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2024 ONCOLOGY NCLEX EXAM 5 WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX EXAM 5 WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX EXAM 5WITH CORRECT ANSWERS
At a visit to the pediatric clinic, a mother is concerned by her 4 year old's
symptoms over the last few weeks. Which of the following symptoms
described by the mother would lead the nurse to be concerned about an
oncologic disorder? Select all that apply
a. bruising in various stages, mainly on the legs
b. frequent complaints of respiratory infections, while siblings remain healthy
c. enlarged, firm lymph nodes
d. asthma symptoms with increase in wheezing
e. fever for more than 1 week - CORRECT-ANSWERSBCE
The nurse taking care of a 5 year old cancer patient with ulcerative
stomatitis is getting ready to perform mouth care. Which of the following
principles should be followed? Select all that apply
a. due to pain, viscous lidocaine should be used to swish the mouth 3 times
per day
b. a soft, bland diet, although not the favorite of the child, will help with the
pain
c. lemon glycerine swabs are helpful because they remind children of lemon
drops
d. using a soft sponge-type toothbrush will decrease the tendency for gums
to bleed
e. a solution of 1 tsp of baking soda and 1/2 tsp of table salt in 1 quart of
water is helpful for mouth rinse - CORRECT-ANSWERSBDE
The parents of a child with Hodgkin disease ask how the physician will know
what type of cancer their child has. Which of the following definitive signs
and symptoms should the nurse describe? Select all that apply
a. the most common finding is enlarged, firm, nontender movable nodes in
the supraclavicular or cervical area
b. tests include complete blood count, prothrombin time and G6PD,
erythropoetin, and sedimentation rate
c. generally a bone marrow biopsy is done to look for the presence of blast
cells
d. the presence of Sternberg-Reed cells is considered diagnostic of Hodgkin
disease
,e. the presence of a white reflection as opposed to the normal red pupillary
reflex in the pupil is a classic sign - CORRECT-ANSWERSAD
Of the following assessment findings, the one that would most likely be seen
in a child with leukemia is
a. weakness of the eye muscle
b. bruising, nosebleeds, pallor, and fatigue
c. wheezing and shortness of breath
d. abdominal swelling - CORRECT-ANSWERSB
The nurse is administering a dose of IV vincristine when the child suddenly
starts complaining of difficulty breathing and is markedly flushed. The
nurse's highest priority is to
a. administer an oral histamine
b. stop the infusion immediately
c. slow down the infusion rate
d. call the practitioner - CORRECT-ANSWERSA
Children who have profound anemia during induction therapy sohuld
a. strictly limit their activities
b. regulate their own activity with adult supervision
c. receive blood transfusions until the hemoglobin level reaches 10
d. receive chemotherapy until the hemoglobin level reaches 10 - CORRECT-
ANSWERSC
The nursing intervention that would be most helpful for the child who has
stomatitis from cancer chemotherapy would be
a. an anesthetic preparation without alcohol
b. viscous lidocaine
c. lemon glycerin swabs
d. a mild sedative - CORRECT-ANSWERSA
An 8 year old is to receive a chemotherapeutic drug in the outpatient clinic;
his mother comments that he is not eating well because he gets so nauseous
with the chemo. One way to minimize these effects is to
a. administer an antiemetic when the child complains of nausea
b. avoid foods in the room that make him nauseous
c. administer an antiemetic 30 minutes to an hour before the chemo infusion
d. omit the chemo therapeutic drug from his regimen - CORRECT-ANSWERSC
The child who receives a bone marrow transplant will require
, a. meticulous personal hygiene
b. multiple peripheral sites for IV therapy
c. less chemotherapy before the transplant
d. a room with laminar air flow - CORRECT-ANSWERSA
After bone marrow aspiration is performed on a child, the nurse should
a. apply an adhesive bandage
b. place the child in the Trendelenburg position
c. ask the child to remain in the supine position
d. apply a pressure bandage - CORRECT-ANSWERSD
The nurse counsels the family of a 4 year old child that in the period
immediately following remission he must
a. consume a large amount of food items containing potassium to maintain
adequate potassium levels
b. consume a large amount of foods containing iron to replenish deleted iron
stores
c. wear a surgical mask and practice meticulous hand washing when going
out of his house
d. all of the above are important in this time period - CORRECT-ANSWERSC
A particular area of concern for the adolescent receiving radiotherapy is
a. frequent vomiting
b. altered sexual function
c. high risk for sterility
d. precocious puberty - CORRECT-ANSWERSC
The nurse is caring for a 10 year old with leukemia who is receiving
chemotherapy. The child is on neutropenic precautions. Friends of the child
come to the desk and ask for a vase for the flowers they have brought with
them. Which of the following is the best response?
a. "I will get you a special vase that we use on this unit"
b. "The flowers from your garden are beautiful but should not be placed in
the room at this time"
c. "As soon as I can get a vase, I will put the flowers in it and bring it to the
room"
d. "Get rid of the flowers immediately. You could harm the child" - CORRECT-
ANSWERSB
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