FINAL EXAM: ONCOLOGY NCLEX ACTUAL COMPLETE
EXAM |WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
At a visit to the pediatric clinic, a mother is concerned by her 4 year
old's symptoms over the last few weeks. Which of the following
symptoms described by the mother would lead the nurse to be concerned
about an oncologic disorder? Select all that apply
a. bruising in various stages, mainly on the legs
b. frequent complaints of respiratory infections, while siblings remain
healthy
c. enlarged, firm lymph nodes
d. asthma symptoms with increase in wheezing
e. fever for more than 1 week Ans✓✓✓ b
c
e
The nurse taking care of a 5 year old cancer patient with ulcerative
stomatitis is getting ready to perform mouth care. Which of the
following principles should be followed? Select all that apply
a. due to pain, viscous lidocaine should be used to swish the mouth 3
times per day
b. a soft, bland diet, although not the favorite of the child, will help with
the pain
,c. lemon glycerine swabs are helpful because they remind children of
lemon drops
d. using a soft sponge-type toothbrush will decrease the tendency for
gums to bleed
e. a solution of 1 tsp of baking soda and 1/2 tsp of table salt in 1 quart of
water is helpful for mouth rinse Ans✓✓✓ b
d
e
The parents of a child with Hodgkin disease ask how the physician will
know what type of cancer their child has. Which of the following
definitive signs and symptoms should the nurse describe? Select all that
apply
a. the most common finding is enlarged, firm, nontender movable nodes
in the supraclavicular or cervical area
b. tests include complete blood count, prothrombin time and G6PD,
erythropoetin, and sedimentation rate
c. generally a bone marrow biopsy is done to look for the presence of
blast cells
d. the presence of Sternberg-Reed cells is considered diagnostic of
Hodgkin disease
e. the presence of a white reflection as opposed to the normal red
pupillary reflex in the pupil is a classic sign Ans✓✓✓ a
d
,Of the following assessment findings, the one that would most likely be
seen in a child with leukemia is
a. weakness of the eye muscle
b. bruising, nosebleeds, pallor, and fatigue
c. wheezing and shortness of breath
d. abdominal swelling Ans✓✓✓ b
The nurse is administering a dose of IV vincristine when the child
suddenly starts complaining of difficulty breathing and is markedly
flushed. The nurse's highest priority is to
a. administer an oral histamine
b. stop the infusion immediately
c. slow down the infusion rate
d. call the practitioner Ans✓✓✓ a
A candidate for bone marrow transplantation is the child who
a. is unlikely to be cured by other means
b. has acute leukemia
c. has chronic leukemia
d. has a compatible donor in his family Ans✓✓✓ a
, Children who have profound anemia during induction therapy sohuld
a. strictly limit their activities
b. regulate their own activity with adult supervision
c. receive blood transfusions until the hemoglobin level reaches 10
d. receive chemotherapy until the hemoglobin level reaches 10
Ans✓✓✓ c
The nursing intervention that would be most helpful for the child who
has stomatitis from cancer chemotherapy would be
a. an anesthetic preparation without alcohol
b. viscous lidocaine
c. lemon glycerin swabs
d. a mild sedative Ans✓✓✓ a
An 8 year old is to receive a chemotherapeutic drug in the outpatient
clinic; his mother comments that he is not eating well because he gets so
nauseous with the chemo. One way to minimize these effects is to
a. administer an antiemetic when the child complains of nausea
b. avoid foods in the room that make him nauseous
c. administer an antiemetic 30 minutes to an hour before the chemo
infusion
EXAM |WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
At a visit to the pediatric clinic, a mother is concerned by her 4 year
old's symptoms over the last few weeks. Which of the following
symptoms described by the mother would lead the nurse to be concerned
about an oncologic disorder? Select all that apply
a. bruising in various stages, mainly on the legs
b. frequent complaints of respiratory infections, while siblings remain
healthy
c. enlarged, firm lymph nodes
d. asthma symptoms with increase in wheezing
e. fever for more than 1 week Ans✓✓✓ b
c
e
The nurse taking care of a 5 year old cancer patient with ulcerative
stomatitis is getting ready to perform mouth care. Which of the
following principles should be followed? Select all that apply
a. due to pain, viscous lidocaine should be used to swish the mouth 3
times per day
b. a soft, bland diet, although not the favorite of the child, will help with
the pain
,c. lemon glycerine swabs are helpful because they remind children of
lemon drops
d. using a soft sponge-type toothbrush will decrease the tendency for
gums to bleed
e. a solution of 1 tsp of baking soda and 1/2 tsp of table salt in 1 quart of
water is helpful for mouth rinse Ans✓✓✓ b
d
e
The parents of a child with Hodgkin disease ask how the physician will
know what type of cancer their child has. Which of the following
definitive signs and symptoms should the nurse describe? Select all that
apply
a. the most common finding is enlarged, firm, nontender movable nodes
in the supraclavicular or cervical area
b. tests include complete blood count, prothrombin time and G6PD,
erythropoetin, and sedimentation rate
c. generally a bone marrow biopsy is done to look for the presence of
blast cells
d. the presence of Sternberg-Reed cells is considered diagnostic of
Hodgkin disease
e. the presence of a white reflection as opposed to the normal red
pupillary reflex in the pupil is a classic sign Ans✓✓✓ a
d
,Of the following assessment findings, the one that would most likely be
seen in a child with leukemia is
a. weakness of the eye muscle
b. bruising, nosebleeds, pallor, and fatigue
c. wheezing and shortness of breath
d. abdominal swelling Ans✓✓✓ b
The nurse is administering a dose of IV vincristine when the child
suddenly starts complaining of difficulty breathing and is markedly
flushed. The nurse's highest priority is to
a. administer an oral histamine
b. stop the infusion immediately
c. slow down the infusion rate
d. call the practitioner Ans✓✓✓ a
A candidate for bone marrow transplantation is the child who
a. is unlikely to be cured by other means
b. has acute leukemia
c. has chronic leukemia
d. has a compatible donor in his family Ans✓✓✓ a
, Children who have profound anemia during induction therapy sohuld
a. strictly limit their activities
b. regulate their own activity with adult supervision
c. receive blood transfusions until the hemoglobin level reaches 10
d. receive chemotherapy until the hemoglobin level reaches 10
Ans✓✓✓ c
The nursing intervention that would be most helpful for the child who
has stomatitis from cancer chemotherapy would be
a. an anesthetic preparation without alcohol
b. viscous lidocaine
c. lemon glycerin swabs
d. a mild sedative Ans✓✓✓ a
An 8 year old is to receive a chemotherapeutic drug in the outpatient
clinic; his mother comments that he is not eating well because he gets so
nauseous with the chemo. One way to minimize these effects is to
a. administer an antiemetic when the child complains of nausea
b. avoid foods in the room that make him nauseous
c. administer an antiemetic 30 minutes to an hour before the chemo
infusion
