NUR 2356 CERTIFICATION EVALUATION
2026 EXAM QUESTIONS AND SOLUTIONS
◉ A nursing student is learning about cancer staging and sees 3
letters that identify classification. TNM. What do those letters mean?
And what do they identify?.
Answer: T- Tumor
N-Lymph
M-Metastasis
they identify protocol for treatment
◉ What are the 3 goals of cancer treatment and define them.
Answer: Curative - rid the child's body of the cancer
Supportive - interventions to assist the body's defenses and increase
the child's comfort
End of life - make the child as comfortable as possible when no
curative treatment is possible
,◉ A group of residents are discussing treatments for a child with
cancer. What are all the methods the nurse could anticipate being
ordered?.
Answer: -Surgery
-Chemotherapy
-Radiotherapy (radiation)
-Biotherapy (Biologic response modifiers)
-Hematopoietic stem cell transplantation
-End of life care if curative doesn't work
◉ Why is surgery frequently a part of cancer therapy for children?.
Answer: to obtain a biopsy
tumor resection (partial or total)
◉ What other surgical procedures are done as part of cancer
therapy?.
Answer: Central venous catheter or implanted port placement
◉ A mother is upset her child needs an implanted port (Port-a-cath,
infusaport, mediport, norport) for cancer treatment. What benefits
could the nurse tell her about the implanted port to ease her
anxiety?.
,Answer: -Reduced risk of infection
-Stable- not easily pulled out since it is placed completely under the
skin
-Heparinized monthly and after each infusion to maintain patency
and can remain in place for years
-No limitations on regular physical activity including swimming.
Excluding vigorous contact sports
-Dressing needed only when Huber needle is in place
-only slight change in body appearance
◉ A child needs an implanted port for cancer treatments. He loves
sports and wants to play football but is devastated when he finds out
he can't. What statement by the nurse would be most appropriate?
"Sorry you can't play football. You are sick and have to rest."
"You are too young for a sport like that. How about you play with
your trucks instead"
"I am sorry you cant play football, but you are able to do another
sport like swimming!"
"You heard what the doctor said, no sports.".
, Answer: "I am sorry you cant play football, but you are able to do
another sport like swimming!"
◉ What is an important topic of education for a child with an
implanted port?.
Answer: Signs and symptoms of infection - fever, redness,
tachycardia
◉ What is AHRQ?.
Answer: Agency for Healthcare Research and Quality
A US governmental agency that functions as part of the department
of health and human services (HHS) to support research to help
improve the quality of healthcare
◉ What are pediatric quality indicators?.
Answer: A set of measures that can be used with hospital inpatient
discharge data to provide a perspective on the quality of pediatric
health care
◉ AHRQ Pediatric Quality indicators: central venous catheter -
related blood stream infection rate
Description and exclusions.
2026 EXAM QUESTIONS AND SOLUTIONS
◉ A nursing student is learning about cancer staging and sees 3
letters that identify classification. TNM. What do those letters mean?
And what do they identify?.
Answer: T- Tumor
N-Lymph
M-Metastasis
they identify protocol for treatment
◉ What are the 3 goals of cancer treatment and define them.
Answer: Curative - rid the child's body of the cancer
Supportive - interventions to assist the body's defenses and increase
the child's comfort
End of life - make the child as comfortable as possible when no
curative treatment is possible
,◉ A group of residents are discussing treatments for a child with
cancer. What are all the methods the nurse could anticipate being
ordered?.
Answer: -Surgery
-Chemotherapy
-Radiotherapy (radiation)
-Biotherapy (Biologic response modifiers)
-Hematopoietic stem cell transplantation
-End of life care if curative doesn't work
◉ Why is surgery frequently a part of cancer therapy for children?.
Answer: to obtain a biopsy
tumor resection (partial or total)
◉ What other surgical procedures are done as part of cancer
therapy?.
Answer: Central venous catheter or implanted port placement
◉ A mother is upset her child needs an implanted port (Port-a-cath,
infusaport, mediport, norport) for cancer treatment. What benefits
could the nurse tell her about the implanted port to ease her
anxiety?.
,Answer: -Reduced risk of infection
-Stable- not easily pulled out since it is placed completely under the
skin
-Heparinized monthly and after each infusion to maintain patency
and can remain in place for years
-No limitations on regular physical activity including swimming.
Excluding vigorous contact sports
-Dressing needed only when Huber needle is in place
-only slight change in body appearance
◉ A child needs an implanted port for cancer treatments. He loves
sports and wants to play football but is devastated when he finds out
he can't. What statement by the nurse would be most appropriate?
"Sorry you can't play football. You are sick and have to rest."
"You are too young for a sport like that. How about you play with
your trucks instead"
"I am sorry you cant play football, but you are able to do another
sport like swimming!"
"You heard what the doctor said, no sports.".
, Answer: "I am sorry you cant play football, but you are able to do
another sport like swimming!"
◉ What is an important topic of education for a child with an
implanted port?.
Answer: Signs and symptoms of infection - fever, redness,
tachycardia
◉ What is AHRQ?.
Answer: Agency for Healthcare Research and Quality
A US governmental agency that functions as part of the department
of health and human services (HHS) to support research to help
improve the quality of healthcare
◉ What are pediatric quality indicators?.
Answer: A set of measures that can be used with hospital inpatient
discharge data to provide a perspective on the quality of pediatric
health care
◉ AHRQ Pediatric Quality indicators: central venous catheter -
related blood stream infection rate
Description and exclusions.
