Questions and Corresponding Answers
with Surety of 100% Pass Mark
The nurse is caring for a child with leukemia. The nurse should be aware that
children being treated for leukemia may experience which of the following
complications? Select all that apply.
1. Anemia.
2. Infection.
3. Bleeding tendencies.
4. Bone deformities.
5. Polycythemia. - 🧠 ANSWER ✔✔1. Anemia.
2. Infection..
3. Bleeding tendencies.
1. Anemia is caused by decreased production of red blood cells. 2. Infection risk in
leukemia is secondary to the neutropenia. 3. Bleeding tendencies are from
,decreased platelet production. 4. There are no bone deformities with leukemia, but
there is bone pain from the proliferation of cells in the bone marrow. 5.
Polycythemia is an increase in red blood cells. TEST-TAKING HINT: Review the
pathophysiology of leukemia to determine the clinical problems.
The parent of a 4 year old brings the child to the clinic and tells the nurse the childs
abdomen is distended. After a complete examination, a diagnosis of wilms tumor is
suspected. which of the following is most important when doing a physical
assesment on this child?
1. avoid palpation of the abdomen
2 asses urine for prescence of blood
3 monitor vs, esp blood pressure
4. obrain accurate height and weight - 🧠 ANSWER ✔✔ANS: 1. avoid palpation of
the abdomen
Avoid pressing on the tumor
The nurse is caring for a child being treated for ALL. Laboratory results indicate
that the child has a white blood cell count of 5000/mm3 with 5% polys and 3%
bands. Which of the following analyses is most appropriate?
1. The absolute neutrophil count is 400/mm3, and the child is neutropenic.
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, 2. The absolute neutrophil count is 800/mm3, and the child is neutropenic.
3. The absolute neutrophil count is 4000/mm3, and the child is not neutropenic
4. The absolute neutrophil count is 5800/mm3, and the child is not neutropenic. - 🧠
ANSWER ✔✔1. The absolute neutrophil count is 400/mm3, and the child is
neutropenic.
Which child is at risk for developing glomerulonephritis?
1. A 3-year-old who had impetigo 1 week ago.
2. A 5-year-old with a history of five UTIs in the previous year.
3. A 6-year-old with new-onset type 1 diabetes.
4. A 10-year-old recovering from viral pneumonia. - 🧠 ANSWER ✔✔ANS: 1. A 3-
year-old who had impetigo 1 week ago.
Impetigo is a skin infection caused by the streptococcal organism that is commonly
associated with glomerulonephritis.
Which finding requires immediate attention in a child with glomerulonephritis?
1. Sleeping most of the day and being very "cranky" when awake; blood pressure
is170/90.
2. Urine output is 190 mL in an 8-hour period and is the color of Coca-Cola.
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