PEDS Final-oncology

40 Questions | Total Attempts: 1532

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Oncology Quizzes & Trivia

Practice test based on professor's power points and lectures.


Questions and Answers
  • 1. 
    What is the peak onset for Acute Lymphocytic Leukemia?
    • A. 

      3-5 years

    • B. 

      10-12 years

    • C. 

      3-5 months

    • D. 

      12-14 years

  • 2. 
    A school age child who has suspected osteo sarcoma would have which elevated lab value?
    • A. 

      Alkaline Phosphate

    • B. 

      Blood Glucose

    • C. 

      Hematocrit

    • D. 

      Serum Potasium

  • 3. 
    What is not associated with Acute Lymphocytic Leukemia?
    • A. 

      Renomegaly

    • B. 

      Hepatomegaly

    • C. 

      Splenomegaly

    • D. 

      Lymphadenopathy

  • 4. 
    What type of malignant cell replaces the functioning cells in the marrow?
    • A. 

      Blast

    • B. 

      Adenomatous

    • C. 

      Squamous

    • D. 

      Oesophagus

  • 5. 
    Which lab finding for a 10yr old male is not consistent with A.L.L?
    • A. 

      4.4 Calcium

    • B. 

      3.9 WBC

    • C. 

      182 Plts

    • D. 

      3.1 RBC

  • 6. 
    Which assessment finding is not consistent with A.L.L?
    • A. 

      Weight gain

    • B. 

      Nose Bleeds

    • C. 

      Unexplained Fevers

    • D. 

      Lethargy

  • 7. 
    A 10yr old girl with newly diagnosed A.L.L. is experiencing papilledema, infrequent seizures, and preretinal hemorrhages.  The nurse's first concern should be; 
    • A. 

      Increased Intracranial Pressure

    • B. 

      Anemia

    • C. 

      Neutropenia

    • D. 

      Thrombocytopenia

  • 8. 
    A child with an infection that is active for _______ , should be tested for A.L.L.? (fill in the blank)
    • A. 

      16 days

    • B. 

      10 days

    • C. 

      2 days

    • D. 

      7 days

  • 9. 
    For a positive diagnosis, bone marrow aspiration must be performed on what site?
    • A. 

      Iliac Spine

    • B. 

      Lumbar Spine

    • C. 

      Femur

    • D. 

      Zygomatic bone

  • 10. 
    Which lab value is not a positive result for A.L.L.?
    • A. 

      15% Blast cells

    • B. 

      25% Blast cells

    • C. 

      30% Blast cells

    • D. 

      50% Blast cells

  • 11. 
    A child with hip, shoulder and abdominal pain is admitted to the ER.  The parent does not understand why their child is being screened for A.L.L.  The nurse should explain:
    • A. 

      Pain could be due to marrow expansion and an enlarged liver

    • B. 

      We just wanted time alone with the child to verify your story.

    • C. 

      I will get the doctor so they can explain this

    • D. 

      This is just a state mandated test, nothing to worry about.

  • 12. 
    Once a bone marrow aspiration results positive, which exam will check for CNS involvement?
    • A. 

      Lumbar Puncture

    • B. 

      PET

    • C. 

      CT

    • D. 

      MRI

  • 13. 
    A 8yr old female undergoing treatment for A.L.L. is having her yearly physical.  The nurse notices she has a puffy face and is below 5% on the growth charts.  Which medication should the nurse suspect is contributing to the child's conditions?
    • A. 

      Prednisone

    • B. 

      Adriamycin

    • C. 

      Dactinomysin

    • D. 

      Blenoxane

  • 14. 
    A 8yr old female undergoing treatment for A.L.L. is having her yearly physical.  The nurse notices she has a puffy face and is below 5% on the growth charts.  What should the nurse also check for?
    • A. 

      Hyperglycemia

    • B. 

      Hyperthyroidism

    • C. 

      Hypoglycemia

    • D. 

      Hypoglycemia

  • 15. 
    Which of the following is not an appropriate intervention for A.L.L.?
    • A. 

      Treating headache with Ibuprofen

    • B. 

      Assess for petechiae

    • C. 

      Applying pressure to wounds for 10 minutes

    • D. 

      Testing for guiac

  • 16. 
    Which is the priority nursing diagnosis for a child with A.L.L.?
    • A. 

      Risk for infection

    • B. 

      Risk for injury

    • C. 

      Fatigue

    • D. 

      Imbalanced nutrition; less than body requirement

  • 17. 
    Occurs when large numbers of tumor cells are rapidly destroyed and released into blood stream faster than the body can eliminate;
    • A. 

      Tumor Lysis Syndrome

    • B. 

      Superior Vena Cava Syndrome

    • C. 

      Hypercalcemia

    • D. 

      Spinal Chord Compression

  • 18. 
    Management of TLS include the following except;
    • A. 

      Lasix

    • B. 

      Aggressive fluid resuscitation

    • C. 

      Osmotic diuretics

    • D. 

      Mannitol

  • 19. 
    6yr old female undergoing cancer treatment is at your office today to update her vaccinations for school.  Due to he condition, which is the only vaccination the nurse can administer.
    • A. 

      Tdap

    • B. 

      LAIV

    • C. 

      MMR

    • D. 

      VAR

  • 20. 
    Select all that apply.  When performing mouth care on a Chemo Patient, the nurse should not use;
    • A. 

      Malox/Benadryl/HO

    • B. 

      Listerine

    • C. 

      Tooothbrush

    • D. 

      Dental floss

    • E. 

      Cotton Swab

    • F. 

      Viscous Lidocaine

  • 21. 
    A nurse is caring for a child with leukemia who is receiving his first round of chemotherapy.  Which of the following assessments should the nurse report to the primary care provider immediately?
    • A. 

      Urticaria

    • B. 

      Fatigue

    • C. 

      Vomiting

    • D. 

      Anorexia

  • 22. 
    A nurse is caring for a toddler with terminal cancer who is experiencing pain.  Which of the following interventions is the most effective?
    • A. 

      Providing the toddler with analgesic medication

    • B. 

      Distracting the toddler with his favorite toy

    • C. 

      Frequently changing the toddlers position

    • D. 

      Giving the toddler food or fluids that he requests

  • 23. 
    When reviewing the medications for a cancer patient, the nurse knows the patient has not had a cardiac work up or PET scan.  Which medication can the nurse administer for the patients bacterial infection?
    • A. 

      Bleomycin

    • B. 

      Actinomycin

  • 24. 
    Which medication is used to protect the CNS during chemotherapy.
    • A. 

      Methotrexate

    • B. 

      Doxorubicin

    • C. 

      Oncovin

    • D. 

      Cisplantin

  • 25. 
    Which medication is used to inhibit the production of uric acid.
    • A. 

      Allopurinol

    • B. 

      Mesna

    • C. 

      Platinol

    • D. 

      Methotrexate

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