    • B. 

      Advise teenager to minimize exposure of their head to sunlight to minimize alopecia.

    • C. 

      Explain to teenager that wearing a hat or scarf is preferable to wearing a wig.

    • D. 

      Explain to teenager that when hair regrows, it may have a slightly different color or texture.

  • 15. 
    The overall cure rate for Acute Lymphocytic Leukemia is over 80%. 
    • A. 

      True

    • B. 

      False

  • 16. 
    The treatment of brain tumors in children consist of which of the folllowing therapies? (Select all that apply.)
    • A. 

      Surgery

    • B. 

      Unrelated Donor Bone Marrow Transplant

    • C. 

      Chemotherapy

    • D. 

      Biotherapy

    • E. 

      Radiation

  • 17. 
    The upper and lower sections of the brain are separated by the:    
    • A. 

      Tentorium

    • B. 

      Choroid plexus

    • C. 

      Dura Mater

    • D. 

      Myelin

  • 18. 
    What is the name of the procedure shown below?
    • A. 

      Amputation

    • B. 

      Rotationplasty

    • C. 

      Harrington Rod

    • D. 

      Arnold Turnaround

  • 19. 
    Which of the following immunizations should not be given to a child receiving chemotherapy for cancer?
    • A. 

      Influenza vaccine

    • B. 

      Inactivated polio vaccine

    • C. 

      Diptheria, pertussis, tetanus

    • D. 

      Measles, mumps, rubella

  • 20. 
    Which of the following is most descriptive of the pathophysiology of leukemia?
    • A. 

      Increased blood viscosity occurs

    • B. 

      Thrombocytopenia (excessive destruction of platelets) occurs

    • C. 

      Unrestrictive proliferation of immature white blood cells occurs

    • D. 

      First stage of coagulation process is abnormally stimulated

Back to Top Back to top