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Exam (elaborations)

CPHON - Questions & Verified Answers

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CPHON - Questions & Verified Answers

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  • December 19, 2023
  • 151
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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CPHON

First documented progress in treatment of childhood cancer with year ✔️Ans
- 1940s - folic acid antagonists temporary remission for acute leukemia



When were combinations of chemo found to be more successful than single
chemo agents ✔️Ans - Late 1960s



Cure rate for Wilms tumor 40 years ago vs today ✔️Ans - 20% vs 90%



How many children surpass the 3-year survival mark ✔️Ans - 80%



CCG ✔️Ans - Children's Cancer Group established in 1955 with support of
National Cancer Institute



POG ✔️Ans - Pediatric Oncology Group established in 1955 with support of
National Cancer Institute



Should you use radiation for Ewing's sarcoma, osteogenic sarcoma, or both?
✔️Ans - Ewing's not osteogenic



COG? ✔️Ans - Children's Oncology Group established in 2000 and combo of
CCG, POG, National Wilms Tumor Study Group, and the Intergroup
Rhabdomyosarcoma Study Group

,Is hemophilia hereditary? ✔️Ans - Yes - discovered in 1800s with royal
families in England and Russia



Early 20th century how was hemophilia treated ✔️Ans - Ice and whole
blood transfusions



1960s treatment for hemophilia ✔️Ans - Cryoprecipitate infusions



1970s treatment for hemophilia ✔️Ans - Factors 8 and 9 - standard care for
bleed treated in home setting



What happened in 1980s in regard to treatment of hemophilia ✔️Ans - HIV
transmission killed many hemophiliacs



Standard of care now for hemophilia ✔️Ans - Prophylactic therapy



1972 Sickle Cell Anemia Control Act ✔️Ans - Provided funds for screening
and counseling, research on epidemiology and history of disease, patient
education



Early diagnosis and care of infants with sickle cell ✔️Ans - Penicillin
prophylaxis and newborn screening



Prevent stroke in sickle cell ✔️Ans - Chronic transfusions

,Oral chemo hydroxyurea reduces ✔️Ans - pain crisis, acute chest, need for
tranfusion - 40% reduction in mortality for adults



Can sickle cell be cured? ✔️Ans - Only curative with allo stem cell transplant



APON ✔️Ans - Association of pediatric oncology nurses from in 1974 by
nurses who met at the Association for the Care of Children's Health
Conference in 1973



Big difference between adult and children cancers ✔️Ans - Childhood
cancers are systemic vs organ based



When could you get a specialty certification in pediatric oncology nursing?
✔️Ans - 1993



When was hematology added for APON ✔️Ans - 2006



When was hematology included in the CPHON test? ✔️Ans - 2010



Standards of nursing care are ✔️Ans - rules/definitions of what a nurse does
to provide competent care



Standards of nursing care three components ✔️Ans - 1) Standards of
professional practice

2) Standards of professional performance

, 3) Specialty practice guidelines



Example of specialty practice guidelines ✔️Ans - Pediatric Oncology
Nursing: Scope and Standards of Practice



Standards of Professional Practice for the Pediatric Oncology Nurse ✔️Ans -
1) Assessment

2) Diagnosis

3) Outcomes Identification

4) Planning

5) Implementation

a) Coordinate Care

b) Health teaching and promotion

6) Evaluation



Standards of Professional Performance for the Pediatric Oncology Nurse
✔️Ans - 7) Quality of Practice

8) Education

9) Professional Practice evaluation

10) Collegiality

11) Collaboration

12) Ethics

13) Research

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