NSG3600 Exam 4 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a child newly diagnosed with a Wilms tumor. What is the most
important nursing intervention prior to surgery?
A. Palpating the abdomen to check for tumor growth
B. Encouraging the child to engage in active contact sports
C. Placing a sign above the bed stating ‘Do Not Palpate Abdomen’
D. Ensuring the child remains in a prone position
Answer: C
Rationale: This question addresses pediatric oncology safety protocols where avoiding
abdominal palpation prevents tumor rupture and metastasis. This analysis confirms that
protecting the encapsulated tumor is the highest priority for nursing staff. Consistent
education and visual alerts for all healthcare team members are necessary to ensure
patient safety.
2. A child with leukemia is experiencing neutropenia. Which of the following is the priority
nursing action?
A. Monitoring the child’s temperature every 4 hours
B. Administering an aspirin for a mild headache
,C. Allowing the child to eat fresh, unpeeled fruits
D. Placing the child in a room with a roommate who has a viral cold
Answer: A
Rationale: Neutropenia significantly increases the risk of life-threatening infections in
pediatric oncology patients. Fever is often the only sign of infection in a neutropenic child
and requires immediate medical intervention. The nurse must monitor vital signs closely
and implement strict infection control measures to prevent sepsis.
3. A nurse is reviewing the laboratory results of a child receiving chemotherapy. The platelet
count is 20,000/mm³. Which intervention should the nurse implement?
A. Encourage the child to use a firm-bristled toothbrush
B. Apply pressure for at least 10 minutes to any puncture sites
C. Administer intramuscular injections for pain management
D. Promote high-impact physical activity to improve circulation
Answer: B
Rationale: A platelet count of 20,000/mm³ indicates severe thrombocytopenia, putting the
child at high risk for spontaneous bleeding. Nurses must avoid invasive procedures like IM
injections and provide prolonged pressure to any necessary venipuncture sites. Safety
precautions such as using a soft toothbrush and preventing falls are essential to minimize
injury risk.
, 4. Which assessment finding should the nurse prioritize when managing a child with a
suspected brain tumor?
A. Morning vomiting not associated with nausea
B. Increased appetite and weight gain
C. Improved academic performance in school
D. Normal growth and development patterns
Answer: A
Rationale: Morning vomiting without nausea is a classic sign of increased intracranial
pressure caused by a brain tumor. As the child changes position from lying down to
standing, the pressure shifts, triggering the vomiting center. Recognizing early signs of
increased ICP is critical for timely surgical or medical intervention.
5. A child is undergoing chemotherapy and develops severe mucositis. Which nursing action is
most appropriate?
A. Rinse the mouth frequently with a commercial alcohol-based mouthwash
B. Provide acidic juices like orange juice to increase Vitamin C intake
C. Encourage the child to eat spicy foods to stimulate taste buds
D. Perform oral hygiene with a soft sponge toothbrush and normal saline
Answer: D
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a child newly diagnosed with a Wilms tumor. What is the most
important nursing intervention prior to surgery?
A. Palpating the abdomen to check for tumor growth
B. Encouraging the child to engage in active contact sports
C. Placing a sign above the bed stating ‘Do Not Palpate Abdomen’
D. Ensuring the child remains in a prone position
Answer: C
Rationale: This question addresses pediatric oncology safety protocols where avoiding
abdominal palpation prevents tumor rupture and metastasis. This analysis confirms that
protecting the encapsulated tumor is the highest priority for nursing staff. Consistent
education and visual alerts for all healthcare team members are necessary to ensure
patient safety.
2. A child with leukemia is experiencing neutropenia. Which of the following is the priority
nursing action?
A. Monitoring the child’s temperature every 4 hours
B. Administering an aspirin for a mild headache
,C. Allowing the child to eat fresh, unpeeled fruits
D. Placing the child in a room with a roommate who has a viral cold
Answer: A
Rationale: Neutropenia significantly increases the risk of life-threatening infections in
pediatric oncology patients. Fever is often the only sign of infection in a neutropenic child
and requires immediate medical intervention. The nurse must monitor vital signs closely
and implement strict infection control measures to prevent sepsis.
3. A nurse is reviewing the laboratory results of a child receiving chemotherapy. The platelet
count is 20,000/mm³. Which intervention should the nurse implement?
A. Encourage the child to use a firm-bristled toothbrush
B. Apply pressure for at least 10 minutes to any puncture sites
C. Administer intramuscular injections for pain management
D. Promote high-impact physical activity to improve circulation
Answer: B
Rationale: A platelet count of 20,000/mm³ indicates severe thrombocytopenia, putting the
child at high risk for spontaneous bleeding. Nurses must avoid invasive procedures like IM
injections and provide prolonged pressure to any necessary venipuncture sites. Safety
precautions such as using a soft toothbrush and preventing falls are essential to minimize
injury risk.
, 4. Which assessment finding should the nurse prioritize when managing a child with a
suspected brain tumor?
A. Morning vomiting not associated with nausea
B. Increased appetite and weight gain
C. Improved academic performance in school
D. Normal growth and development patterns
Answer: A
Rationale: Morning vomiting without nausea is a classic sign of increased intracranial
pressure caused by a brain tumor. As the child changes position from lying down to
standing, the pressure shifts, triggering the vomiting center. Recognizing early signs of
increased ICP is critical for timely surgical or medical intervention.
5. A child is undergoing chemotherapy and develops severe mucositis. Which nursing action is
most appropriate?
A. Rinse the mouth frequently with a commercial alcohol-based mouthwash
B. Provide acidic juices like orange juice to increase Vitamin C intake
C. Encourage the child to eat spicy foods to stimulate taste buds
D. Perform oral hygiene with a soft sponge toothbrush and normal saline
Answer: D
