Pediatric Oncology
Complications and Treatment
Insights Quiz- Questions and
correct answers with
Rationales Review/ EAQ Quiz/
Perry’s Maternal Child Nursing
Care 7th Edition Chapter 44
Quiz
Pediatric Oncology Complications and Treatment Insights Quiz
Quiz Description
This comprehensive quiz covers pediatric oncology complications and
treatment insights aligned with Perry’s Maternal Child Nursing Care,
,7th Edition, Chapter 44: The Child with Cancer. The quiz includes EAQ-
style questions testing clinical judgment, prioritization, and application
of nursing knowledge to pediatric oncology scenarios.
Topics covered include:
Childhood cancer types (leukemia, lymphomas, Wilms tumor,
neuroblastoma, osteosarcoma, retinoblastoma)
Oncologic emergencies (tumor lysis syndrome, hyperleukocytosis,
superior vena cava syndrome)
Chemotherapy complications (mucositis, extravasation,
neurotoxicity, hemorrhagic cystitis)
Radiation therapy effects
Neutropenia and infection precautions
Intrathecal chemotherapy administration
Late effects of cancer treatment
Instructions: Answer each question, then review the correct answer
and rationale. Questions are designed to reflect NCLEX-RN and CPHON®
examination style.
Section 1: Childhood Cancer Overview and Pathophysiology
Question 1
A nursing faculty member explains to the class that which item is the
most important for tumor cell growth?
,A. Age of transforming cells
B. Programmed cell death
C. Proximity to a capillary
D. Rapidity of cell growth
Correct Answer: C
Rationale: All cells, including tumor cells, require a consistent supply of
oxygen and nutrients delivered via capillaries. Neoplastic cells must be
in close proximity to a capillary to receive these essential elements. The
other factors do not play as significant a role, if any, in neoplastic
growth .
Question 2
A nursing student asks the faculty member to explain an oncogene.
Which response by the faculty 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 encourages malignant transformation in cells
D. An inherited gene that is programmed to become a malignant cell
Correct Answer: C
Rationale: An oncogene is a gene found inside a virus that has the
ability to encourage a normal cell to become malignant .
Question 3
, A nurse is reviewing a patient's chart and notes that the patient has a
cancerous tumor that has invaded other organs. Based on this
information, at which stage is this patient's cancer classified?
A. Stage O
B. Stage I
C. Stage III
D. Stage IV
Correct Answer: D
Rationale: Stage IV cancer is one that has invaded other organs. Stage
O is early cancer, present only in the cells in which it began. Stages I–III
are more extensive, with larger tumors and spread to nearby lymph
nodes or adjacent organs .
Question 4
A nurse hears that a new admission to the hospital was recently
diagnosed with the most common kind of childhood cancer. Which
collaborative care does the nurse prepare to provide to this patient?
A. Antibiotic administration
B. Bone marrow transplant
C. Chemotherapy
D. Liver transplant
Correct Answer: C
Rationale: The most common type of childhood cancer is acute
lymphocytic leukemia (ALL). First-line treatment for ALL is inducing
remission with chemotherapy. Antibiotics are not used unless the child
Complications and Treatment
Insights Quiz- Questions and
correct answers with
Rationales Review/ EAQ Quiz/
Perry’s Maternal Child Nursing
Care 7th Edition Chapter 44
Quiz
Pediatric Oncology Complications and Treatment Insights Quiz
Quiz Description
This comprehensive quiz covers pediatric oncology complications and
treatment insights aligned with Perry’s Maternal Child Nursing Care,
,7th Edition, Chapter 44: The Child with Cancer. The quiz includes EAQ-
style questions testing clinical judgment, prioritization, and application
of nursing knowledge to pediatric oncology scenarios.
Topics covered include:
Childhood cancer types (leukemia, lymphomas, Wilms tumor,
neuroblastoma, osteosarcoma, retinoblastoma)
Oncologic emergencies (tumor lysis syndrome, hyperleukocytosis,
superior vena cava syndrome)
Chemotherapy complications (mucositis, extravasation,
neurotoxicity, hemorrhagic cystitis)
Radiation therapy effects
Neutropenia and infection precautions
Intrathecal chemotherapy administration
Late effects of cancer treatment
Instructions: Answer each question, then review the correct answer
and rationale. Questions are designed to reflect NCLEX-RN and CPHON®
examination style.
Section 1: Childhood Cancer Overview and Pathophysiology
Question 1
A nursing faculty member explains to the class that which item is the
most important for tumor cell growth?
,A. Age of transforming cells
B. Programmed cell death
C. Proximity to a capillary
D. Rapidity of cell growth
Correct Answer: C
Rationale: All cells, including tumor cells, require a consistent supply of
oxygen and nutrients delivered via capillaries. Neoplastic cells must be
in close proximity to a capillary to receive these essential elements. The
other factors do not play as significant a role, if any, in neoplastic
growth .
Question 2
A nursing student asks the faculty member to explain an oncogene.
Which response by the faculty 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 encourages malignant transformation in cells
D. An inherited gene that is programmed to become a malignant cell
Correct Answer: C
Rationale: An oncogene is a gene found inside a virus that has the
ability to encourage a normal cell to become malignant .
Question 3
, A nurse is reviewing a patient's chart and notes that the patient has a
cancerous tumor that has invaded other organs. Based on this
information, at which stage is this patient's cancer classified?
A. Stage O
B. Stage I
C. Stage III
D. Stage IV
Correct Answer: D
Rationale: Stage IV cancer is one that has invaded other organs. Stage
O is early cancer, present only in the cells in which it began. Stages I–III
are more extensive, with larger tumors and spread to nearby lymph
nodes or adjacent organs .
Question 4
A nurse hears that a new admission to the hospital was recently
diagnosed with the most common kind of childhood cancer. Which
collaborative care does the nurse prepare to provide to this patient?
A. Antibiotic administration
B. Bone marrow transplant
C. Chemotherapy
D. Liver transplant
Correct Answer: C
Rationale: The most common type of childhood cancer is acute
lymphocytic leukemia (ALL). First-line treatment for ALL is inducing
remission with chemotherapy. Antibiotics are not used unless the child
