Peds Acute Lymphoblastic Leukemia (ALL) Test Questions and
Answers Graded A+
Meet the Client: Roberto Diaz
Based on Roberto's presenting symptoms and
Roberto Diaz, a two-year-old male, is taken to history, which diagnostic test does the nurse
the emergency department (ED) by his parents, anticipate as a priority? - ANSWER -Bone
Mercedes and Carlos Diaz, who recently arrived marrow aspiration.
from Guatemala. For the past 2 to 3 weeks,
Roberto has been less active and has had a
decreased appetite, a persistent low grade fever, After the diagnosis of ALL is confirmed, the HCP
and spots on his arms and legs. Roberto's orders a lumbar puncture (LP). Which
parents originally contributed this behavioral explanation by the nurse best describes the
change on the move to a new country. Because purpose of the LP? - ANSWER -Determine
Roberto is a toddler, his spots were not a whether cancer cells have spread to the spinal
concern to his parents. fluid.
During intake, the triage nurse quickly realizes
Roberto's parents speak limited English. Who is What additional information is vital for the nurse
the best resource for the nurse to consult? - to obtain from Roberto's history? -
ANSWER -Hospital Interpreter. ANSWER -Roberto's immunization status.
Which action should the nurse take after the Which statement by the nurse demonstrates a
specimen is obtained? - ANSWER -Hold therapeutic response to the parents' feelings of
pressure for 5 minutes on all venipunctures until guilt? - ANSWER -"It is common for subtle
the CBC report is returned. changes in a child's health to go unnoticed by
parents."
Which action should the nurse take first? -
ANSWER -Examine child for occult Which nursing interventions should the nurse
bleeding. implement to decrease the parent's distress?
(SATA) - ANSWER -Provide answers to the
family's questions about the upcoming treatment
Based on Roberto's lab results, which factors plan.
place him at a high risk for acute lymphoblastic Ask the family if they would like to meet with
leukemia (ALL)? - ANSWER -Sex and another family experiencing a similar situation.
WBC.
The nurse is teaching the parents about the
During the child's initial assessment, which implanted port. Which statement by the nurse is
assessment findings would be of concern to the correct regarding the primary purpose of the
nurse? (SATA) - ANSWER -Pallor port? - ANSWER -"It is to increase the
Bruises on the legs child's quality of life."
Bone Pain
Fever
The nurse obtains a volumetric pump for
1/3
Answers Graded A+
Meet the Client: Roberto Diaz
Based on Roberto's presenting symptoms and
Roberto Diaz, a two-year-old male, is taken to history, which diagnostic test does the nurse
the emergency department (ED) by his parents, anticipate as a priority? - ANSWER -Bone
Mercedes and Carlos Diaz, who recently arrived marrow aspiration.
from Guatemala. For the past 2 to 3 weeks,
Roberto has been less active and has had a
decreased appetite, a persistent low grade fever, After the diagnosis of ALL is confirmed, the HCP
and spots on his arms and legs. Roberto's orders a lumbar puncture (LP). Which
parents originally contributed this behavioral explanation by the nurse best describes the
change on the move to a new country. Because purpose of the LP? - ANSWER -Determine
Roberto is a toddler, his spots were not a whether cancer cells have spread to the spinal
concern to his parents. fluid.
During intake, the triage nurse quickly realizes
Roberto's parents speak limited English. Who is What additional information is vital for the nurse
the best resource for the nurse to consult? - to obtain from Roberto's history? -
ANSWER -Hospital Interpreter. ANSWER -Roberto's immunization status.
Which action should the nurse take after the Which statement by the nurse demonstrates a
specimen is obtained? - ANSWER -Hold therapeutic response to the parents' feelings of
pressure for 5 minutes on all venipunctures until guilt? - ANSWER -"It is common for subtle
the CBC report is returned. changes in a child's health to go unnoticed by
parents."
Which action should the nurse take first? -
ANSWER -Examine child for occult Which nursing interventions should the nurse
bleeding. implement to decrease the parent's distress?
(SATA) - ANSWER -Provide answers to the
family's questions about the upcoming treatment
Based on Roberto's lab results, which factors plan.
place him at a high risk for acute lymphoblastic Ask the family if they would like to meet with
leukemia (ALL)? - ANSWER -Sex and another family experiencing a similar situation.
WBC.
The nurse is teaching the parents about the
During the child's initial assessment, which implanted port. Which statement by the nurse is
assessment findings would be of concern to the correct regarding the primary purpose of the
nurse? (SATA) - ANSWER -Pallor port? - ANSWER -"It is to increase the
Bruises on the legs child's quality of life."
Bone Pain
Fever
The nurse obtains a volumetric pump for
1/3
