NR328 PEDIATRIC NURSING FINAL
EXAM QUESTIONS AND 100%
CORRECT ANSWERS.
Wilms tumor assessment findings - Answer Hypertension, Abdominal Mass (*MOST COMMON),
Hematuria
Chemotherapy side effects (highest priority) - Answer Fluid and electrolyte imbalance!
*Administer prescribed ondansetron (Zofran) for nausea and vomiting
Which are appropriate ways to help the child cope with their fear of the procedure? (5YRS OLD) - Answer
Ensure the child knows why they are having the surgery, Ask the child to explain back what will happen
at the hospital, Honestly answer questions to avoid misunderstanding, Offer choices (when possible),
Offer a tour of the facility
Carcinogens associated with adult-type cancers - Answer cigarette smoke, excessive exposure to
ultraviolet
Childhood cancer risk factors - Answer Family history, History of infections such as Epstein-Barr virus,
Congenital anomalies such as Beckwith-Wiedemann syndrome and Down syndrome, and
Immunodeficiency
Clinical Manifestations of Cancer - Answer -Unusual mass or swelling
-Unexplained paleness and loss of energy
-Easy bruising
-Persistent, localized pain or limping
-Prolonged, unexplained fever or illness
-Frequent headaches, often with vomiting
-Sudden eye or vision changes
-Unexplained, rapid weight loss
, Diagnostic Evaluation of Cancer - Answer -History *Including family history of cancer
-Review of symptoms
-Physical examination
-Laboratory tests
(*complete blood count, serum chemistries, liver function tests, coagulation studies, urinalysis)
-Diagnostic procedures and imaging
(*lumbar puncture, bone marrow biopsy, x-rays, computed tomography (CT), magnetic resonance
imaging (MRI), positron emission tomography (PET), metaiodobenzylguanidine (MIBG) scan )
-Pathology evaluation
(*biopsy of tissue samples during surgical resections)
Therapeutic Management for Cancer - Answer -surgery
-chemotherapy/biotherapy
-blood or marrow transplant
-radiation
- clinicals trials or protocols
Nursing Care Management of Cancer - Answer -Educate child and family about disease and treatment
-Administer treatment drugs
-Manage treatment side effects
-Support child and family in coping with diagnosis, treatment, and impact on family
-Support the child's quality of life
-Support the child's continued growth and development during treatment
Chemotherapy side effects (N/V treatment) - Answer -Allow the child to choose what to eat for meals
-Offering small and frequent meals
**implement the least invasive interventions before more invasive interventions that require health care
provider orders, such as nasogastric feedings or total parenteral nutrition**
EXAM QUESTIONS AND 100%
CORRECT ANSWERS.
Wilms tumor assessment findings - Answer Hypertension, Abdominal Mass (*MOST COMMON),
Hematuria
Chemotherapy side effects (highest priority) - Answer Fluid and electrolyte imbalance!
*Administer prescribed ondansetron (Zofran) for nausea and vomiting
Which are appropriate ways to help the child cope with their fear of the procedure? (5YRS OLD) - Answer
Ensure the child knows why they are having the surgery, Ask the child to explain back what will happen
at the hospital, Honestly answer questions to avoid misunderstanding, Offer choices (when possible),
Offer a tour of the facility
Carcinogens associated with adult-type cancers - Answer cigarette smoke, excessive exposure to
ultraviolet
Childhood cancer risk factors - Answer Family history, History of infections such as Epstein-Barr virus,
Congenital anomalies such as Beckwith-Wiedemann syndrome and Down syndrome, and
Immunodeficiency
Clinical Manifestations of Cancer - Answer -Unusual mass or swelling
-Unexplained paleness and loss of energy
-Easy bruising
-Persistent, localized pain or limping
-Prolonged, unexplained fever or illness
-Frequent headaches, often with vomiting
-Sudden eye or vision changes
-Unexplained, rapid weight loss
, Diagnostic Evaluation of Cancer - Answer -History *Including family history of cancer
-Review of symptoms
-Physical examination
-Laboratory tests
(*complete blood count, serum chemistries, liver function tests, coagulation studies, urinalysis)
-Diagnostic procedures and imaging
(*lumbar puncture, bone marrow biopsy, x-rays, computed tomography (CT), magnetic resonance
imaging (MRI), positron emission tomography (PET), metaiodobenzylguanidine (MIBG) scan )
-Pathology evaluation
(*biopsy of tissue samples during surgical resections)
Therapeutic Management for Cancer - Answer -surgery
-chemotherapy/biotherapy
-blood or marrow transplant
-radiation
- clinicals trials or protocols
Nursing Care Management of Cancer - Answer -Educate child and family about disease and treatment
-Administer treatment drugs
-Manage treatment side effects
-Support child and family in coping with diagnosis, treatment, and impact on family
-Support the child's quality of life
-Support the child's continued growth and development during treatment
Chemotherapy side effects (N/V treatment) - Answer -Allow the child to choose what to eat for meals
-Offering small and frequent meals
**implement the least invasive interventions before more invasive interventions that require health care
provider orders, such as nasogastric feedings or total parenteral nutrition**
