Maternal Child Ch. 44 Exam Questions
and Answers 100% Solved | Graded A+
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 - ✔✔ANS: C
All cells, including tumor cells, need a consistent supply of oxygen and
nutrients, delivered via the capillaries. Neoplastic cells must be in close
enough proximity to a capillary to provide these required elements. The
other
factors do not have such an important role, if any, in neoplastic growth.
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
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,c. A gene in a virus that encourages malignant transformation in cells
d. An inherited gene that is programmed to become a malignant cell -
✔✔ANS: C
An oncogene is a gene found inside a virus that has the ability to
encourage a normal cell to become malignant.
A nurse is reviewing a patients chart and notes that the patient has a
cancerous tumor that has invaded other
organs. Based on this information, at which stage is this patients cancer
classified?
a. Stage O
b. Stage I
c. Stage III
d. Stage IV - ✔✔ANS: D
A stage IV cancer is one that has invaded other organs. Stage 0 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.
. A nurse hears that a new admission to the hospital was recently
diagnosed with the most common kind of
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,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 - ✔✔ANS: C
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 has an infection. Bone
marrow transplant may be considered later in the childs course of care. A
liver transplant would not be a
treatment for ALL
A parent brings a child to the clinic and reports that the child is reluctant to
walk and has a new limp. The
parent also reports that the child seems lethargic and tired all the time. The
nurse notes that the child appears
pale. Which other finding would warrant immediate notification of the
health-care provider?
a. Difficulty staying asleep at night
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, b. Left-sided abdominal enlargement
c. Polyphagia and polydipsia
d. Swelling of the legs and feet - ✔✔ANS: B
This child has some manifestations of acute lymphocytic leukemia (ALL).
Left-sided abdominal enlargement
could be indicative of splenomegaly, which is another manifestation of this
disease. The nurse should report
these findings immediately. Difficulty staying asleep at night is vague and
could be related to a number of
causes, both physical and behavioral. Polydipsia and polyphagia are two of
the three classic signs of diabetes. Swelling of the legs and feet is not a
manifestation of ALL.
A nurse is caring for a child who is scheduled to have intrathecal
chemotherapy today. Which action by the
nurse is most important when providing care to this patient and family?
a. Educating family on side effects of chemotherapy
b. Ensuring a signed consent is on the chart
c. Providing distraction techniques during the process
d. Reassuring the child the parents will be present - ✔✔ANS: B
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
and Answers 100% Solved | Graded A+
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 - ✔✔ANS: C
All cells, including tumor cells, need a consistent supply of oxygen and
nutrients, delivered via the capillaries. Neoplastic cells must be in close
enough proximity to a capillary to provide these required elements. The
other
factors do not have such an important role, if any, in neoplastic growth.
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
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,c. A gene in a virus that encourages malignant transformation in cells
d. An inherited gene that is programmed to become a malignant cell -
✔✔ANS: C
An oncogene is a gene found inside a virus that has the ability to
encourage a normal cell to become malignant.
A nurse is reviewing a patients chart and notes that the patient has a
cancerous tumor that has invaded other
organs. Based on this information, at which stage is this patients cancer
classified?
a. Stage O
b. Stage I
c. Stage III
d. Stage IV - ✔✔ANS: D
A stage IV cancer is one that has invaded other organs. Stage 0 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.
. A nurse hears that a new admission to the hospital was recently
diagnosed with the most common kind of
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,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 - ✔✔ANS: C
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 has an infection. Bone
marrow transplant may be considered later in the childs course of care. A
liver transplant would not be a
treatment for ALL
A parent brings a child to the clinic and reports that the child is reluctant to
walk and has a new limp. The
parent also reports that the child seems lethargic and tired all the time. The
nurse notes that the child appears
pale. Which other finding would warrant immediate notification of the
health-care provider?
a. Difficulty staying asleep at night
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, b. Left-sided abdominal enlargement
c. Polyphagia and polydipsia
d. Swelling of the legs and feet - ✔✔ANS: B
This child has some manifestations of acute lymphocytic leukemia (ALL).
Left-sided abdominal enlargement
could be indicative of splenomegaly, which is another manifestation of this
disease. The nurse should report
these findings immediately. Difficulty staying asleep at night is vague and
could be related to a number of
causes, both physical and behavioral. Polydipsia and polyphagia are two of
the three classic signs of diabetes. Swelling of the legs and feet is not a
manifestation of ALL.
A nurse is caring for a child who is scheduled to have intrathecal
chemotherapy today. Which action by the
nurse is most important when providing care to this patient and family?
a. Educating family on side effects of chemotherapy
b. Ensuring a signed consent is on the chart
c. Providing distraction techniques during the process
d. Reassuring the child the parents will be present - ✔✔ANS: B
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
