Maternal child Ch. 44
Study online at https://quizlet.com/_jtmu1q
1. A nursing faculty member ex- ANS: C
plains to the class that which All cells, including tumor cells, need a consistent supply of
item is the most important for oxygen and nutrients, delivered via the capillaries. Neo-
tumor cell growth? plastic cells must be in close enough proximity to a capillary
a. Age of transforming cells to provide these required elements. The other
b. Programmed cell death factors do not have such an important role, if any, in neo-
c. Proximity to a capillary plastic growth.
d. Rapidity of cell growth
2. A nursing student asks the fac- ANS: C
ulty member to explain an onco- An oncogene is a gene found inside a virus that has the
gene. Which response by the fac- ability to encourage a normal cell to become malignant.
ulty member
is the most appropriate?
a. A cell that changes into a
malignancy after environmental
stress
b. Any gene found inside a solid
tumor that can be removed for
biopsy
c. A gene in a virus that encour-
ages malignant transformation
in cells
d. An inherited gene that is pro-
grammed to become a malig-
nant cell
3. A nurse is reviewing a patients ANS: D
chart and notes that the patient A stage IV cancer is one that has invaded other organs.
has a cancerous tumor that has Stage 0 is early cancer, present only in the cells in
invaded other which it began. Stages I-III are more extensive, with larger
organs. Based on this informa-
, Maternal child Ch. 44
Study online at https://quizlet.com/_jtmu1q
tion, at which stage is this pa- tumors and spread to nearby lymph nodes or
tients cancer classified? adjacent organs.
a. Stage O
b. Stage I
c. Stage III
d. Stage IV
4. . A nurse hears that a new ad- ANS: C
mission to the hospital was re- The most common type of childhood cancer is acute lym-
cently diagnosed with the most phocytic leukemia (ALL). First-line treatment for
common kind of ALL is inducing remission with chemotherapy. Antibiotics
childhood cancer. Which collabo- are not used unless the child has an infection. Bone
rative care does the nurse pre- marrow transplant may be considered later in the childs
pare to provide to this patient? course of care. A liver transplant would not be a
a. Antibiotic administration treatment for ALL
b. Bone marrow transplant
c. Chemotherapy
d. Liver transplant
5. A parent brings a child to the clin- ANS: B
ic and reports that the child is This child has some manifestations of acute lymphocytic
reluctant to walk and has a new leukemia (ALL). Left-sided abdominal enlargement
limp. The could be indicative of splenomegaly, which is another man-
parent also reports that the child ifestation of this disease. The nurse should report
seems lethargic and tired all the these findings immediately. Difficulty staying asleep at
time. The nurse notes that the night is vague and could be related to a number of
child appears causes, both physical and behavioral. Polydipsia and
pale. Which other finding would polyphagia are two of the three classic signs of diabetes.
warrant immediate notification Swelling of the legs and feet is not a manifestation of ALL.
of the health-care provider?
a. Difficulty staying asleep at
night
, Maternal child Ch. 44
Study online at https://quizlet.com/_jtmu1q
b. Left-sided abdominal enlarge-
ment
c. Polyphagia and polydipsia
d. Swelling of the legs and feet
6. A nurse is caring for a child who ANS: B
is scheduled to have intrathecal Intrathecal chemotherapy (introducing chemotherapy into
chemotherapy today. Which ac- the subarachnoid space of the spinal cord) is an
tion by the Test Bank - Maternal Child Nursing Care by Perry (6th
nurse is most important when Edition, 2017) 737
providing care to this patient and invasive procedure and requires a signed consent. Al-
family? though all actions are important for this child, the priority
a. Educating family on side ef- is ensuring the consent is executed appropriately and on
fects of chemotherapy the chart
b. Ensuring a signed consent is
on the chart
c. Providing distraction tech-
niques during the process
d. Reassuring the child the par-
ents will be present
7. A child is admitted and is sched- ANS: B
uled to receive intravenous as- Anaphylaxis is a possible side effect of this drug. Emer-
parginase (Elspar). Which action gency medications should be readily available. Ototoxicity
by the nurse can be caused by carboplatin (Paraplatin). Monitoring in-
is most important when adminis- take and output is important for any child
tering this medication? on IV therapy. Anti-emetic drugs are important for any child
a. Arranging an outpatient hear- receiving chemotherapy
ing test
b. Having emergency drugs on
hand
c. Monitoring the childs intake
Study online at https://quizlet.com/_jtmu1q
1. A nursing faculty member ex- ANS: C
plains to the class that which All cells, including tumor cells, need a consistent supply of
item is the most important for oxygen and nutrients, delivered via the capillaries. Neo-
tumor cell growth? plastic cells must be in close enough proximity to a capillary
a. Age of transforming cells to provide these required elements. The other
b. Programmed cell death factors do not have such an important role, if any, in neo-
c. Proximity to a capillary plastic growth.
d. Rapidity of cell growth
2. A nursing student asks the fac- ANS: C
ulty member to explain an onco- An oncogene is a gene found inside a virus that has the
gene. Which response by the fac- ability to encourage a normal cell to become malignant.
ulty member
is the most appropriate?
a. A cell that changes into a
malignancy after environmental
stress
b. Any gene found inside a solid
tumor that can be removed for
biopsy
c. A gene in a virus that encour-
ages malignant transformation
in cells
d. An inherited gene that is pro-
grammed to become a malig-
nant cell
3. A nurse is reviewing a patients ANS: D
chart and notes that the patient A stage IV cancer is one that has invaded other organs.
has a cancerous tumor that has Stage 0 is early cancer, present only in the cells in
invaded other which it began. Stages I-III are more extensive, with larger
organs. Based on this informa-
, Maternal child Ch. 44
Study online at https://quizlet.com/_jtmu1q
tion, at which stage is this pa- tumors and spread to nearby lymph nodes or
tients cancer classified? adjacent organs.
a. Stage O
b. Stage I
c. Stage III
d. Stage IV
4. . A nurse hears that a new ad- ANS: C
mission to the hospital was re- The most common type of childhood cancer is acute lym-
cently diagnosed with the most phocytic leukemia (ALL). First-line treatment for
common kind of ALL is inducing remission with chemotherapy. Antibiotics
childhood cancer. Which collabo- are not used unless the child has an infection. Bone
rative care does the nurse pre- marrow transplant may be considered later in the childs
pare to provide to this patient? course of care. A liver transplant would not be a
a. Antibiotic administration treatment for ALL
b. Bone marrow transplant
c. Chemotherapy
d. Liver transplant
5. A parent brings a child to the clin- ANS: B
ic and reports that the child is This child has some manifestations of acute lymphocytic
reluctant to walk and has a new leukemia (ALL). Left-sided abdominal enlargement
limp. The could be indicative of splenomegaly, which is another man-
parent also reports that the child ifestation of this disease. The nurse should report
seems lethargic and tired all the these findings immediately. Difficulty staying asleep at
time. The nurse notes that the night is vague and could be related to a number of
child appears causes, both physical and behavioral. Polydipsia and
pale. Which other finding would polyphagia are two of the three classic signs of diabetes.
warrant immediate notification Swelling of the legs and feet is not a manifestation of ALL.
of the health-care provider?
a. Difficulty staying asleep at
night
, Maternal child Ch. 44
Study online at https://quizlet.com/_jtmu1q
b. Left-sided abdominal enlarge-
ment
c. Polyphagia and polydipsia
d. Swelling of the legs and feet
6. A nurse is caring for a child who ANS: B
is scheduled to have intrathecal Intrathecal chemotherapy (introducing chemotherapy into
chemotherapy today. Which ac- the subarachnoid space of the spinal cord) is an
tion by the Test Bank - Maternal Child Nursing Care by Perry (6th
nurse is most important when Edition, 2017) 737
providing care to this patient and invasive procedure and requires a signed consent. Al-
family? though all actions are important for this child, the priority
a. Educating family on side ef- is ensuring the consent is executed appropriately and on
fects of chemotherapy the chart
b. Ensuring a signed consent is
on the chart
c. Providing distraction tech-
niques during the process
d. Reassuring the child the par-
ents will be present
7. A child is admitted and is sched- ANS: B
uled to receive intravenous as- Anaphylaxis is a possible side effect of this drug. Emer-
parginase (Elspar). Which action gency medications should be readily available. Ototoxicity
by the nurse can be caused by carboplatin (Paraplatin). Monitoring in-
is most important when adminis- take and output is important for any child
tering this medication? on IV therapy. Anti-emetic drugs are important for any child
a. Arranging an outpatient hear- receiving chemotherapy
ing test
b. Having emergency drugs on
hand
c. Monitoring the childs intake
