LECTURE - RATIONALIZATION (4 th EXAM)

Question 1

Common early sign of retinoblastoma.

Answer 1

Leukocoria (white pupil)

Question 2

Most common sign will manifest in what long
bones (Ewing sarcoma)

Answer 2

Femur

Question 3

Why is surgery needed for Ewing sarcoma?

Answer 3

To achieve complete resection of the
tumor

Question 4

What is the indication of Hodgkin’s disease that
can be seen when using a microscope?

Answer 4

Reed Stenberg’s cell

Question 5

Potential side effects of prednisone in treating
ALL?

Answer 5

Hyperglycemia

Question 6

Classic triad for Wilm’s tumor

Answer 6

Abdominal mass, pain and hematuria

Question 7

Hepatoblastoma in children

Answer 7

enlarged liver or mass

Question 8

Primary goal of treatment for retinoblastoma

Answer 8

preservation of the eye

Question 9

Surgery for Wilm’s tumor

Answer 9

nephrectomy

Question 10

Safety measure for ALL and neutropenia.

Answer 10

Strict infection control measures

Question 11

Post-operative measure after surgery with
Ewing’s sarcoma.

Answer 11

Administering pain medication as
needed.

Question 12

Blood transfusion for patient with leukemia,
during the process the patient experiences
itchiness and rashes, what should be done
immediately

Answer 12

stop the transfusion and run normal
saline

Question 13

The child has a white glow of eye.

Answer 13

Schedule eye exam for pediatric
ophthalmologist.

Question 14

Nursing intervention after bone marrow biopsy
for child with suspected lymphoma.

Answer 14

monitor signs of infection and providing
wound care.

Question 15

A child with suspected ALL is scheduled for
biopsy and he is anxious and fearful, what
should you do as a nurse.

Answer 15

Provide age-appropriate…..

Question 16

Side effect of liver cancer treatment is alopecia,
what should you do as a nurse

Answer 16

provide emotional support

Question 17

What should you first asses during blood
transfusion.

Answer 17

Vital signs

Question 18

Nursing diagnosis: Tissue integrity (undergoing
radiation for Hodgkin’s’ disease).

Answer 18

clean the skin daily with a mild soap.

Question 19

Juvenile diabetes mellitus (common cause).

Answer 19

Autoimmune destruction of beta cells

Question 20

Classical galactosemia

Answer 20

Galactose 1 phosphate

Question 21

Common sign of pyloric stenosis.

Answer 21

projectile vomiting

Question 22

Common cause of stomatitis.

Answer 22

All of the above (bacterial/ parasital….
Etc.)

Question 23

Transmission of Hepatitis B

Answer 23

blood and body fluids

Question 24

Galactosemia management and teaching

Answer 24

strict adherence to galactose-free diet is
crucial

Question 25

Most needed dietary supplement for children.

Answer 25

vitamin D

Question 26

NSVD with Hepa B (nursing intervention for
newborn).

Answer 26

Administering Hepa B vaccine

Question 27

School age child with diabetes is experiencing
dizziness and confusion.

Answer 27

Provide sugary snacks or drinks

Question 28

Cause of loss of appetite (stomatitis)

Answer 28

Painful sores in mouth

Question 29

ABG’s lab test (Hepa B – test)

Answer 29

elevated serum

Question 30

Soft spot in head and the child appears weak

Answer 30

Dehydration

Question 31

Administering oral dehydration solution to
patient with AGE.

Answer 31

monitor signs of over dehydration

Question 32

Role of nurse in school during a symposium
about diabetes mellitus in children

Answer 32

Educate the school staff about DM
management.

Question 33

Pyloromyotomy (health teaching)

Answer 33

Need to monitor signs of infection in
incision site

Question 34

What medication is needed for spasticity
(cerebral palsy).

Answer 34

Muscle relaxants

Question 35

What procedure should be done to patients with
curling ulcer due to severe burns.

Answer 35

upper gastrointestinal endoscopy

Question 36

Discharge planning for patient with cerebral
palsy in the aspect of child’s communication.

Answer 36

Recommend strategies to enhance
communication skills.

Question 37

Transmission of botulism

Answer 37

ingestion of contamination foods and honey

Question 38

Psychological symptoms of bacterial meningitis.

Answer 38

worsens sleep patterns

Question 39

Not common cause of bacterial meningitis

Answer 39

eschericia coli.

Question 40

Lab testing for bacterial meningitis

Answer 40

Lumbar puncture

Question 41

A child is asking to buy a non-prescribed
medication.

Answer 41

Assess the child’s understanding of med
safety.

Question 42

4 years old with fever and neck stiffness
(hallmark sign of bacterial meningitis).

Answer 42

Positive Brudzinski’s sign

Question 43

5 years old with cerebral palsy (increase muscle
tone with stiff leg or hypertonia.

Answer 43

Spasticity

Question 44

Mental health care for adolescents

Answer 44

Collaboration with other healthcare
provider

Question 45

What causes adolescents’ mood swings and
stress level to increase.

Answer 45

overwhelming academic pressure

Question 46

Indication of antacids for treating curling ulcer

Answer 46

reduce gastric acid secretion

Question 47

How to prevent complication of immobility with
patient who has a blurred vision and muscle weakness.

Answer 47

providing a range of motion activity

Question 48

How does botulism causes poor feeding and
weak cries.

Answer 48

By producing toxins that affects the nervous system.

Question 49

Upper GI bleeding due to severe burns

Answer 49

Notify healthcare provider

Question 50

Cebral palsy (concern with feeding difficulties)

Answer 50

Suggest curated and soft food