CPHON: practice test questions
Which of the following statements about implantable venous access devices is true?:
A- needles are not required B- removal requires surgery and GA C- flushing w/heparin must be done several times/day D-they do not require sterile techniquer
Which of the following is initial tx for ITP? A- Prednisone B- splenectomy C- immunoglobulin D-plt transfusion
A-prednisone
percent of kids <18 in the US without health insurance: A-8.5 B-15 C-25 D-40
A- 8.5 %
Dacarbazine is used in treatment of
Hodgkins Lymphoma
most common rhabdomyosarcoma tumor site
#1 location: head and neck; followed by GU system and then extremities -GU for infants -head/neck children -extremities teen/YAs
Parental grief following the death of a child from cancer generally plateau's at what point in time? A- 4 -10 months B- 12 - 18 months C- 20 - 26 months D- 30 - 36 months
B- 12-18mo
Moist desquamation of the skin occurs with radiation doses of: A- 20Gy B- 50Gy C- 35Gy D- 10Gy
B- 50 Gy
Which of the following is a cytogenetic feature for a patient diagnosed with Burkitt lymphoma? A- CD20 positive cells B- Translocation of B-cell immunoglobulin genes C- ALK protein gene rearrangements D- Basophilic cytoplasm with large nuclei
B- Translocation of B-cell immunoglobulin genes
A primary feature of von Willebrand disease is: A- elevated factor VIII level B-abnormal or low plasma glycoprotein level C- low plt count D- elevated ristocetin cofactor activity
B- low or abnormal plasma glycoprotein level VW- most common inherited bleeding (clotting) disorder; tx is vasopressin
Which anti-emetic is used for patients receiving highly emetogenic chemotherapy? A- Lorazepam B- Ondansetron C- Prochlorperazine D- Promethazine
B- ondansetron
The initial ophthalmology exam for a child with sickle cell disease should be scheduled during which of the following developmental ages? A-Adolescence B- School age C- Preschool age D- Infancy
B- school age
The parent of a 7-year-old child with end-stage disease asks the nurse, "My child has been asking questions about death, what do I say?" What would be the most appropriate response from the nurse? A- Tell the patient that it is like a special sleep B- Suggest that the parent be genuine and sincere C- Ask a trained professional to talk with the parent D- Explain that the child is too young to understand death
B- suggest that the parents be genuine and sincere
After receiving treatment information, the parents of a child recently diagnosed with cancer ask if complementary and alternative treatments are an option. What is the nurse's best response? A- "Safe dosage and toxicity have not been determined for children." B- "Why do you think it will be beneficial for your child?" C- "Which therapies have you looked in to?" D- "It is contraindicated while using chemotherapy."
B- why do you think it will be beneficial for your child?
Most reliable diagnostic test for Hodgkins Lymphoma is: A-positive test for EBV B-presence of Reed Sternberg cells on lymph node biopsy C-presence of enlarged cervical and axillary lymph nodes on phys exam D-presence of mediastinal mass on CT
B-presence of reed sternberg cells
How many stages of mucositis are there? A- 3 B- 4 C- 5 D- 6
C- 5 5 STAGES of mucositis (4th stage ulceration-->5th stage is healing); 4 GRADES of mucositis based on severity
Parents report that their school-aged child with leukemia is not sleeping well at home. Which tool is used to assess for sleep disturbance? A- OMAS B- APPT C- BEARS D- PEWS
C- BEARS b- bedtime probs e- excessive dayitme sleepiness a- awaking in night r- regularity/duration of sleep s- snoring
All statements about Ewings sarcoma are true EXCEPT: A-it is far more common in Caucasian than african american children B-it is of neural crest origin C-it is relatively resistant to radiation therapy D-plain xrays of bone often reveal a "moth eaten" or "onion skin" appearance
C- it is relatively resistant to radiation therapy (ewings responds well to RT)
Phantom limb pain following a surgical amputation is an example of what type of pain? A- Somatic B- Nociceptive C- Neuropathic D- Visceral
C- neuropathic --a persistent, burning pain; result of injury to the SNS
Oncogenes transform normal cells in to cancer cells by which of the following actions? A- Coding for faulty genes B- Disrupting inhibitory cell cycle pathways C- Promoting gene mutation D- Inhibiting programmed cell death
C- promoting gene mutation --when genes mutate it makes it harder to treat
Caregivers ask when their child can be discharged after a stem cell transplant. A child can go home following transplant when: A- the central line has been removed. B- the patient has resumed normal activities. C- the patient has adequate caloric intake. D- home health services have been arranged.
C- the pt has adequate caloric intake (even if it is on feeds and not PO, need to make sure patient is getting nutrition at home)
types of contrast, with imaging studies: CT MRI
CT: iohexol MRI: gadolinium
Incidence of Hodgkins vs Non Hodgkins in 15-18 year age group:
Hodgkins more common than Non Hodgkins
Which of the following is an indication that a child is experiencing precocious puberty? A-Testicular enlargement at age 10 B-Tall stature C-Delayed epiphyseal fusion D-Advanced bone age
D-advanced bone age --when child's body changes into adult's body too soon -age 10 is normal age to start puberty; would be a sign if <10
phases (in order) of cell cycle
G1, S, G2, M
neoadjuvant chemotherapy
drugs given before primary therapy to reduce the size of a tumor
brachytherapy
radiation therapy in which the source of radiation (seeds) are implanted in the tissue to be treated