HESI Case Studies (Pediatrics): Acute
Lymphoblastic Leukemia Exam
Questions and Answers 100% Pass
During the intake, the triage nurse quickly realizes Roberto's parents speak limited
English? Who is the best resource for the nurse to consult? - ANSWER-Hospital
interpreter
What action should the nurse take after the specimen is obtained? - ANSWER-
Hold pressure for 5 minutes on all venipunctures until the CBC report is returned
Which action should the nurse take first? - ANSWER-Examine child for occult
bleeding
Based on Roberto's lab results, which factors place him at a high risk for ALL? -
ANSWER-Sex and WBC
During the child's initial assessment, which assessment findings would be of
concern to the nurse? (Select all that apply) - ANSWER-- Pallor
- Bruises on the legs
- Bone Pain
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, - Fever
Based on Roberto's presenting symptoms and history, which diagnostic test does
the nurse anticipate as a priority? - ANSWER-Bone marrow aspiration
After the diagnosis of ALL is confirmed, the HCP orders a lumbar puncture (LP).
Which explanation by the nurse best describes the purpose of the LP? -
ANSWER-Determine whether cancer cells have spread to the spinal fluid
What additional information is vital for the nurse to obtain from Roberto's history?
- ANSWER-Roberto's immunization status
Which statement by the nurse demonstrates a therapeutic response to the parents'
feelings of guilt? - ANSWER-"It is common for subtle changes in a child's health
to go unnoticed by parents."
Which nursing interventions should the nurse implement to decrease the parents'
distress? (Select all that apply) - ANSWER-- Provide answers to the family's
questions about the upcoming treatment plan.
- Ask the family if they would like to meet with another family experiencing a
similar situation.
The nurse is teaching the parents about the implanted port. Which statement by
the nurse is correct regarding the primary purpose of the port? - ANSWER-" It is
to increase the child's quality of life."
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Lymphoblastic Leukemia Exam
Questions and Answers 100% Pass
During the intake, the triage nurse quickly realizes Roberto's parents speak limited
English? Who is the best resource for the nurse to consult? - ANSWER-Hospital
interpreter
What action should the nurse take after the specimen is obtained? - ANSWER-
Hold pressure for 5 minutes on all venipunctures until the CBC report is returned
Which action should the nurse take first? - ANSWER-Examine child for occult
bleeding
Based on Roberto's lab results, which factors place him at a high risk for ALL? -
ANSWER-Sex and WBC
During the child's initial assessment, which assessment findings would be of
concern to the nurse? (Select all that apply) - ANSWER-- Pallor
- Bruises on the legs
- Bone Pain
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, - Fever
Based on Roberto's presenting symptoms and history, which diagnostic test does
the nurse anticipate as a priority? - ANSWER-Bone marrow aspiration
After the diagnosis of ALL is confirmed, the HCP orders a lumbar puncture (LP).
Which explanation by the nurse best describes the purpose of the LP? -
ANSWER-Determine whether cancer cells have spread to the spinal fluid
What additional information is vital for the nurse to obtain from Roberto's history?
- ANSWER-Roberto's immunization status
Which statement by the nurse demonstrates a therapeutic response to the parents'
feelings of guilt? - ANSWER-"It is common for subtle changes in a child's health
to go unnoticed by parents."
Which nursing interventions should the nurse implement to decrease the parents'
distress? (Select all that apply) - ANSWER-- Provide answers to the family's
questions about the upcoming treatment plan.
- Ask the family if they would like to meet with another family experiencing a
similar situation.
The nurse is teaching the parents about the implanted port. Which statement by
the nurse is correct regarding the primary purpose of the port? - ANSWER-" It is
to increase the child's quality of life."
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
