NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
1. 1. A 6-year-old patient presents with fatigue frequent infections and easy
bruising. Bone marrow biopsy confirms a diagnosis of leukemia. Based on
prevalence which type of leukemia is most likely?
A) Acute myelogenous leukemia (AML)
B) Chronic lymphocytic leukemia (CLL)
C) Acute lymphoid leukemia (ALL)
D) Chronic myelogenous leukemia (CML): Answer: C, Acute lymphoid leukemia (ALL)
2. 2. A patient with leukemia undergoes further testing which identifies
the presence of B-cell precursors. This finding suggests which subtype of
leukemia?
A) Acute myelogenous leukemia (AML)
B) T-cell acute lymphoid leukemia (T-ALL)
C) B-cell acute lymphoid leukemia (B-ALL)
D) Chronic myeloid leukemia (CML): Answer: C, B-cell acute lymphoid leukemia (B-ALL)
3. 3. A nurse is educating a family about leukemia. Which statement best de-
scribes the disease?
A) A localized tumor affecting the lymph nodes
B) A broad group of malignant diseases affecting bone marrow and the
lymphatic system
C) A chronic condition that only affects older adults
D) A viral infection leading to abnormal white blood cell production: Answer: B, A
broad group of malignant diseases affecting bone marrow and the lymphatic system
4. 4. A child diagnosed with leukemia is found to have abnormal proliferation of
myeloid precursor cells. Which type of leukemia is this most consistent with?
A) Acute lymphoid leukemia (ALL)
B) Acute myelogenous leukemia (AML)
C) Chronic lymphocytic leukemia (CLL)
D) Chronic myelogenous leukemia (CML): Answer: B, Acute myelogenous leukemia (AML)
5. 5. A nursing student is reviewing leukemia prevalence. Which of the following
statements is accurate?
A) Acute myelogenous leukemia (AML) is the most common childhood
leukemia accounting for 80% of cases.
, NURS 3511 Week 7
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B) Acute lymphoid leukemia (ALL) is the most common childhood leukemia
accounting for 80% of cases.
C) Chronic myeloid leukemia (CML) is more common than acute leukemias in
children.
D) Myeloid leukemias are more common in children than lymphoid leukemias.-
: Answer: B, Acute lymphoid leukemia (ALL) is the most common childhood leukemia, accounting for 80% of cases.
6. 1. A 3-year-old child is brought to the clinic with fatigue fever and easy
bruising. Based on the peak age range for acute lymphoblastic leukemia (ALL)
the nurse recognizes that this child is at increased risk. What is the typical age
range for ALL onset?
A) Birth to 1 year
B) 2 to 5 years
C) 6 to 10 years
D) 11 to 15 years: Answer: B, 2 to 5 years
7. 2. A child with Down syndrome (Trisomy 21) is diagnosed with acute lym-
phoblastic leukemia (ALL). The nurse understands that genetic conditions such
as T21 increase the risk of developing ALL. Which of the following is another
genetic condition associated with increased ALL risk?
A) Cystic fibrosis
B) Wiskott-Aldrich syndrome
C) Sickle cell disease
D) Marfan syndrome: Answer: B, Wiskott-Aldrich syndrome
8. 3. A child diagnosed with ALL presents with hepatosplenomegaly. The nurse
understands that this occurs due to:
A) Viral infection affecting the liver and spleen
B) Unrestricted proliferation of immature WBCs infiltrating highly vascular
organs
C) Decreased platelet production causing organ swelling
D) Increased red blood cell destruction leading to organ failure: Answer: B, Unrestrict-
ed proliferation of immature WBCs infiltrating highly vascular organs
9. 4. A child undergoing testing for leukemia has a low white blood cell (WBC)
count despite having a malignancy involving WBCs. The nurse explains that this
, NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
occurs because:
A) The bone marrow is not producing any WBCs
B) The body is actively destroying all WBCs before they mature
C) Leukemia involves the overproduction of immature WBCs that do not
function properly
D) Chemotherapy has already suppressed WBC production: Answer: C, Leukemia
involves the overproduction of immature WBCs that do not function properly
10. 5. A nurse is assessing a child with suspected ALL. Which of the following
clinical manifestations would support this diagnosis?
A) Pallor petechiae bone pain hepatosplenomegaly
B) Cough shortness of breath night sweats weight gain
C) Rash joint stiffness jaundice hematuria
D) Seizures diplopia vomiting increased intracranial pressure: Answer: A, Pallor, pe-
techiae, bone pain, hepatosplenomegaly
11. 6. A child undergoing treatment for ALL develops severe fatigue and loss of
appetite. The nurse understands that these symptoms are primarily due to:
A) Increased metabolic demand from rapid cell proliferation
B) Anemia caused by bone marrow dysfunction
C) Dehydration and electrolyte imbalances
D) Liver failure due to chemotherapy toxicity: Answer: B, Anemia caused by bone marrow
dysfunction
12. 7. A child with ALL presents with fever pallor and multiple bruises. The nurse
recognizes that these symptoms result from:
A) Infiltration of leukemic cells into the skin and bones
B) Bone marrow suppression leading to decreased RBCs WBCs and platelets
C) Chemotherapy side effects causing immune system suppression
D) Increased bilirubin levels from liver dysfunction: Answer: B, Bone marrow suppression
leading to decreased RBCs, WBCs, and platelets
13. 8. A parent of a child newly diagnosed with ALL asks why their child is
experiencing joint and bone pain. The nurse correctly explains that this pain
is due to:
A) Increased pressure from leukemic cell accumulation in the bone marrow
, NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
B) Decreased calcium absorption due to leukemia treatment
C) Poor circulation caused by anemia
D) Infection spreading to the joints: Answer: A, Increased pressure from leukemic cell accumulation
in the bone marrow
14. 9. A nurse is reviewing lab results for a child with suspected ALL. Which of
the following findings would be most consistent with the diagnosis?
A) High platelet count low WBC count high hemoglobin
B) Low RBC count low platelet count normal/elevated/low WBC count
C) High RBC count high WBC count normal platelet count
D) Low hemoglobin normal platelet count elevated neutrophils: Answer: B, Low RBC
count, low platelet count, normal/elevated/low WBC count
15. 10. A child diagnosed with ALL is undergoing chemotherapy. The nurse
knows that the liver and spleen are particularly affected by leukemia due to
their:
A) Large size and metabolic function
B) Vascularity and role in blood cell filtration
C) Inability to metabolize chemotherapy drugs
D) Role in producing clotting factors: Answer: B, Vascularity and role in blood cell filtration
16. 1. A nurse is assessing a 4-year-old child who has been experiencing persis-
tent fever swollen lymph nodes and drenching night sweats. The parent also
reports that the child has lost weight and seems more fatigued than usual.
Based on these symptoms the nurse should be most concerned about which
condition?
A) Viral infection
B) Juvenile rheumatoid arthritis
C) Pediatric cancer
D) Iron-deficiency anemia: Answer: C, Pediatric cancer
17. 2. A nurse is providing education to parents about the risk factors for
childhood cancer. Which statement by the parents indicates a need for further
teaching?
A) "Some cancers in children can be linked to genetic conditions like Down
syndrome."
Study online at https://quizlet.com/_hsxxjr
1. 1. A 6-year-old patient presents with fatigue frequent infections and easy
bruising. Bone marrow biopsy confirms a diagnosis of leukemia. Based on
prevalence which type of leukemia is most likely?
A) Acute myelogenous leukemia (AML)
B) Chronic lymphocytic leukemia (CLL)
C) Acute lymphoid leukemia (ALL)
D) Chronic myelogenous leukemia (CML): Answer: C, Acute lymphoid leukemia (ALL)
2. 2. A patient with leukemia undergoes further testing which identifies
the presence of B-cell precursors. This finding suggests which subtype of
leukemia?
A) Acute myelogenous leukemia (AML)
B) T-cell acute lymphoid leukemia (T-ALL)
C) B-cell acute lymphoid leukemia (B-ALL)
D) Chronic myeloid leukemia (CML): Answer: C, B-cell acute lymphoid leukemia (B-ALL)
3. 3. A nurse is educating a family about leukemia. Which statement best de-
scribes the disease?
A) A localized tumor affecting the lymph nodes
B) A broad group of malignant diseases affecting bone marrow and the
lymphatic system
C) A chronic condition that only affects older adults
D) A viral infection leading to abnormal white blood cell production: Answer: B, A
broad group of malignant diseases affecting bone marrow and the lymphatic system
4. 4. A child diagnosed with leukemia is found to have abnormal proliferation of
myeloid precursor cells. Which type of leukemia is this most consistent with?
A) Acute lymphoid leukemia (ALL)
B) Acute myelogenous leukemia (AML)
C) Chronic lymphocytic leukemia (CLL)
D) Chronic myelogenous leukemia (CML): Answer: B, Acute myelogenous leukemia (AML)
5. 5. A nursing student is reviewing leukemia prevalence. Which of the following
statements is accurate?
A) Acute myelogenous leukemia (AML) is the most common childhood
leukemia accounting for 80% of cases.
, NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
B) Acute lymphoid leukemia (ALL) is the most common childhood leukemia
accounting for 80% of cases.
C) Chronic myeloid leukemia (CML) is more common than acute leukemias in
children.
D) Myeloid leukemias are more common in children than lymphoid leukemias.-
: Answer: B, Acute lymphoid leukemia (ALL) is the most common childhood leukemia, accounting for 80% of cases.
6. 1. A 3-year-old child is brought to the clinic with fatigue fever and easy
bruising. Based on the peak age range for acute lymphoblastic leukemia (ALL)
the nurse recognizes that this child is at increased risk. What is the typical age
range for ALL onset?
A) Birth to 1 year
B) 2 to 5 years
C) 6 to 10 years
D) 11 to 15 years: Answer: B, 2 to 5 years
7. 2. A child with Down syndrome (Trisomy 21) is diagnosed with acute lym-
phoblastic leukemia (ALL). The nurse understands that genetic conditions such
as T21 increase the risk of developing ALL. Which of the following is another
genetic condition associated with increased ALL risk?
A) Cystic fibrosis
B) Wiskott-Aldrich syndrome
C) Sickle cell disease
D) Marfan syndrome: Answer: B, Wiskott-Aldrich syndrome
8. 3. A child diagnosed with ALL presents with hepatosplenomegaly. The nurse
understands that this occurs due to:
A) Viral infection affecting the liver and spleen
B) Unrestricted proliferation of immature WBCs infiltrating highly vascular
organs
C) Decreased platelet production causing organ swelling
D) Increased red blood cell destruction leading to organ failure: Answer: B, Unrestrict-
ed proliferation of immature WBCs infiltrating highly vascular organs
9. 4. A child undergoing testing for leukemia has a low white blood cell (WBC)
count despite having a malignancy involving WBCs. The nurse explains that this
, NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
occurs because:
A) The bone marrow is not producing any WBCs
B) The body is actively destroying all WBCs before they mature
C) Leukemia involves the overproduction of immature WBCs that do not
function properly
D) Chemotherapy has already suppressed WBC production: Answer: C, Leukemia
involves the overproduction of immature WBCs that do not function properly
10. 5. A nurse is assessing a child with suspected ALL. Which of the following
clinical manifestations would support this diagnosis?
A) Pallor petechiae bone pain hepatosplenomegaly
B) Cough shortness of breath night sweats weight gain
C) Rash joint stiffness jaundice hematuria
D) Seizures diplopia vomiting increased intracranial pressure: Answer: A, Pallor, pe-
techiae, bone pain, hepatosplenomegaly
11. 6. A child undergoing treatment for ALL develops severe fatigue and loss of
appetite. The nurse understands that these symptoms are primarily due to:
A) Increased metabolic demand from rapid cell proliferation
B) Anemia caused by bone marrow dysfunction
C) Dehydration and electrolyte imbalances
D) Liver failure due to chemotherapy toxicity: Answer: B, Anemia caused by bone marrow
dysfunction
12. 7. A child with ALL presents with fever pallor and multiple bruises. The nurse
recognizes that these symptoms result from:
A) Infiltration of leukemic cells into the skin and bones
B) Bone marrow suppression leading to decreased RBCs WBCs and platelets
C) Chemotherapy side effects causing immune system suppression
D) Increased bilirubin levels from liver dysfunction: Answer: B, Bone marrow suppression
leading to decreased RBCs, WBCs, and platelets
13. 8. A parent of a child newly diagnosed with ALL asks why their child is
experiencing joint and bone pain. The nurse correctly explains that this pain
is due to:
A) Increased pressure from leukemic cell accumulation in the bone marrow
, NURS 3511 Week 7
Study online at https://quizlet.com/_hsxxjr
B) Decreased calcium absorption due to leukemia treatment
C) Poor circulation caused by anemia
D) Infection spreading to the joints: Answer: A, Increased pressure from leukemic cell accumulation
in the bone marrow
14. 9. A nurse is reviewing lab results for a child with suspected ALL. Which of
the following findings would be most consistent with the diagnosis?
A) High platelet count low WBC count high hemoglobin
B) Low RBC count low platelet count normal/elevated/low WBC count
C) High RBC count high WBC count normal platelet count
D) Low hemoglobin normal platelet count elevated neutrophils: Answer: B, Low RBC
count, low platelet count, normal/elevated/low WBC count
15. 10. A child diagnosed with ALL is undergoing chemotherapy. The nurse
knows that the liver and spleen are particularly affected by leukemia due to
their:
A) Large size and metabolic function
B) Vascularity and role in blood cell filtration
C) Inability to metabolize chemotherapy drugs
D) Role in producing clotting factors: Answer: B, Vascularity and role in blood cell filtration
16. 1. A nurse is assessing a 4-year-old child who has been experiencing persis-
tent fever swollen lymph nodes and drenching night sweats. The parent also
reports that the child has lost weight and seems more fatigued than usual.
Based on these symptoms the nurse should be most concerned about which
condition?
A) Viral infection
B) Juvenile rheumatoid arthritis
C) Pediatric cancer
D) Iron-deficiency anemia: Answer: C, Pediatric cancer
17. 2. A nurse is providing education to parents about the risk factors for
childhood cancer. Which statement by the parents indicates a need for further
teaching?
A) "Some cancers in children can be linked to genetic conditions like Down
syndrome."
