NURS 3511 Week 7 Exam Questions and Answers| New Update with 100% Correct Answers
1. A 6-year-old patient presents with fatigue frequent infections and easy bruising. Bone
marrow biopsy confirms a diagnosis of leukemia. Based on prevalence which type of leukemia is
most likely?
A) Acute myelogenous leukemia (AML)
B) Chronic lymphocytic leukemia (CLL)
C) Acute lymphoid leukemia (ALL)
D) Chronic myelogenous leukemia (CML) Answer: C, Acute lymphoid leukemia (ALL)
2. A patient with leukemia undergoes further testing which identifies the presence of B-cell
precursors. This finding suggests which subtype of leukemia?
A) Acute myelogenous leukemia (AML)
B) T-cell acute lymphoid leukemia (T-ALL)
C) B-cell acute lymphoid leukemia (B-ALL)
D) Chronic myeloid leukemia (CML) Answer: C, B-cell acute lymphoid leukemia (B-ALL)
3. A nurse is educating a family about leukemia. Which statement best describes the disease?
A) A localized tumor affecting the lymph nodes
B) A broad group of malignant diseases affecting bone marrow and the lymphatic system
C) A chronic condition that only affects older adults
D) A viral infection leading to abnormal white blood cell production Answer: B, A broad
group of malignant diseases affecting bone marrow and the lymphatic system
4. A child diagnosed with leukemia is found to have abnormal proliferation of myeloid
precursor cells. Which type of leukemia is this most consistent with?
A) Acute lymphoid leukemia (ALL)
B) Acute myelogenous leukemia (AML)
C) Chronic lymphocytic leukemia (CLL)
D) Chronic myelogenous leukemia (CML) Answer: B, Acute myelogenous leukemia (AML)
,5. A nursing student is reviewing leukemia prevalence. Which of the following statements is
accurate?
A) Acute myelogenous leukemia (AML) is the most common childhood leukemia accounting for
80% of cases.
B) Acute lymphoid leukemia (ALL) is the most common childhood leukemia accounting for 80%
of cases.
C) Chronic myeloid leukemia (CML) is more common than acute leukemias in children.
D) Myeloid leukemias are more common in children than lymphoid leukemias. Answer: B,
Acute lymphoid leukemia (ALL) is the most common childhood leukemia, accounting for 80% of
cases.
1. A 3-year-old child is brought to the clinic with fatigue fever and easy bruising. Based on the
peak age range for acute lymphoblastic leukemia (ALL) the nurse recognizes that this child is at
increased risk. What is the typical age range for ALL onset?
A) Birth to 1 year
B) 2 to 5 years
C) 6 to 10 years
D) 11 to 15 years Answer: B, 2 to 5 years
2. A child with Down syndrome (Trisomy 21) is diagnosed with acute lymphoblastic leukemia
(ALL). The nurse understands that genetic conditions such as T21 increase the risk of developing
ALL. Which of the following is another genetic condition associated with increased ALL risk?
A) Cystic fibrosis
B) Wiskott-Aldrich syndrome
C) Sickle cell disease
D) Marfan syndrome Answer: B, Wiskott-Aldrich syndrome
3. A child diagnosed with ALL presents with hepatosplenomegaly. The nurse understands that
this occurs due to:
,A) Viral infection affecting the liver and spleen
B) Unrestricted proliferation of immature WBCs infiltrating highly vascular organs
C) Decreased platelet production causing organ swelling
D) Increased red blood cell destruction leading to organ failure Answer: B, Unrestricted
proliferation of immature WBCs infiltrating highly vascular organs
4. A child undergoing testing for leukemia has a low white blood cell (WBC) count despite
having a malignancy involving WBCs. The nurse explains that this occurs because:
A) The bone marrow is not producing any WBCs
B) The body is actively destroying all WBCs before they mature
C) Leukemia involves the overproduction of immature WBCs that do not function properly
D) Chemotherapy has already suppressed WBC production Answer: C, Leukemia involves
the overproduction of immature WBCs that do not function properly
5. A nurse is assessing a child with suspected ALL. Which of the following clinical manifestations
would support this diagnosis?
A) Pallor petechiae bone pain hepatosplenomegaly
B) Cough shortness of breath night sweats weight gain
C) Rash joint stiffness jaundice hematuria
D) Seizures diplopia vomiting increased intracranial pressure Answer: A, Pallor, petechiae,
bone pain, hepatosplenomegaly
6. A child undergoing treatment for ALL develops severe fatigue and loss of appetite. The nurse
understands that these symptoms are primarily due to:
A) Increased metabolic demand from rapid cell proliferation
B) Anemia caused by bone marrow dysfunction
C) Dehydration and electrolyte imbalances
D) Liver failure due to chemotherapy toxicity Answer: B, Anemia caused by bone marrow
dysfunction
, 7. A child with ALL presents with fever pallor and multiple bruises. The nurse recognizes that
these symptoms result from:
A) Infiltration of leukemic cells into the skin and bones
B) Bone marrow suppression leading to decreased RBCs WBCs and platelets
C) Chemotherapy side effects causing immune system suppression
D) Increased bilirubin levels from liver dysfunction Answer: B, Bone marrow suppression
leading to decreased RBCs, WBCs, and platelets
8. A parent of a child newly diagnosed with ALL asks why their child is experiencing joint and
bone pain. The nurse correctly explains that this pain is due to:
A) Increased pressure from leukemic cell accumulation in the bone marrow
B) Decreased calcium absorption due to leukemia treatment
C) Poor circulation caused by anemia
D) Infection spreading to the joints Answer: A, Increased pressure from leukemic cell
accumulation in the bone marrow
9. A nurse is reviewing lab results for a child with suspected ALL. Which of the following findings
would be most consistent with the diagnosis?
A) High platelet count low WBC count high hemoglobin
B) Low RBC count low platelet count normal/elevated/low WBC count
C) High RBC count high WBC count normal platelet count
D) Low hemoglobin normal platelet count elevated neutrophils Answer: B, Low RBC count,
low platelet count, normal/elevated/low WBC count
10. A child diagnosed with ALL is undergoing chemotherapy. The nurse knows that the liver and
spleen are particularly affected by leukemia due to their:
A) Large size and metabolic function
B) Vascularity and role in blood cell filtration
1. A 6-year-old patient presents with fatigue frequent infections and easy bruising. Bone
marrow biopsy confirms a diagnosis of leukemia. Based on prevalence which type of leukemia is
most likely?
A) Acute myelogenous leukemia (AML)
B) Chronic lymphocytic leukemia (CLL)
C) Acute lymphoid leukemia (ALL)
D) Chronic myelogenous leukemia (CML) Answer: C, Acute lymphoid leukemia (ALL)
2. A patient with leukemia undergoes further testing which identifies the presence of B-cell
precursors. This finding suggests which subtype of leukemia?
A) Acute myelogenous leukemia (AML)
B) T-cell acute lymphoid leukemia (T-ALL)
C) B-cell acute lymphoid leukemia (B-ALL)
D) Chronic myeloid leukemia (CML) Answer: C, B-cell acute lymphoid leukemia (B-ALL)
3. A nurse is educating a family about leukemia. Which statement best describes the disease?
A) A localized tumor affecting the lymph nodes
B) A broad group of malignant diseases affecting bone marrow and the lymphatic system
C) A chronic condition that only affects older adults
D) A viral infection leading to abnormal white blood cell production Answer: B, A broad
group of malignant diseases affecting bone marrow and the lymphatic system
4. A child diagnosed with leukemia is found to have abnormal proliferation of myeloid
precursor cells. Which type of leukemia is this most consistent with?
A) Acute lymphoid leukemia (ALL)
B) Acute myelogenous leukemia (AML)
C) Chronic lymphocytic leukemia (CLL)
D) Chronic myelogenous leukemia (CML) Answer: B, Acute myelogenous leukemia (AML)
,5. A nursing student is reviewing leukemia prevalence. Which of the following statements is
accurate?
A) Acute myelogenous leukemia (AML) is the most common childhood leukemia accounting for
80% of cases.
B) Acute lymphoid leukemia (ALL) is the most common childhood leukemia accounting for 80%
of cases.
C) Chronic myeloid leukemia (CML) is more common than acute leukemias in children.
D) Myeloid leukemias are more common in children than lymphoid leukemias. Answer: B,
Acute lymphoid leukemia (ALL) is the most common childhood leukemia, accounting for 80% of
cases.
1. A 3-year-old child is brought to the clinic with fatigue fever and easy bruising. Based on the
peak age range for acute lymphoblastic leukemia (ALL) the nurse recognizes that this child is at
increased risk. What is the typical age range for ALL onset?
A) Birth to 1 year
B) 2 to 5 years
C) 6 to 10 years
D) 11 to 15 years Answer: B, 2 to 5 years
2. A child with Down syndrome (Trisomy 21) is diagnosed with acute lymphoblastic leukemia
(ALL). The nurse understands that genetic conditions such as T21 increase the risk of developing
ALL. Which of the following is another genetic condition associated with increased ALL risk?
A) Cystic fibrosis
B) Wiskott-Aldrich syndrome
C) Sickle cell disease
D) Marfan syndrome Answer: B, Wiskott-Aldrich syndrome
3. A child diagnosed with ALL presents with hepatosplenomegaly. The nurse understands that
this occurs due to:
,A) Viral infection affecting the liver and spleen
B) Unrestricted proliferation of immature WBCs infiltrating highly vascular organs
C) Decreased platelet production causing organ swelling
D) Increased red blood cell destruction leading to organ failure Answer: B, Unrestricted
proliferation of immature WBCs infiltrating highly vascular organs
4. A child undergoing testing for leukemia has a low white blood cell (WBC) count despite
having a malignancy involving WBCs. The nurse explains that this occurs because:
A) The bone marrow is not producing any WBCs
B) The body is actively destroying all WBCs before they mature
C) Leukemia involves the overproduction of immature WBCs that do not function properly
D) Chemotherapy has already suppressed WBC production Answer: C, Leukemia involves
the overproduction of immature WBCs that do not function properly
5. A nurse is assessing a child with suspected ALL. Which of the following clinical manifestations
would support this diagnosis?
A) Pallor petechiae bone pain hepatosplenomegaly
B) Cough shortness of breath night sweats weight gain
C) Rash joint stiffness jaundice hematuria
D) Seizures diplopia vomiting increased intracranial pressure Answer: A, Pallor, petechiae,
bone pain, hepatosplenomegaly
6. A child undergoing treatment for ALL develops severe fatigue and loss of appetite. The nurse
understands that these symptoms are primarily due to:
A) Increased metabolic demand from rapid cell proliferation
B) Anemia caused by bone marrow dysfunction
C) Dehydration and electrolyte imbalances
D) Liver failure due to chemotherapy toxicity Answer: B, Anemia caused by bone marrow
dysfunction
, 7. A child with ALL presents with fever pallor and multiple bruises. The nurse recognizes that
these symptoms result from:
A) Infiltration of leukemic cells into the skin and bones
B) Bone marrow suppression leading to decreased RBCs WBCs and platelets
C) Chemotherapy side effects causing immune system suppression
D) Increased bilirubin levels from liver dysfunction Answer: B, Bone marrow suppression
leading to decreased RBCs, WBCs, and platelets
8. A parent of a child newly diagnosed with ALL asks why their child is experiencing joint and
bone pain. The nurse correctly explains that this pain is due to:
A) Increased pressure from leukemic cell accumulation in the bone marrow
B) Decreased calcium absorption due to leukemia treatment
C) Poor circulation caused by anemia
D) Infection spreading to the joints Answer: A, Increased pressure from leukemic cell
accumulation in the bone marrow
9. A nurse is reviewing lab results for a child with suspected ALL. Which of the following findings
would be most consistent with the diagnosis?
A) High platelet count low WBC count high hemoglobin
B) Low RBC count low platelet count normal/elevated/low WBC count
C) High RBC count high WBC count normal platelet count
D) Low hemoglobin normal platelet count elevated neutrophils Answer: B, Low RBC count,
low platelet count, normal/elevated/low WBC count
10. A child diagnosed with ALL is undergoing chemotherapy. The nurse knows that the liver and
spleen are particularly affected by leukemia due to their:
A) Large size and metabolic function
B) Vascularity and role in blood cell filtration
