Nurs 232 Exam 3 Questions with Correct Answers| Latest Update Guaranteed Success
What term describes programmed cell death when the cell realizes something is wrong and
destroys itself? Apoptosis
What is the term for a method of med delivery in which the drug is introduced into the spinal
canal
*ex: lumbar puncture Intrathecal
What is described as a decrease production of blood cells in the bone marrow
Myelosuppression
What term describes the lowest point in a lab value or serum blood titer Nadir
What term describes cancers that appear after the primary cancer in treatment but are of a
different histologic type
*most commonly solid tumors Secondary cancers
What term describes chemicals or processes that, when combined with genetic traits and an
interaction with one another, cause cancer Carcinogen
A nurse is caring for a 5 yr old who has terminal cancer. Which of the following statements are
true? (Select all that apply)
a) parents may be at different stages in dealing with child's death
b) Child is thinking about future and knows he may not be able to participate
c) dying child may become clingy and act like a toddler
d) whispering in the room will help the child cope
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death a) parents may be at different stages
in dealing with child's death
,c) dying child may become clingy and act like a toddler
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death
*b is describing adolescent and d is considered scary
Parents of a 10 yr old with in operable brain tumor insist that the child not be informed of his
condition. Parents are reluctant to tell a child he's dying due to:
a) fear
b) anger
c) denial
d) shock c) denial
*could also be a)fear bc afraid of scaring child
A 6 yr old girl has been receiving chemotherapy. She is also receiving TPN via a central line.
Which of the following nursing diagnoses is the highest priority?
a) Imbalances nutrition: less than body requirements
b) risk for deficient fluid volume
c) risk for infection
d) activity intolerance c) risk for infection
Nurse is caring for a child receiving chemotherapy. The nurse should be aware that the child
may experience which of the following side effects? (select all that apply)
a) anemia
b) weight gain
c) polycythemia
d) mucositis
,e) leukocytosis
f) thrombocytopenia a) anemia
d) mucositis
f) thrombocytopenia
The universal 1st reaction of parents to a child's life threatening illness or death is:
a) acceptance
b) anger
c) depression
d) shock d) Shock
The nurse is assigned to a child w/ ALL who has a platelet count of 35,000. The nurse should
implement which of the following interventions?
a) all visitors should be discouraged from coming to the hospital
b) isolation precautions should be started immediately
c) provide a soft toothbrush for mouth care
d) Monitor child's VS, including BP q 4 hrs c) provide a soft toothbrush for mouth care
*low platelet count (normal 150,000-400,000) so at increased risk for bleeding
Nurse overhears the parent of a critically injured child who is praying at the child's bedside say
"I will stop drinking and smoking". The nurse understands that the parent is in which stage of
grieving process
a) denial
b) acceptance
c) bargaining
d) anger c) bargaining
, Which of the following factors plays a significant role in the nurses ability to provide safe and
effective care to terminally ill children
a) knowledge of advance psychomotor skills
b) understanding of the dying process
c) experience with terminally ill adults
d) acknowledgment of on feelings about dying and death d) acknowledgment of on feelings
about dying and death
Which of the following nursing interventions is the most appropriate when working with the
school age child who has a terminal illness?
a) give factual explanations of the disease, medication, and procedures
b) perform all care for the child
c) tell the child that everything will be ok
d) reinforce that being in the hospital is not a punishment for any thoughts or actions a) give
factual explanations of the disease, medication, and procedures
*d is referring to preschool age children
Which of the following interventions by the nurse should have the highest priority for the
family following the death of their child?
a) verbalizing sorrow and sadness for the loss of their child
b) discouraging the family from holding or touching their child
c) asking the family to immediately leave the room so that all medical equipment can be
removed
d) allowing the family to be alone with her child d) allowing the family to be alone with her
child
Which of the following statements demonstrates by a mother of an 8 mos old child w/ iron-
deficiency anemia demonstrates an understanding of this disorder?
a) "I will mix the iron sulfate in her morning bottle of formula"
What term describes programmed cell death when the cell realizes something is wrong and
destroys itself? Apoptosis
What is the term for a method of med delivery in which the drug is introduced into the spinal
canal
*ex: lumbar puncture Intrathecal
What is described as a decrease production of blood cells in the bone marrow
Myelosuppression
What term describes the lowest point in a lab value or serum blood titer Nadir
What term describes cancers that appear after the primary cancer in treatment but are of a
different histologic type
*most commonly solid tumors Secondary cancers
What term describes chemicals or processes that, when combined with genetic traits and an
interaction with one another, cause cancer Carcinogen
A nurse is caring for a 5 yr old who has terminal cancer. Which of the following statements are
true? (Select all that apply)
a) parents may be at different stages in dealing with child's death
b) Child is thinking about future and knows he may not be able to participate
c) dying child may become clingy and act like a toddler
d) whispering in the room will help the child cope
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death a) parents may be at different stages
in dealing with child's death
,c) dying child may become clingy and act like a toddler
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death
*b is describing adolescent and d is considered scary
Parents of a 10 yr old with in operable brain tumor insist that the child not be informed of his
condition. Parents are reluctant to tell a child he's dying due to:
a) fear
b) anger
c) denial
d) shock c) denial
*could also be a)fear bc afraid of scaring child
A 6 yr old girl has been receiving chemotherapy. She is also receiving TPN via a central line.
Which of the following nursing diagnoses is the highest priority?
a) Imbalances nutrition: less than body requirements
b) risk for deficient fluid volume
c) risk for infection
d) activity intolerance c) risk for infection
Nurse is caring for a child receiving chemotherapy. The nurse should be aware that the child
may experience which of the following side effects? (select all that apply)
a) anemia
b) weight gain
c) polycythemia
d) mucositis
,e) leukocytosis
f) thrombocytopenia a) anemia
d) mucositis
f) thrombocytopenia
The universal 1st reaction of parents to a child's life threatening illness or death is:
a) acceptance
b) anger
c) depression
d) shock d) Shock
The nurse is assigned to a child w/ ALL who has a platelet count of 35,000. The nurse should
implement which of the following interventions?
a) all visitors should be discouraged from coming to the hospital
b) isolation precautions should be started immediately
c) provide a soft toothbrush for mouth care
d) Monitor child's VS, including BP q 4 hrs c) provide a soft toothbrush for mouth care
*low platelet count (normal 150,000-400,000) so at increased risk for bleeding
Nurse overhears the parent of a critically injured child who is praying at the child's bedside say
"I will stop drinking and smoking". The nurse understands that the parent is in which stage of
grieving process
a) denial
b) acceptance
c) bargaining
d) anger c) bargaining
, Which of the following factors plays a significant role in the nurses ability to provide safe and
effective care to terminally ill children
a) knowledge of advance psychomotor skills
b) understanding of the dying process
c) experience with terminally ill adults
d) acknowledgment of on feelings about dying and death d) acknowledgment of on feelings
about dying and death
Which of the following nursing interventions is the most appropriate when working with the
school age child who has a terminal illness?
a) give factual explanations of the disease, medication, and procedures
b) perform all care for the child
c) tell the child that everything will be ok
d) reinforce that being in the hospital is not a punishment for any thoughts or actions a) give
factual explanations of the disease, medication, and procedures
*d is referring to preschool age children
Which of the following interventions by the nurse should have the highest priority for the
family following the death of their child?
a) verbalizing sorrow and sadness for the loss of their child
b) discouraging the family from holding or touching their child
c) asking the family to immediately leave the room so that all medical equipment can be
removed
d) allowing the family to be alone with her child d) allowing the family to be alone with her
child
Which of the following statements demonstrates by a mother of an 8 mos old child w/ iron-
deficiency anemia demonstrates an understanding of this disorder?
a) "I will mix the iron sulfate in her morning bottle of formula"
