PEDS (NSG 213) EXAM #3 | 142 ACTUAL
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS | LATEST
UPDATE 2025
Cancer of the nervous system; begins in neuroblasts. - ANSWER
Neuroblastoma
What happens with neuroblastoma (or any cancer)? - ANSWER Cells begin to
grow out of control and become abnormal, forming into a solid tumor.
Typical place for cancer to start? - ANSWER Adrenal gland
What do adrenal glands do? - ANSWER Produce hormones that regulate body
functions (BP, metabolism, etc)
S/S of CA of the NS - ANSWER jerky movements
drooping eyelids
abnormal eye movements
raccoon eyes (dark circles)
irregular pupils
Big concern w/ neural tumors? - ANSWER Airway obstruction
,Monitoring of pt w/ CA of NS - ANSWER frequent neuro checks
assess for any s/s of airway obstruction/resp distress
Hallmark S/S of brain tumor - ANSWER headache (sudden, persistent)
morning vomiting (inc ICP)
Most important post-op following brain tumor removal? - ANSWER frequent
neuro checks
assess for s/s of CSF leakage
CA of the WBC? - ANSWER leukemia
Most common CA seen in pediatric pts? - ANSWER leukemia
What happens w/ leukemia? - ANSWER Bone marrow makes abnormal (and
basically useless) WBC that start to crowd out the bone marrow, seeping into the
bloodstream.
Leukemia starts where? - ANSWER Bone marrow. Then it can spread to chest,
liver, brain, etc
Ultimate downside to chemotherapy? - ANSWER Doesn't differentiate
between healthy and unhealthy cells. It kills them all.
Chemo pts (especially combination chemo) will get.. - ANSWER frequent lab
testing
, cell counts
neutropenic precautions
bleeding precautions
neutropenic precautions - ANSWER private room
own dynamap
equipment stays in the room
PPE
hand hygiene
no fresh flowers, raw fruits or veggies
no uncooked food
good oral hygiene
bleeding precautions
minimal injections/sticks
injury prevention
tumor lysis syndrome - ANSWER EMERGENCY!
tumor cells die/break down, releasing huge, abnormal amounts of potassium,
phosphate, nucleic acid (uric acid) into the circulation, overloading kidneys.
(hyperkalemia, hyperphosphatemia)
For a pt with tumor lysis syndrome you DO NOT want to give... - ANSWER
External sources of potassium. (foods, meds, etc) Avoid it!
Wilms tumor - ANSWER nephroblastoma.
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS | LATEST
UPDATE 2025
Cancer of the nervous system; begins in neuroblasts. - ANSWER
Neuroblastoma
What happens with neuroblastoma (or any cancer)? - ANSWER Cells begin to
grow out of control and become abnormal, forming into a solid tumor.
Typical place for cancer to start? - ANSWER Adrenal gland
What do adrenal glands do? - ANSWER Produce hormones that regulate body
functions (BP, metabolism, etc)
S/S of CA of the NS - ANSWER jerky movements
drooping eyelids
abnormal eye movements
raccoon eyes (dark circles)
irregular pupils
Big concern w/ neural tumors? - ANSWER Airway obstruction
,Monitoring of pt w/ CA of NS - ANSWER frequent neuro checks
assess for any s/s of airway obstruction/resp distress
Hallmark S/S of brain tumor - ANSWER headache (sudden, persistent)
morning vomiting (inc ICP)
Most important post-op following brain tumor removal? - ANSWER frequent
neuro checks
assess for s/s of CSF leakage
CA of the WBC? - ANSWER leukemia
Most common CA seen in pediatric pts? - ANSWER leukemia
What happens w/ leukemia? - ANSWER Bone marrow makes abnormal (and
basically useless) WBC that start to crowd out the bone marrow, seeping into the
bloodstream.
Leukemia starts where? - ANSWER Bone marrow. Then it can spread to chest,
liver, brain, etc
Ultimate downside to chemotherapy? - ANSWER Doesn't differentiate
between healthy and unhealthy cells. It kills them all.
Chemo pts (especially combination chemo) will get.. - ANSWER frequent lab
testing
, cell counts
neutropenic precautions
bleeding precautions
neutropenic precautions - ANSWER private room
own dynamap
equipment stays in the room
PPE
hand hygiene
no fresh flowers, raw fruits or veggies
no uncooked food
good oral hygiene
bleeding precautions
minimal injections/sticks
injury prevention
tumor lysis syndrome - ANSWER EMERGENCY!
tumor cells die/break down, releasing huge, abnormal amounts of potassium,
phosphate, nucleic acid (uric acid) into the circulation, overloading kidneys.
(hyperkalemia, hyperphosphatemia)
For a pt with tumor lysis syndrome you DO NOT want to give... - ANSWER
External sources of potassium. (foods, meds, etc) Avoid it!
Wilms tumor - ANSWER nephroblastoma.
