NUR2513 MATERNAL CHILD EXAM
2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
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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 - Answer ✓✓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 - Answer ✓✓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 - Answer ✓✓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
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 - Answer ✓✓ANS: C
The most common type of childhood cancer is acute lymphocytic leukemia (ALL). First-line
treatment for
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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
b. Left-sided abdominal enlargement
c. Polyphagia and polydipsia
d. Swelling of the legs and feet - Answer ✓✓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 clinic nurse notes that a child brought in for a physical has swelling and bruising around the
eyes. The
patient denies any trauma and the parent reports no environmental allergies. Which
assessment is most
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important?
a. Auscultate lungs bilaterally.
b. Inspect skin on the back.
c. Palpate abdomen and neck
d. Percuss abdomen and flank. - Answer ✓✓ANS: C
Swelling and bruising around the face and eyes is often seen in children with neuroblastoma.
Most commonly
the tumor can be found by palpation of the abdomen or neck, where the tumor will present
as a hard, painless
mass that crosses the midline.
A nurse notes in a patients medical record high levels of vanillymandelic acid (VMA). Based on
this
information, which condition does the nurse prepare to educate the patient and family
about?
a. Ewings sarcoma
b. Hodgkins lymphoma
c. Neuroblastoma
d. Wilms tumor - Answer ✓✓ANS: C
VMA and homovanillic acid (HVA) are tests used to measure the level of catecholamine
metabolites in the
urine. Neuroblastomas typically secrete catecholamines, so high levels of either substance are
indicative of
neuroblastoma.
A nursing student is caring for a child diagnosed with Wilms tumor. Which action by the
student causes the
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