Sher path Peds- Hematologic Cancers
Mock Test Papers All Answered Correct
Rated A+.
A six-year-old child with leukemia presents with altered level of consciousness (LOC) and
sluggish pupils but no cardiac compromise after falling from a bike. The nurse notes a platelet
count of 10,000, WBC of four, and hemoglobin of seven. After the patient's airway is stabilized,
which priority order should the nurse anticipate?
Obtain a head CT
Assess serum glucose
Administer IV fluid bolus
Administer pain medication - Answer Obtain a head CT
The nurse should first obtain a head CT on a patient with thrombocytopenia and altered LOC
after a head injury to evaluate for cerebral hemorrhage.
The nurse is caring for a four-year-old child with leukemia who is receiving chemotherapy. The
parent reports that the child has abdominal pain, nausea, and vomiting. Upon exam, the nurse
notes poor skin turgor, pallor, dry mucus membranes, and poor appetite. Which action should
the nurse take first?
Administer pain medicine
Assess hourly urine output
Administer oral antiemetic
Administer normal saline IV bolus - Answer Administer normal saline IV bolus
A child with leukemia is at risk for dehydration and fluid and nutrition imbalance. Thus,
administering IV bolus of normal saline is a priority nursing intervention to treat signs of
, Decrease dietary protein
Administer PO allopurinol
Administer platelet transfusion
Administer total parenteral nutrition - Answer Administer total parenteral nutrition
An albumin level of 2.1 indicates malnutrition. The nurse would administer total parenteral
nutrition via a central line to improve the child's nutritional status.
The nurse is educating the parents of a child with leukemia about necessary homecare. During
the teaching session, the mother states, "We plan to let him return to baseball practice next
week." Which information is most important for the nurse to include in the response?
Avoid physically exhausting activities.
Apply ample amounts of sunscreen on child's skin while outside.
Assess the child's mucus membranes for signs of dehydration frequently while playing.
Notify the health care provider immediately if the child has shortness of breath while playing. -
Answer Avoid physically exhausting activities.
Providing information about activities to be avoided, such as baseball, is the most important
teaching that the nurse should provide the mother because patients with leukemia are often
thrombocytopenic and neutropenic, and engaging in physically exhausting activities can trigger
bleeding, injury, and infection.
A two-year-old child diagnosed with Hodgkin Lymphoma presents with enlarged neck lymph
nodes, and an x-ray reveals widening of the mediastinum. Which action should the nurse take
first?
Prepare for surgical excision
Mock Test Papers All Answered Correct
Rated A+.
A six-year-old child with leukemia presents with altered level of consciousness (LOC) and
sluggish pupils but no cardiac compromise after falling from a bike. The nurse notes a platelet
count of 10,000, WBC of four, and hemoglobin of seven. After the patient's airway is stabilized,
which priority order should the nurse anticipate?
Obtain a head CT
Assess serum glucose
Administer IV fluid bolus
Administer pain medication - Answer Obtain a head CT
The nurse should first obtain a head CT on a patient with thrombocytopenia and altered LOC
after a head injury to evaluate for cerebral hemorrhage.
The nurse is caring for a four-year-old child with leukemia who is receiving chemotherapy. The
parent reports that the child has abdominal pain, nausea, and vomiting. Upon exam, the nurse
notes poor skin turgor, pallor, dry mucus membranes, and poor appetite. Which action should
the nurse take first?
Administer pain medicine
Assess hourly urine output
Administer oral antiemetic
Administer normal saline IV bolus - Answer Administer normal saline IV bolus
A child with leukemia is at risk for dehydration and fluid and nutrition imbalance. Thus,
administering IV bolus of normal saline is a priority nursing intervention to treat signs of
, Decrease dietary protein
Administer PO allopurinol
Administer platelet transfusion
Administer total parenteral nutrition - Answer Administer total parenteral nutrition
An albumin level of 2.1 indicates malnutrition. The nurse would administer total parenteral
nutrition via a central line to improve the child's nutritional status.
The nurse is educating the parents of a child with leukemia about necessary homecare. During
the teaching session, the mother states, "We plan to let him return to baseball practice next
week." Which information is most important for the nurse to include in the response?
Avoid physically exhausting activities.
Apply ample amounts of sunscreen on child's skin while outside.
Assess the child's mucus membranes for signs of dehydration frequently while playing.
Notify the health care provider immediately if the child has shortness of breath while playing. -
Answer Avoid physically exhausting activities.
Providing information about activities to be avoided, such as baseball, is the most important
teaching that the nurse should provide the mother because patients with leukemia are often
thrombocytopenic and neutropenic, and engaging in physically exhausting activities can trigger
bleeding, injury, and infection.
A two-year-old child diagnosed with Hodgkin Lymphoma presents with enlarged neck lymph
nodes, and an x-ray reveals widening of the mediastinum. Which action should the nurse take
first?
Prepare for surgical excision
