2510 Midterm Exam Questions With
Guaranteed Pass Solutions.
Bone marrow suppression
Chemotherapy agents cause bone marrow suppression, which creates the need to institute precautions
related to reduced white blood cell, red blood cell, and platelet counts. These precautions focus on
preventing infection and bleeding. - Answer The nurse understands that the type of precautions
needed for children receiving chemotherapy is based on which actions of chemotherapeutic agents?
a.
Gastrointestinal upset
b.
Bone marrow suppression
c.
Decreased creatinine level
d.
Alopecia
d.
"Your son's temperature should be taken frequently." - Answer Which statement, if made by a nurse to
the parents of a child with leukemia, indicates an understanding of teaching related to home care
associated with the disease?
a.
"Your son's blood pressure must be taken daily while he is on chemotherapy."
b.
"Limit your son's fluid intake just in case he has central nervous system involvement."
c.
"Your son must receive all of his immunizations in a timely manner."
d.
"Your son's temperature should be taken frequently."
,c.
Kidney failure - Answer Children with non-Hodgkin lymphoma are at risk for complications resulting
from tumor lysis syndrome (TLS). The nurse should assess for
a.
Liver failure
b.
CNS deficit
c.
Kidney failure
d.
Respiratory distress
c.
Inspect the child's mouth daily for ulcers. - Answer What should the nurse teach parents about oral
hygiene for the child receiving chemotherapy?
a.
Brush the teeth briskly to remove bacteria.
b.
Use a mouthwash that contains alcohol.
c.
Inspect the child's mouth daily for ulcers.
d.
Perform oral hygiene twice a day.
c.
Immunize adolescents and college freshman against Neisseria meningitides. - Answer The public health
nurse is planning a program to decrease the incidence of meningitis in adolescents and young adults.
Which action is most important?
a.
,Encourage adolescents and young adults to avoid crowds in the winter.
b.
Vaccinate 11- and 12-year-old children against Haemophilus influenzae.
c.
Immunize adolescents and college freshman against Neisseria meningitides.
d.
Emphasize the importance of hand washing to prevent the spread of infection.
d.
Unlicensed assistive personnel enter the patient's room without a mask. - Answer A patient has been
admitted with meningococcal meningitis. Which observation by the nurse requires action?
a.
The bedrails at the head and foot of the bed are both elevated.
b.
The patient receives a regular diet from the dietary department.
c.
The lights in the patient's room are turned off and the blinds are shut.
d.
Unlicensed assistive personnel enter the patient's room without a mask.
d.
Swab the nasopharyngeal mucosa for cultures. - Answer A patient being admitted with bacterial
meningitis has a temperature of 102.5° F (39.2° C) and a severe headache. Which order for collaborative
intervention should the nurse implement first?
a.
Administer ceftizoxime (Cefizox) 1 g IV.
b.
Give acetaminophen (Tylenol) 650 mg PO.
c.
Use a cooling blanket to lower temperature.
, d.
Swab the nasopharyngeal mucosa for cultures.
b.
Restrict oral fluids to 1000 mL daily. - Answer A patient with possible viral meningitis is admitted to the
nursing unit after lumbar puncture was performed in the emergency department. Which action
prescribed by the health care provider should the nurse question?
a.
Elevate the head of the bed 20 degrees.
b.
Restrict oral fluids to 1000 mL daily.
c.
Administer ceftriaxone (Rocephin) 1 g IV every 12 hours.
d.
Give ibuprofen (Motrin) 400 mg every 6 hours as needed for headache.
b.
stop the infusion if swelling is observed at the site. - Answer When the nurse is administering a vesicant
chemotherapeutic agent intravenously, an important consideration is to
a.
infuse the medication over a short period of time.
b.
stop the infusion if swelling is observed at the site.
c.
administer the chemotherapy through small-bore catheter.
d.
hold the medication unless a central venous line is available.
c.
Guaranteed Pass Solutions.
Bone marrow suppression
Chemotherapy agents cause bone marrow suppression, which creates the need to institute precautions
related to reduced white blood cell, red blood cell, and platelet counts. These precautions focus on
preventing infection and bleeding. - Answer The nurse understands that the type of precautions
needed for children receiving chemotherapy is based on which actions of chemotherapeutic agents?
a.
Gastrointestinal upset
b.
Bone marrow suppression
c.
Decreased creatinine level
d.
Alopecia
d.
"Your son's temperature should be taken frequently." - Answer Which statement, if made by a nurse to
the parents of a child with leukemia, indicates an understanding of teaching related to home care
associated with the disease?
a.
"Your son's blood pressure must be taken daily while he is on chemotherapy."
b.
"Limit your son's fluid intake just in case he has central nervous system involvement."
c.
"Your son must receive all of his immunizations in a timely manner."
d.
"Your son's temperature should be taken frequently."
,c.
Kidney failure - Answer Children with non-Hodgkin lymphoma are at risk for complications resulting
from tumor lysis syndrome (TLS). The nurse should assess for
a.
Liver failure
b.
CNS deficit
c.
Kidney failure
d.
Respiratory distress
c.
Inspect the child's mouth daily for ulcers. - Answer What should the nurse teach parents about oral
hygiene for the child receiving chemotherapy?
a.
Brush the teeth briskly to remove bacteria.
b.
Use a mouthwash that contains alcohol.
c.
Inspect the child's mouth daily for ulcers.
d.
Perform oral hygiene twice a day.
c.
Immunize adolescents and college freshman against Neisseria meningitides. - Answer The public health
nurse is planning a program to decrease the incidence of meningitis in adolescents and young adults.
Which action is most important?
a.
,Encourage adolescents and young adults to avoid crowds in the winter.
b.
Vaccinate 11- and 12-year-old children against Haemophilus influenzae.
c.
Immunize adolescents and college freshman against Neisseria meningitides.
d.
Emphasize the importance of hand washing to prevent the spread of infection.
d.
Unlicensed assistive personnel enter the patient's room without a mask. - Answer A patient has been
admitted with meningococcal meningitis. Which observation by the nurse requires action?
a.
The bedrails at the head and foot of the bed are both elevated.
b.
The patient receives a regular diet from the dietary department.
c.
The lights in the patient's room are turned off and the blinds are shut.
d.
Unlicensed assistive personnel enter the patient's room without a mask.
d.
Swab the nasopharyngeal mucosa for cultures. - Answer A patient being admitted with bacterial
meningitis has a temperature of 102.5° F (39.2° C) and a severe headache. Which order for collaborative
intervention should the nurse implement first?
a.
Administer ceftizoxime (Cefizox) 1 g IV.
b.
Give acetaminophen (Tylenol) 650 mg PO.
c.
Use a cooling blanket to lower temperature.
, d.
Swab the nasopharyngeal mucosa for cultures.
b.
Restrict oral fluids to 1000 mL daily. - Answer A patient with possible viral meningitis is admitted to the
nursing unit after lumbar puncture was performed in the emergency department. Which action
prescribed by the health care provider should the nurse question?
a.
Elevate the head of the bed 20 degrees.
b.
Restrict oral fluids to 1000 mL daily.
c.
Administer ceftriaxone (Rocephin) 1 g IV every 12 hours.
d.
Give ibuprofen (Motrin) 400 mg every 6 hours as needed for headache.
b.
stop the infusion if swelling is observed at the site. - Answer When the nurse is administering a vesicant
chemotherapeutic agent intravenously, an important consideration is to
a.
infuse the medication over a short period of time.
b.
stop the infusion if swelling is observed at the site.
c.
administer the chemotherapy through small-bore catheter.
d.
hold the medication unless a central venous line is available.
c.
