NURS 405 exam (Nursing Care of the Child With an Alteration in
Cellular Regulation/Hematologic or Neoplastic Disorder)
Questions and Answers 2025-2026|latest update Graded A+
The nurse assesses that the client is at risk for an infection related to
chemotherapy-induced immunosuppression. What will the nurse include in the
teaching plan for the child and parents to help reduce this risk? Select all that
apply.
- Have the child sleep in a single bed and room.
- Encourage frequent, thorough handwashing.
- Provide a low-carbohydrate, low-protein diet.
- Encourage frequent contact with multiple visitors.
- Cheer up the environment with fresh flowers and plants. - ANSWERS-- Have the
child sleep in a single bed and room.
- Encourage frequent, thorough handwashing.
The nurse has been asked to participate in a community health teaching session.
Which interventions would the nurse include to help achieve the 2030 National
Health Goals to reduce the incidence of anemias? Select all that apply.
- Explain the importance of healthy eating for adolescent participants.
- Instruct pregnant women to take iron supplementation as prescribed.
- Emphasize ways to reduce unintentional injuries at home, work, and play.
- Review foods that are rich in iron that should be a part of a school-age child's
diet.
, - Examine strategies for elderly community members to improve the quality of
life. - ANSWERS-- Explain the importance of healthy eating for adolescent
participants.
- Instruct pregnant women to take iron supplementation as prescribed.
- Review foods that are rich in iron that should be a part of a school-age child's
diet.
Wilms tumor is suspected in a 5-year-old child. Which action would be avoided? -
ANSWERS-abdominal palpation
When reviewing information about the incidence of the various types of
childhood cancer, nursing students demonstrate understanding of the information
when they identify which type as having the highest incidence? - ANSWERS-Acute
lymphoblastic leukemia (ALL)
A nurse is teaching the parents of a child with sickle cell disease about factors that
predispose the child to a sickle cell crisis. The nurse determines that the teaching
was successful when the parents identify what as a factor?
- Infection
- Pallor
- Fluid overload
- Respiratory distress - ANSWERS-Infection
The pediatric nurse reviews the radiographs of a child and observes that there are
lesions on the bone. The nurse interprets this finding as suggesting which
condition?
- non-Hodgkin lymphoma
,- Hodgkin disease
- Ewing sarcoma
- neuroblastoma - ANSWERS-Ewing sarcoma
A high school football player has been diagnosed as having osteosarcoma of the
femur. The parents are angry because they told their adolescent not to play
football. Which health teaching points will the nurse include in the teaching plan
for the adolescent and parents?
- There will be some discoloration of the leg following chemotherapy.
- Tumor growth is related to the adolescent's dislike of milk.
- Football injuries do not contribute to the development of a tumor.
- Osteosarcoma often follows trauma, such as a football injury. - ANSWERS-
Football injuries do not contribute to the development of a tumor.
The parent contacts the health care provider because their preschool-age child
has a temperature of 101.5°F (38.6°C). The child received outpatient
chemotherapy 1 week ago. Which is the most appropriate response by the nurse?
- Have the parent bring the child to the pediatric oncology clinic as soon as
possible.
- Ask whether any family members or other close associates are ill.
- Instruct the parent to administer acetaminophen every 4 hours until the fever
dissipates.
- Instruct the parent to immediately obtain and give the antibiotic that the
oncologist calls in to the pharmacy. - ANSWERS-Have the parent bring the child to
the pediatric oncology clinic as soon as possible.
, The nurse will select which meal as the best choice for a child with iron-deficiency
anemia?
- peanut butter sandwich, cheese stick, and applesauce
- two slices of pepperoni pizza and a glass of skim milk
- chicken breast, French fries, and sweetened tea
- cheeseburger, broccoli, and fresh strawberries - ANSWERS-cheeseburger,
broccoli, and fresh strawberries
A 15-year-old client diagnosed with von Willebrand disease has reached
menarche. Based on this fact, what information is most important for the nurse to
convey to the client?
- Occasional skipped periods can be expected.
- Bruising may occur in the perineal area.
- The duration of each period will be short.
- Expect menstrual bleeding to be heavy. - ANSWERS-Expect menstrual bleeding
to be heavy.
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse
most likely recommend?
- Football
- Soccer
- Baseball
Cellular Regulation/Hematologic or Neoplastic Disorder)
Questions and Answers 2025-2026|latest update Graded A+
The nurse assesses that the client is at risk for an infection related to
chemotherapy-induced immunosuppression. What will the nurse include in the
teaching plan for the child and parents to help reduce this risk? Select all that
apply.
- Have the child sleep in a single bed and room.
- Encourage frequent, thorough handwashing.
- Provide a low-carbohydrate, low-protein diet.
- Encourage frequent contact with multiple visitors.
- Cheer up the environment with fresh flowers and plants. - ANSWERS-- Have the
child sleep in a single bed and room.
- Encourage frequent, thorough handwashing.
The nurse has been asked to participate in a community health teaching session.
Which interventions would the nurse include to help achieve the 2030 National
Health Goals to reduce the incidence of anemias? Select all that apply.
- Explain the importance of healthy eating for adolescent participants.
- Instruct pregnant women to take iron supplementation as prescribed.
- Emphasize ways to reduce unintentional injuries at home, work, and play.
- Review foods that are rich in iron that should be a part of a school-age child's
diet.
, - Examine strategies for elderly community members to improve the quality of
life. - ANSWERS-- Explain the importance of healthy eating for adolescent
participants.
- Instruct pregnant women to take iron supplementation as prescribed.
- Review foods that are rich in iron that should be a part of a school-age child's
diet.
Wilms tumor is suspected in a 5-year-old child. Which action would be avoided? -
ANSWERS-abdominal palpation
When reviewing information about the incidence of the various types of
childhood cancer, nursing students demonstrate understanding of the information
when they identify which type as having the highest incidence? - ANSWERS-Acute
lymphoblastic leukemia (ALL)
A nurse is teaching the parents of a child with sickle cell disease about factors that
predispose the child to a sickle cell crisis. The nurse determines that the teaching
was successful when the parents identify what as a factor?
- Infection
- Pallor
- Fluid overload
- Respiratory distress - ANSWERS-Infection
The pediatric nurse reviews the radiographs of a child and observes that there are
lesions on the bone. The nurse interprets this finding as suggesting which
condition?
- non-Hodgkin lymphoma
,- Hodgkin disease
- Ewing sarcoma
- neuroblastoma - ANSWERS-Ewing sarcoma
A high school football player has been diagnosed as having osteosarcoma of the
femur. The parents are angry because they told their adolescent not to play
football. Which health teaching points will the nurse include in the teaching plan
for the adolescent and parents?
- There will be some discoloration of the leg following chemotherapy.
- Tumor growth is related to the adolescent's dislike of milk.
- Football injuries do not contribute to the development of a tumor.
- Osteosarcoma often follows trauma, such as a football injury. - ANSWERS-
Football injuries do not contribute to the development of a tumor.
The parent contacts the health care provider because their preschool-age child
has a temperature of 101.5°F (38.6°C). The child received outpatient
chemotherapy 1 week ago. Which is the most appropriate response by the nurse?
- Have the parent bring the child to the pediatric oncology clinic as soon as
possible.
- Ask whether any family members or other close associates are ill.
- Instruct the parent to administer acetaminophen every 4 hours until the fever
dissipates.
- Instruct the parent to immediately obtain and give the antibiotic that the
oncologist calls in to the pharmacy. - ANSWERS-Have the parent bring the child to
the pediatric oncology clinic as soon as possible.
, The nurse will select which meal as the best choice for a child with iron-deficiency
anemia?
- peanut butter sandwich, cheese stick, and applesauce
- two slices of pepperoni pizza and a glass of skim milk
- chicken breast, French fries, and sweetened tea
- cheeseburger, broccoli, and fresh strawberries - ANSWERS-cheeseburger,
broccoli, and fresh strawberries
A 15-year-old client diagnosed with von Willebrand disease has reached
menarche. Based on this fact, what information is most important for the nurse to
convey to the client?
- Occasional skipped periods can be expected.
- Bruising may occur in the perineal area.
- The duration of each period will be short.
- Expect menstrual bleeding to be heavy. - ANSWERS-Expect menstrual bleeding
to be heavy.
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse
most likely recommend?
- Football
- Soccer
- Baseball
