Deck 18: Cellular Regulation

Question 1

If you are caring for a pediatric cancer patient and are asked to assess a child for nadir, which of the following values must be evaluated?

A) Hemoglobin, hematocrit, platelet count, and absolute neutrophil count
B) Hemoglobin, platelet count, prothrombin time, and red cell mass
C) Hemoglobin, hematocrit, absolute neutrophil count, and erythrocyte sedimentation rate
D) Hematocrit, platelet count, prothrombin time, and erythrocyte sedimentation rate

Answer 1

A

Question 2

As you are performing a physical examination on a child, you notice tumor-like lumps in the chest, neck, and behind the breastbone. As a pediatric nurse, this finding should make you suspicious for which type of cancer?

A) Hodgkin's lymphoma
B) Non-Hodgkin's lymphoma
C) Acute myeloid leukemia
D) Acute lymphoblastic leukemia

Answer 2

A

Question 3

When providing care for a child who has just completed standard treatment for neuroblastoma, which medication should be administered, as it has been shown to reduce the chance that the tumor will relapse?

A) Lactic acid
B) Hydrochloric acid
C) Retinoic acid
D) Acetic acid

Answer 3

C

Question 4

As a pediatric nurse caring for a child with cancer, you notice the patient has a temperature of 101.7ºF. What action is critical to save the life of this child?

A) Antibiotics should be started within 1 hour
B) Blood transfusions should be started within 1 hour
C) Bone marrow transplantation should be started within 24 hours
D) Stem cell transplantation should be started within 24 hours

Question 5

The pediatric nurse should teach the family how to interpret the child's daily lab tests and how to calculate what value, as this value will help determine whether the child is well enough to attend school?

A) Prothrombin time
B) Hematocrit
C) Absolute neutrophil count
D) International normalized ratio

Question 6

When caring for a child under neutropenic precautions, for what reason should you never administer pain medication that contains acetaminophen?

A) These medications can cause anemia.
B) These medications can cause neutrophil count to decrease further.
C) These medications may mask a fever.
D) These medications are toxic to a child in this condition.

Question 7

What advice would you give the parent of a child with cancer who experiences an episode of fever and neutropenia at home?

A) Call 911 immediately
B) Immediately administer oral antibiotics
C) Double-check the temperature for accuracy
D) Take child directly to the emergency room for blood cultures

Question 8

If a child presents with a normal weight and claims a standard diet but has pernicious anemia, for which other medical condition should this child be assessed?

A) Crohn's disease
B) Celiac disease
C) Wilms' tumor
D) Hypothyroidism

Question 9

When providing a blood transfusion to a child with anemia, for which reason should the bags be hung on blood "Y" tubing with 0.9% normal saline only?

A) Normal saline is universally well tolerated.
B) Normal saline decreases the risk of rejection of the blood product.
C) Dextrose solutions cause hemolysis of the transfused cells.
D) Dextrose solutions can elicit other medical conditions in the child.

Question 10

As a pediatric nurse monitoring a blood transfusion for a child, what action should you take if a child develops a fever during the transfusion?

A) Encourage the child to drink cold fluids
B) Administer oral or IV acetaminophen
C) Slow the transfusion down to one-half the flow rate
D) Stop the transfusion immediately and notify the physician