1st QUIZ Flashcards
- While planning care for a 2 year old hospitalized child, which situation would the nurse expect
to affect the behavior most likely?
A. Strange bed and surroundings
B. Separation from parents
C. Presence of other toddlers
D. Unfamiliar toys and games
B) SEPARATION FROM PARENTS
- The nurse is caring for a 6 year old client who is having neutropenia as a result of
chemotherapy. Her plan of care should include.
A. Restrict all visitors
B. Restrict fluid intake
C. Teach the family the importance of hand hygiene
D. Suggest for urinary catheter insertion to prevent skin breakdown
C) TEACH THE FAMILY THE IMPORTANCE OF HAND HYGIENE
- The nurse reviews a teenage client’s laboratory data who just had a chemotherapy a week
ago and notes the following haematology values; hematocrit (hct) 4.3%; hemoglobin (Hgb)
15gatl; RBC 5 million; WBC 7,500; Platelet count 30,000. What nursing care is indicated in
relation to these lab values?
A. PLAN a diet high in iron
B. Plan for frequent rest periods throughout the day
C. avoid invasive procedures and injections
D. Implement proactive isolation precautions
C) AVOID INVASIVE PROCEDURES AND INJECTIONS
- The nurse monitors the site for any signs of extravasation of a chemotherapy. What should be
the initial action of the nurse if extravasation is noted?
A. Apply a warm compress to the area
B. Discontinue the infusion
C. Inject an antidote
D. Place ice cover the site of infiltration
B) DISCONTINUE THE INFUSION
- At a visit to the pediatric clinic, a mother is concerned by her 4 year old’s symptoms over the
last few weeks. The following symptoms described by the mother would lead the nurse to be
concerned about an oncologic disorder, EXCEPT:
A. Frequent complaints of respiratory infections, while siblings remain healthy
B. Enlarged, firm lymph nodes
C. Asthma symptoms with increase in wheezing
D. Fever for more than 1 week
C) ASTHMA SYMPTOMS WITH INCREASE IN WHEEZING
- As part of the chemotherapy education the nurse teaches a 16 year old client about the risk
of bleeding and self care during the period of the greatest bone marrow depression. The nurse
understands that FURTHER teaching is needed when her client states:
A. ‘I should avoid blowing my nose’
B. ‘I may need a blood transfusion when my Platelet count is too low’
C. ‘I may take aspirin for my headache as soon as I get home
C) I MAY TAKE ASPIRIN FOR MY HEADACHE AS SOON AS I GET HOME
- When assessing pain in an 8 month old patient, which of the following objective cues will be
beneficial for the nurse to account?
A. Increased fluid intake
B. Rubbing a body part and crying
C. Decreased respiratory rate
D. Decreased pulse rate
B) RUBBING A BODY PART AND CRYING
- With the increasing documented cases of CANCER, the best alternative to treatment still
remains to be PREVENTION. During cancer awareness education, which of the following is the
primary focus in the prevention of cancer?
A. Elimination of conditions causing cancer
B. Early detection examinations
C. Treatment at early stage
D. Diagnosis and Treatment
A) ELIMINATION OF CONDITIONS CAUSING CANCER
- A five year old girl is anxious and upset about her upcoming bone marrow aspiration. When
preparing the child for the procedure, which of the following considerations should the nurse
keep in mind?
A. No small detail of the procedure should be omitted.
B. With each successive procedure, the child will experience decreasing levels of stress.
C. Providing detail on expected sights, smells, sensations and sound helps the child
cope.
D. The child needs an explanation of bone marrow function to better understand the reason
for the procedure.
C. Providing detail on expected sights, smells, sensations and sound helps the child
cope.
- A 14 year old girl is receiving chemotherapy, with vincristine, prednisone, L - asparaginase.
She presents with alopecia, and moon face. Which of the following nursing diagnoses would be
most appropriate for this child based on the presenting problems?
A. High risk for injury
B. Impaired physical mobility
C. Body image disturbance
D. Altered nutrition less than body requirements
C) BODY IMAGE DISTURBANCE
TRUE OR FALSE
11. Benign growth is encapsulated that is why it remains localized.
TRUE
TRUE OR FALSE
12. Cancer cells produce chemicals that interfere with RBC production thus, leads to anemia
TRUE
TRUE OR FALSE
13. A cancer cell has a well differentiated appearance
FALSE
TRUE OR FALSE
14. Grading and Staging are important assessment tool in the prognosis and treatment of
cancer
TRUE
TRUE OR FALSE
15. Biopsy is a confirmative test in cancer diagnosis.
TRUE
TRUE OR FALSE
16. MRI and CT scan are diagnostic tests which will expose the patient to radiation
TRUE
TRUE OR FALSE
17. Malignant neoplasms deprive normal cells of nutrition which leads to anorexia cachexia
syndrome
TRUE
TRUE OR FALSE
18. One important basis of cancer development is the mutation of genes that are responsible
for apoptosis.
TRUE
TRUE OR FALSE
19. A child who has a prosthetic device is contraindicated to undergo MRI procedure
TRUE
TRUE OR FALSE
20. Chemotherapy destroys cancer cells thus producing permanent side effects
FALSE
. When a contrast dye is used during CT scan, what should the nurse to assess before the
procedure
Assess the patient for allergies to iodine (example seafood)
GIVE ONE EXAMPLE OF AN ONCOGENIC VIRUS
EPSTEIN BARR VIRUS OR HEPA B
What is the primary nursing responsibility prior to any surgical or invasive diagnostic
procedure?
INFORMED CONSENT
