NUR 2356/ NUR2356 Exam 2
Multidimensional Care I Latest Update
Comprehensive Questions with Correct
Answers Graded Perfect Score
3 functions of the spleen - Answer -
1.filters blood and removes old and damaged RBCs
2.controls level of blood cells (white, red, and platelets)
3.contains WBCs
3 major crises seen in children with sickle cell anemia - Answer -
aplastic crisis
splenic sequestration
vast-occlusive crisis (VOC)
3 procedure preparation topics - Answer -
pain management
health promotion
family education
3 sections of biotherapy and their definitions - Answer --Retooling- development of antibodies
that are tumor specific and promote death of the cancer cells
-molecular targeting - interference with metabolic pathways in tumor cells
-gene therapy - area of research
4 Main components of blood composition - Answer -RBC, WBC, platelets, plasma
4 patients come into the transfusion center. Which patients get what transfusion based on their
presenting problems?
,1.Accute hemorrhage and trauma
2. Severe anemia, thalassemia, sickle cell disease
3. Hemophilia
4.Thrombocytopenia - Answer -1. whole blood
2. packed red blood cells
3. fresh frozen plasma
4. platelets
4 types of anemia - Answer -Iron deficiency
lead poisoning
sickle cell
B-thalassemia
A child is receiving chemo treatments and tells the nurse his jaw hurts. What should the nurses next
action be and why? - Answer -Stop the chemo and notify the physician
This is an early neurotoxic effect
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!"
A child presents to the hospital with a fever (persistent or recurrent with unknown cause), recurrent
infection, fatigue/malaise/listless, pallor, unusual bleeding or bruising, abdominal/bone pain,
nausea/vomiting, and headache. What could the child have? - Answer -Acute lymphoblastic
leukemia (ALL)
A child presents to the hospital with an unusual mass/swelling, pallor, fatigue, unexplained
bleeding/bruising/petechiae, persistent localized pain/limping, prolonged unexplained fever/illness,
frequent headaches with vomiting, sudden eye and vision changes, and excessively rapid weight loss.
What is the nurse suspecting the child may have? - Answer -cancer
A child presents to the hospital with signs of increased ICP, headache, nausea, vomiting (esp in AM),
abnormal gait, dizziness, change in vision or hearing, fatigue, and mental status changes (behavioral
issues). What should the nurse do to check increased ICP and what are they suspicious of this child
having? - Answer -Check head circumference
Suspicious of brain tumors
A doctor tells the nurse that the patient that is receiving chemo has a very critical ANC level and is
concerned about infections. The doctor tells the nurse that they want to hold the chemo for a while to
give the number a chance to fix itself before restarting therapy again. What is the correct action by the
nurse? - Answer -Follow the orders because this is accurate. Chemo can be held in order for the
body to fix its ANC number so we don't risk severe infection in the patient
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
A mother brings her child into the ER and complains that he has been projectile vomiting every morning
for some time and is concerned about him. What is projectile vomiting the most common sign for? -
Answer -Brain tumor
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 mother states "If my child is having any pain from their chemo treatments I can administer aspirin or
ibuprofen to help ease their pain." What would be the most appropriate answer by the nurse?
"That sounds like a great idea! Im pleased you understood the teaching."
"Do not administer those medications to them. They belong to a group of drugs called NSAIDS and can
cause bleeding risk in your child. They can take acetaminophen instead."
"I think it would be wise for you to read over the pamphlets again."
"You can give that drug to them but make sure it is in low doses." - Answer -"Do not administer
those medications to them. They belong to a group of drugs called NSAIDS and can cause bleeding risk in
your child. They can take acetaminophen instead."
A new nurse is about to hang a blood transfusion for his patient. He is unsure of all the steps he has to
follow for the transfusion to follow to prevent a reaction. What would all the 8 implications be to hang
blood? - Answer -1. Vital sign assessment including BP = 15 minutes pre transfusion for
comparison and post transfusion. 15 minutes after initiation and hourly while blood is infusing and upon
completion
2.check the identification of the recipient along with his/her blood type and group against the donor,
regardless of the blood type being used
3.administer the first 50mL of blood or initial 20% of the volume slowly and stay with the child
4. administer with normal saline piggyback setup or have it available
5. administer blood through an appropriate filter and gently shake it frequently
Multidimensional Care I Latest Update
Comprehensive Questions with Correct
Answers Graded Perfect Score
3 functions of the spleen - Answer -
1.filters blood and removes old and damaged RBCs
2.controls level of blood cells (white, red, and platelets)
3.contains WBCs
3 major crises seen in children with sickle cell anemia - Answer -
aplastic crisis
splenic sequestration
vast-occlusive crisis (VOC)
3 procedure preparation topics - Answer -
pain management
health promotion
family education
3 sections of biotherapy and their definitions - Answer --Retooling- development of antibodies
that are tumor specific and promote death of the cancer cells
-molecular targeting - interference with metabolic pathways in tumor cells
-gene therapy - area of research
4 Main components of blood composition - Answer -RBC, WBC, platelets, plasma
4 patients come into the transfusion center. Which patients get what transfusion based on their
presenting problems?
,1.Accute hemorrhage and trauma
2. Severe anemia, thalassemia, sickle cell disease
3. Hemophilia
4.Thrombocytopenia - Answer -1. whole blood
2. packed red blood cells
3. fresh frozen plasma
4. platelets
4 types of anemia - Answer -Iron deficiency
lead poisoning
sickle cell
B-thalassemia
A child is receiving chemo treatments and tells the nurse his jaw hurts. What should the nurses next
action be and why? - Answer -Stop the chemo and notify the physician
This is an early neurotoxic effect
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!"
A child presents to the hospital with a fever (persistent or recurrent with unknown cause), recurrent
infection, fatigue/malaise/listless, pallor, unusual bleeding or bruising, abdominal/bone pain,
nausea/vomiting, and headache. What could the child have? - Answer -Acute lymphoblastic
leukemia (ALL)
A child presents to the hospital with an unusual mass/swelling, pallor, fatigue, unexplained
bleeding/bruising/petechiae, persistent localized pain/limping, prolonged unexplained fever/illness,
frequent headaches with vomiting, sudden eye and vision changes, and excessively rapid weight loss.
What is the nurse suspecting the child may have? - Answer -cancer
A child presents to the hospital with signs of increased ICP, headache, nausea, vomiting (esp in AM),
abnormal gait, dizziness, change in vision or hearing, fatigue, and mental status changes (behavioral
issues). What should the nurse do to check increased ICP and what are they suspicious of this child
having? - Answer -Check head circumference
Suspicious of brain tumors
A doctor tells the nurse that the patient that is receiving chemo has a very critical ANC level and is
concerned about infections. The doctor tells the nurse that they want to hold the chemo for a while to
give the number a chance to fix itself before restarting therapy again. What is the correct action by the
nurse? - Answer -Follow the orders because this is accurate. Chemo can be held in order for the
body to fix its ANC number so we don't risk severe infection in the patient
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
A mother brings her child into the ER and complains that he has been projectile vomiting every morning
for some time and is concerned about him. What is projectile vomiting the most common sign for? -
Answer -Brain tumor
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 mother states "If my child is having any pain from their chemo treatments I can administer aspirin or
ibuprofen to help ease their pain." What would be the most appropriate answer by the nurse?
"That sounds like a great idea! Im pleased you understood the teaching."
"Do not administer those medications to them. They belong to a group of drugs called NSAIDS and can
cause bleeding risk in your child. They can take acetaminophen instead."
"I think it would be wise for you to read over the pamphlets again."
"You can give that drug to them but make sure it is in low doses." - Answer -"Do not administer
those medications to them. They belong to a group of drugs called NSAIDS and can cause bleeding risk in
your child. They can take acetaminophen instead."
A new nurse is about to hang a blood transfusion for his patient. He is unsure of all the steps he has to
follow for the transfusion to follow to prevent a reaction. What would all the 8 implications be to hang
blood? - Answer -1. Vital sign assessment including BP = 15 minutes pre transfusion for
comparison and post transfusion. 15 minutes after initiation and hourly while blood is infusing and upon
completion
2.check the identification of the recipient along with his/her blood type and group against the donor,
regardless of the blood type being used
3.administer the first 50mL of blood or initial 20% of the volume slowly and stay with the child
4. administer with normal saline piggyback setup or have it available
5. administer blood through an appropriate filter and gently shake it frequently
