hematology and cancer practice questions

A nurse is planning care for a patient with thrombocytopenia. Which nursing intervention will be included? Select all that apply. 1. Monitoring stools for blood 2. Avoiding injections 3. Avoiding use of salicylates (aspirin) 4. Avoiding steroids 5. Monitoring activities

1, 2, 3, 5

A nurse is teaching the caregiver of a child with lead poisoning. Caregiver education will include which of the following? Select all that apply. 1. Instructing about lead hazards and sources 2. Relocating the child from the environment until lead is removed 3. Cleaning the environment with a disinfectant and discard in a puncture resistant container 4. Referring to a physical therapist to evaluate the child as needed 5. Referring to a speech and child developmental specialist to evaluate child as needed

1, 2, 5

A nurse is planning care for a child with suspected sickle cell disease. Which diagnostic test will yield results within minutes to determine if Hgb S present? 1. Hematocrit 2. Sickle cell turbidity test 3. Hemoglobin electrophoresis 4. Liver function test

2

A nurse is teaching about various cancers in children. Which type of cancer is usually diagnosed <1 year of age? 1. Wilms' tumor 2. Neuroblastoma 3. Eye cancer 4. Hodgkin's cancer

2

A nurse is assessing a child for leukemia. Which assessment finding confirms diagnosis? 1. Purpura 2. Auditory hallucinations 3. Bulimia 4. Bone and joint infection

1

A nurse is planning nursing interventions for a child with Wilms' tumor. Which intervention should be included? 1. Monitor manual blood pressures. 2. Plan chemotherapy after surgery. 3. Palpate the abdomen to assess for mass. 4. Wear fitted material for comfort.

1

A child is diagnosed with acute lymphocytic leukemia (ALL). The parents are asking the nurse what treatments are available for the child. What are the nurse's responses? Select all that apply. 1. Antibiotics 2. Stem cell transplant 3. Immunotherapy 4. Radiation 5. No treatment

1, 2, 3

A nurse is planning care for a child with hemophilia. Which statement is true in the care of the child with hemophilia? Select all that apply. 1. Hemophilia is commonly a deficiency of factor X. 2. Hemarthrosis into the joint cavities of a child with hemophilia is a clinical manifestation. 3. Hemophilia A and B are inherited as X-linked recessive traits. 4. Spontaneous hematuria in children with hemophilia is a clinical manifestation. 5. Males are carriers and do not have the disease.

2, 3, 4

A nurse is teaching a caregiver of a child with Wilms' tumor. Which statement regarding care of the child is true? Select all that apply. 1. Side effects of cancer treatment are usually not evident after six months. 2. Do not palpate the tumor. 3. Avoid pushing or lifting in tumor area. 4. Genetic counseling may be ordered. 5. Chemotherapy and radiation typically eradicate the tumor

2, 3, 4

A nurse is assessing a child with a brain tumor. Identify assessment findings associated with this diagnosis. Select all that apply. 1. Decrease in head size 2. Sluggish pupils 3. Unequal and weak hand grasp 4. Headache at bedtime 5. Nausea and vomiting

2, 3, 5

A child with a vegan diet is diagnosed with iron-deficiency anemia. What iron-rich foods will the nurse suggest the parents add to child's diet? 1. Dark leafy vegetables, fish, lean beef 2. Poultry, fortified cereals, fish 3. Organ meat, shellfish, legumes 4. Legumes, fortified cereals, molasses

4

A nurse is assessing a child with suspected lead poisoning. Which should the nurse expect to assess in this patient? 1. Screening should occur no later than six months. 2. Selective screening should occur ages seven and eight. 3. Assess for urinary symptoms. 4. Assess for central nervous symptoms.

4

A nurse is planning care for a child with a suspected oncologic disorder. Which statement is true relating to oncologic disorders with children? 1. Possible cancer causes are heredity and genetics. 2. Causes of most cancers are known. 3. Hodgkin's lymphoma is typically untreatable. 4. Wilms' tumor of the kidney is typically discovered by caregivers.

4

he nurse is discharging a child home after a sickle cell crisis. What statement indicates the parents need further teaching? 1. "We will talk to the dentist about any planned dental care visits. " 2. "We will contact the healthcare provider if the child has a fever." 3. "We will report any signs of a respiratory infection immediately to prevent recurrent crises." 4. "If my child has a headache, I will let him rest."

4