NUR 232 Final Exam Study Guide & Practice Questions
(2024–2025 Edition) Advanced Review for Mental Health &
Psychiatric Nursing: Therapeutic Communication,
Psychopharmacology, Anxiety Disorders, Depression, Bipolar,
Schizophrenia, Crisis Intervention, Suicide Prevention,
Legal/Ethical Issues, Personality Disorders, Addiction, Group
Therapy, and NCLEX Mental Health Prep
The nurse is explaining blood components to an 8 yr child. Based on the nurse's
knowledge of child development, the most appropriate description of platelets
is that they
a) help keep germs from causing infection
b) make up the liquid portion of blood
c) carry the oxygen you breathe from your lungs to all parts of your body
d) help your body stop bleeding by forming a clot (scab) over the hurt area
d) help your body stop bleeding by forming a clot (scab) over the hurt area.
*WBC help protect the body from infection. The liquid portion of blood id known
as plasma. RBC are involved in O2 of tissues in the body.
You are working with the parents of a pediatric oncology pt who has successfully
responded to therapy. The parents have questions regarding what to expect as
the child continues to grow and develop throughout the life cycle. Which
response would be appropriate?
a) As the therapy has been successful, growth and development should proceed
along a normal sequence.
b) It may be a good idea to schedule your child for repeat imaging studies on a
,yearly basis so as to make sure that the child remains in remission.
c) There may be anticipated growth and developmental delays associated with
chemo treatments and they are typically self-limiting
d) Genetic counseling may be something to consider as the child reaches
adulthood and is considering having children his/herself if the type of cancer
that the child had was inherited
d) Genetic counseling may be something to consider as the child reaches
adulthood and is considering having children
*Growth and development should be monitored in accordance with
recommended pediatric screening guidelines
*delays are not considered to be normal and may not be self-limiting
*Although imaging studies may be required at some point in time for follow up,
yearly imaging studies may not be needed
With regard to incidence of childhood cancer, which statement is accurate?
a) In children there is a high incidence of cancer.
b) Despite a low incidence, there is high morbidity in children under the age of
15.
c) Gender does not affect incidence of childhood cancers.
d) Higher incidence in found in African American children as compared to
Caucasians.
b) Despite a low incidence, there is high morbidity in children under the age of 15
*A higher incidence of cancers are found in Caucasian children
When treating nausea and vomiting as a side effect of chemotherapy and/or
radiotherapy, ondansetron (Zofran) is the preferred drug of choice because?
a) It has a shorter onset of action
b) It can be administered via several different routes
c) It does not cause extrapyramidal side effects
d) It has no adverse side effects if administered appropriately
,c) It does not cause extrapyramidal side effects
*The ability to administer via different routes does not indicate a preferred drug
choice
The nurse in planning care for the pediatric oncology patient anticipates
implementing which action with regard to the administration of an antiemetic in
a chemotherapy protocol?
a) Providing the med as a prn basis based on patient's presenting symptoms of
N/V
b) Administering med via the PO following infusion of chemotherapy protocol
c) Providing med with sips of water following clinical symptoms of N/V
d) Administering 30- 60 mins prior to initiation of therapy
d) Administering 30- 60 mins prior to initiation of therapy
*Preferred route of administration is via parenteral route especially if the
anticipated risk for N/V is increased
A critical concept that needs to be maintained during intravenous
administration of chemotherapy for a pediatric patient is?
a) Positioning the patient in a semi-fowler's position.
b) Not use an infusion device but rather allow for a free-flow line.
c) Continue the infusion regardless if the patient develops a rash.
d) Maintaining the integrity of the parenteral access line.
d) Maintaining the integrity of the parenteral access line.
*access line be maintained and monitored. If there is any indication that the site
as infiltrated, then the infusion must be immediately stopped.
pt positioning is variable depending on pt comfort.If pt develops a rash in
response to chemo, this may be an indication of a hypersensitivity reaction so
must notify of HC provider and discontinuing the infusion
In taking care of a pediatric oncology patient, which diagnostic finding would
indicate a critical concern for the development of infection?
, a) Absolute neutrophil count of 250
b) Temp of 99.2F
c) WBC 7,000
d) Platelet count 100,000
a) Absolute neutrophil count of 250
*An absolute neutrophil count of < 500 is considered severe nuetropenic and is a
critical concern bc it indicates the potential for overwhelming infection
*WBC normal range 5,000-10,000
A pt undergoing chemo treatment is refusing to eat despite providing the child's
"favorite foods" and allowing for alternate feeding patterns independent of
meal time. What etiological theories might account for the child's loss of desire
to eat? (select all apply)
a) anticipates that they will have N/V as part of the treatment sequence
b) refusing to eat in an attempt to gain control over their surroundings
c) The "correct" food has just not been found and more food selections should
be offered
d) experiencing symptoms of depression.
e) refusing to eat because his/her parents did not make the food.
a) anticipates that they will have N/V as part of the treatment sequence
b) refusing to eat in an attempt to gain control over their surroundings
d) experiencing symptoms of depression.
*even in the context of being offered "favorite foods," the child may not want to
eat.
*anorexia and refusal include possible depression, attempts at control, a
conditioned response reflecting aversion during treatment and/or stress.
A pediatric pt has been diagnosed with leukemia and presents w WBC count of
80,000. In teaching a group of nursing students about the disease process, how
would the nursing instructor describe the proliferation of WBC and their ability
to fight off infection?
(2024–2025 Edition) Advanced Review for Mental Health &
Psychiatric Nursing: Therapeutic Communication,
Psychopharmacology, Anxiety Disorders, Depression, Bipolar,
Schizophrenia, Crisis Intervention, Suicide Prevention,
Legal/Ethical Issues, Personality Disorders, Addiction, Group
Therapy, and NCLEX Mental Health Prep
The nurse is explaining blood components to an 8 yr child. Based on the nurse's
knowledge of child development, the most appropriate description of platelets
is that they
a) help keep germs from causing infection
b) make up the liquid portion of blood
c) carry the oxygen you breathe from your lungs to all parts of your body
d) help your body stop bleeding by forming a clot (scab) over the hurt area
d) help your body stop bleeding by forming a clot (scab) over the hurt area.
*WBC help protect the body from infection. The liquid portion of blood id known
as plasma. RBC are involved in O2 of tissues in the body.
You are working with the parents of a pediatric oncology pt who has successfully
responded to therapy. The parents have questions regarding what to expect as
the child continues to grow and develop throughout the life cycle. Which
response would be appropriate?
a) As the therapy has been successful, growth and development should proceed
along a normal sequence.
b) It may be a good idea to schedule your child for repeat imaging studies on a
,yearly basis so as to make sure that the child remains in remission.
c) There may be anticipated growth and developmental delays associated with
chemo treatments and they are typically self-limiting
d) Genetic counseling may be something to consider as the child reaches
adulthood and is considering having children his/herself if the type of cancer
that the child had was inherited
d) Genetic counseling may be something to consider as the child reaches
adulthood and is considering having children
*Growth and development should be monitored in accordance with
recommended pediatric screening guidelines
*delays are not considered to be normal and may not be self-limiting
*Although imaging studies may be required at some point in time for follow up,
yearly imaging studies may not be needed
With regard to incidence of childhood cancer, which statement is accurate?
a) In children there is a high incidence of cancer.
b) Despite a low incidence, there is high morbidity in children under the age of
15.
c) Gender does not affect incidence of childhood cancers.
d) Higher incidence in found in African American children as compared to
Caucasians.
b) Despite a low incidence, there is high morbidity in children under the age of 15
*A higher incidence of cancers are found in Caucasian children
When treating nausea and vomiting as a side effect of chemotherapy and/or
radiotherapy, ondansetron (Zofran) is the preferred drug of choice because?
a) It has a shorter onset of action
b) It can be administered via several different routes
c) It does not cause extrapyramidal side effects
d) It has no adverse side effects if administered appropriately
,c) It does not cause extrapyramidal side effects
*The ability to administer via different routes does not indicate a preferred drug
choice
The nurse in planning care for the pediatric oncology patient anticipates
implementing which action with regard to the administration of an antiemetic in
a chemotherapy protocol?
a) Providing the med as a prn basis based on patient's presenting symptoms of
N/V
b) Administering med via the PO following infusion of chemotherapy protocol
c) Providing med with sips of water following clinical symptoms of N/V
d) Administering 30- 60 mins prior to initiation of therapy
d) Administering 30- 60 mins prior to initiation of therapy
*Preferred route of administration is via parenteral route especially if the
anticipated risk for N/V is increased
A critical concept that needs to be maintained during intravenous
administration of chemotherapy for a pediatric patient is?
a) Positioning the patient in a semi-fowler's position.
b) Not use an infusion device but rather allow for a free-flow line.
c) Continue the infusion regardless if the patient develops a rash.
d) Maintaining the integrity of the parenteral access line.
d) Maintaining the integrity of the parenteral access line.
*access line be maintained and monitored. If there is any indication that the site
as infiltrated, then the infusion must be immediately stopped.
pt positioning is variable depending on pt comfort.If pt develops a rash in
response to chemo, this may be an indication of a hypersensitivity reaction so
must notify of HC provider and discontinuing the infusion
In taking care of a pediatric oncology patient, which diagnostic finding would
indicate a critical concern for the development of infection?
, a) Absolute neutrophil count of 250
b) Temp of 99.2F
c) WBC 7,000
d) Platelet count 100,000
a) Absolute neutrophil count of 250
*An absolute neutrophil count of < 500 is considered severe nuetropenic and is a
critical concern bc it indicates the potential for overwhelming infection
*WBC normal range 5,000-10,000
A pt undergoing chemo treatment is refusing to eat despite providing the child's
"favorite foods" and allowing for alternate feeding patterns independent of
meal time. What etiological theories might account for the child's loss of desire
to eat? (select all apply)
a) anticipates that they will have N/V as part of the treatment sequence
b) refusing to eat in an attempt to gain control over their surroundings
c) The "correct" food has just not been found and more food selections should
be offered
d) experiencing symptoms of depression.
e) refusing to eat because his/her parents did not make the food.
a) anticipates that they will have N/V as part of the treatment sequence
b) refusing to eat in an attempt to gain control over their surroundings
d) experiencing symptoms of depression.
*even in the context of being offered "favorite foods," the child may not want to
eat.
*anorexia and refusal include possible depression, attempts at control, a
conditioned response reflecting aversion during treatment and/or stress.
A pediatric pt has been diagnosed with leukemia and presents w WBC count of
80,000. In teaching a group of nursing students about the disease process, how
would the nursing instructor describe the proliferation of WBC and their ability
to fight off infection?
