Nurs 232 Exam 3 Questions With New
Update Solutions
/. What term describes programmed cell death when the cell realizes something is
wrong and destroys itself? - Answer-✅Apoptosis
/.What is the term for a method of med delivery in which the drug is introduced into the
spinal canal
*ex: lumbar puncture - Answer-✅Intrathecal
/.What is described as a decrease production of blood cells in the bone marrow -
Answer-✅Myelosuppression
/.What term describes the lowest point in a lab value or serum blood titer - Answer-
✅Nadir
/.What term describes cancers that appear after the primary cancer in treatment but are
of a different histologic type
*most commonly solid tumors - Answer-✅Secondary cancers
/.What term describes chemicals or processes that, when combined with genetic traits
and an interaction with one another, cause cancer - Answer-✅Carcinogen
/.A nurse is caring for a 5 yr old who has terminal cancer. Which of the following
statements are true? (Select all that apply)
a) parents may be at different stages in dealing with child's death
b) Child is thinking about future and knows he may not be able to participate
c) dying child may become clingy and act like a toddler
d) whispering in the room will help the child cope
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death - Answer-✅a) parents may be at
different stages in dealing with child's death
c) dying child may become clingy and act like a toddler
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death
*b is describing adolescent and d is considered scary
/.Parents of a 10 yr old with in operable brain tumor insist that the child not be informed
of his condition. Parents are reluctant to tell a child he's dying due to:
a) fear
,b) anger
c) denial
d) shock - Answer-✅c) denial
*could also be a)fear bc afraid of scaring child
/.A 6 yr old girl has been receiving chemotherapy. She is also receiving TPN via a
central line. Which of the following nursing diagnoses is the highest priority?
a) Imbalances nutrition: less than body requirements
b) risk for deficient fluid volume
c) risk for infection
d) activity intolerance - Answer-✅c) risk for infection
/.Nurse is caring for a child receiving chemotherapy. The nurse should be aware that
the child may experience which of the following side effects? (select all that apply)
a) anemia
b) weight gain
c) polycythemia
d) mucositis
e) leukocytosis
f) thrombocytopenia - Answer-✅a) anemia
d) mucositis
f) thrombocytopenia
/.The universal 1st reaction of parents to a child's life threatening illness or death is:
a) acceptance
b) anger
c) depression
d) shock - Answer-✅d) Shock
/.The nurse is assigned to a child w/ ALL who has a platelet count of 35,000. The nurse
should implement which of the following interventions?
a) all visitors should be discouraged from coming to the hospital
b) isolation precautions should be started immediately
c) provide a soft toothbrush for mouth care
d) Monitor child's VS, including BP q 4 hrs - Answer-✅c) provide a soft toothbrush for
mouth care
*low platelet count (normal 150,000-400,000) so at increased risk for bleeding
/.Nurse overhears the parent of a critically injured child who is praying at the child's
bedside say "I will stop drinking and smoking". The nurse understands that the parent is
in which stage of grieving process
a) denial
b) acceptance
c) bargaining
d) anger - Answer-✅c) bargaining
,/.Which of the following factors plays a significant role in the nurses ability to provide
safe and effective care to terminally ill children
a) knowledge of advance psychomotor skills
b) understanding of the dying process
c) experience with terminally ill adults
d) acknowledgment of on feelings about dying and death - Answer-✅d)
acknowledgment of on feelings about dying and death
/.Which of the following nursing interventions is the most appropriate when working with
the school age child who has a terminal illness?
a) give factual explanations of the disease, medication, and procedures
b) perform all care for the child
c) tell the child that everything will be ok
d) reinforce that being in the hospital is not a punishment for any thoughts or actions -
Answer-✅a) give factual explanations of the disease, medication, and procedures
*d is referring to preschool age children
/.Which of the following interventions by the nurse should have the highest priority for
the family following the death of their child?
a) verbalizing sorrow and sadness for the loss of their child
b) discouraging the family from holding or touching their child
c) asking the family to immediately leave the room so that all medical equipment can be
removed
d) allowing the family to be alone with her child - Answer-✅d) allowing the family to be
alone with her child
/.Which of the following statements demonstrates by a mother of an 8 mos old child w/
iron-deficiency anemia demonstrates an understanding of this disorder?
a) "I will mix the iron sulfate in her morning bottle of formula"
b) "I will make sure to include infant cereal in her diet each day"
c) "I will give the iron sulfate w/ a meal to improve absorption"
d) "My baby may be prone to diarrhea due to the meds" - Answer-✅b) "I will make sure
to include infant cereal in her diet each day"
*infants should be introduced to solids by 6 mos like cereal, which is usually is fortified
w iron
*meals do not help w absorption; only take w meals if GI upset
*iron may cause constipation
/.An important nursing consideration when caring for a child w sickle cell anemia is
which of the following?
a) teach the parents and child how to avoid triggers
b) refer the parents and child for genetic counseling
c) help the family adjust to short term diseas
, d) observe for complications of multiple blood transfusions - Answer-✅a) teach the
parents and child how to avoid triggers
*chronic long term disease
/.The nurse knows that a definitive diagnosis of pyloric stenosis will be made by which
of the following tests?
a) abd x-ray
b) colonoscopy
c) CT scan
d) abd ultrasound - Answer-✅d) abd ultrasound
/.Which of the following observations would be most concerning to a nurse caring for a
toddler w diagnosis of idiopathic thrombocytopenia purpura ?
a) the child is jumping up and down on bed
b) mother of child placing blankets along side of crib
c) an order for acetaminophen for discomfort
d) petechiae on bilateral legs - Answer-✅a) the child is jumping up and down on bed
*petechiae is an expected finding
*padding the side of the crib helps prevent injury
*can give acetaminophen for discomfort—no aspirin b/c increases risk of bleeding
/.You are the nurse caring for following pts. Which pt would you assess 1st
a) 12 yr old w sickle cell anemia in vaso-occlusive crisis rating pain 8/10
b) 7 yr old diagnosed w hemophilia A w right knee bleed rating his pain 4/10 on FACES
scale
c) 2 yr old w sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm
d) 3 yr old w ITP w platelet count of 50,000 - Answer-✅c) 2 yr old w sickle cell anemia
in vaso-occlusive crisis w RR of 46 bpm
*Normal RR for 1 yrs: [25-40] and 3 yrs: [20-30]
*tachypneic concerned w oxygenation; could be from complication acute chest
syndrome
/.Which assessment finding is of greatest concern in a child who has sickle cell anemia
and of experiencing sickle cell pain crisis
a) oxygen saturation of 91%
b) hgb 8.2
c) hct 30%
d) platelet 205,000 - Answer-✅a) oxygen saturation of 91%
/.Which statement best describes the technique to feed an infant w cleft lip?
a) thicken feeding and enlarge nipple opening to allow for easier delivery
b) feed upright and slowly, slowing for frequent breaks
c) lay the infant on his right side to prevent aspiration
d) give small, frequent feedings to prevent aspiration - Answer-✅b) feed upright and
slowly, slowing for frequent breaks
Update Solutions
/. What term describes programmed cell death when the cell realizes something is
wrong and destroys itself? - Answer-✅Apoptosis
/.What is the term for a method of med delivery in which the drug is introduced into the
spinal canal
*ex: lumbar puncture - Answer-✅Intrathecal
/.What is described as a decrease production of blood cells in the bone marrow -
Answer-✅Myelosuppression
/.What term describes the lowest point in a lab value or serum blood titer - Answer-
✅Nadir
/.What term describes cancers that appear after the primary cancer in treatment but are
of a different histologic type
*most commonly solid tumors - Answer-✅Secondary cancers
/.What term describes chemicals or processes that, when combined with genetic traits
and an interaction with one another, cause cancer - Answer-✅Carcinogen
/.A nurse is caring for a 5 yr old who has terminal cancer. Which of the following
statements are true? (Select all that apply)
a) parents may be at different stages in dealing with child's death
b) Child is thinking about future and knows he may not be able to participate
c) dying child may become clingy and act like a toddler
d) whispering in the room will help the child cope
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death - Answer-✅a) parents may be at
different stages in dealing with child's death
c) dying child may become clingy and act like a toddler
e) death of a child may have long-term disruptive affects on family
f) Child doesn't fully understand the concept of death
*b is describing adolescent and d is considered scary
/.Parents of a 10 yr old with in operable brain tumor insist that the child not be informed
of his condition. Parents are reluctant to tell a child he's dying due to:
a) fear
,b) anger
c) denial
d) shock - Answer-✅c) denial
*could also be a)fear bc afraid of scaring child
/.A 6 yr old girl has been receiving chemotherapy. She is also receiving TPN via a
central line. Which of the following nursing diagnoses is the highest priority?
a) Imbalances nutrition: less than body requirements
b) risk for deficient fluid volume
c) risk for infection
d) activity intolerance - Answer-✅c) risk for infection
/.Nurse is caring for a child receiving chemotherapy. The nurse should be aware that
the child may experience which of the following side effects? (select all that apply)
a) anemia
b) weight gain
c) polycythemia
d) mucositis
e) leukocytosis
f) thrombocytopenia - Answer-✅a) anemia
d) mucositis
f) thrombocytopenia
/.The universal 1st reaction of parents to a child's life threatening illness or death is:
a) acceptance
b) anger
c) depression
d) shock - Answer-✅d) Shock
/.The nurse is assigned to a child w/ ALL who has a platelet count of 35,000. The nurse
should implement which of the following interventions?
a) all visitors should be discouraged from coming to the hospital
b) isolation precautions should be started immediately
c) provide a soft toothbrush for mouth care
d) Monitor child's VS, including BP q 4 hrs - Answer-✅c) provide a soft toothbrush for
mouth care
*low platelet count (normal 150,000-400,000) so at increased risk for bleeding
/.Nurse overhears the parent of a critically injured child who is praying at the child's
bedside say "I will stop drinking and smoking". The nurse understands that the parent is
in which stage of grieving process
a) denial
b) acceptance
c) bargaining
d) anger - Answer-✅c) bargaining
,/.Which of the following factors plays a significant role in the nurses ability to provide
safe and effective care to terminally ill children
a) knowledge of advance psychomotor skills
b) understanding of the dying process
c) experience with terminally ill adults
d) acknowledgment of on feelings about dying and death - Answer-✅d)
acknowledgment of on feelings about dying and death
/.Which of the following nursing interventions is the most appropriate when working with
the school age child who has a terminal illness?
a) give factual explanations of the disease, medication, and procedures
b) perform all care for the child
c) tell the child that everything will be ok
d) reinforce that being in the hospital is not a punishment for any thoughts or actions -
Answer-✅a) give factual explanations of the disease, medication, and procedures
*d is referring to preschool age children
/.Which of the following interventions by the nurse should have the highest priority for
the family following the death of their child?
a) verbalizing sorrow and sadness for the loss of their child
b) discouraging the family from holding or touching their child
c) asking the family to immediately leave the room so that all medical equipment can be
removed
d) allowing the family to be alone with her child - Answer-✅d) allowing the family to be
alone with her child
/.Which of the following statements demonstrates by a mother of an 8 mos old child w/
iron-deficiency anemia demonstrates an understanding of this disorder?
a) "I will mix the iron sulfate in her morning bottle of formula"
b) "I will make sure to include infant cereal in her diet each day"
c) "I will give the iron sulfate w/ a meal to improve absorption"
d) "My baby may be prone to diarrhea due to the meds" - Answer-✅b) "I will make sure
to include infant cereal in her diet each day"
*infants should be introduced to solids by 6 mos like cereal, which is usually is fortified
w iron
*meals do not help w absorption; only take w meals if GI upset
*iron may cause constipation
/.An important nursing consideration when caring for a child w sickle cell anemia is
which of the following?
a) teach the parents and child how to avoid triggers
b) refer the parents and child for genetic counseling
c) help the family adjust to short term diseas
, d) observe for complications of multiple blood transfusions - Answer-✅a) teach the
parents and child how to avoid triggers
*chronic long term disease
/.The nurse knows that a definitive diagnosis of pyloric stenosis will be made by which
of the following tests?
a) abd x-ray
b) colonoscopy
c) CT scan
d) abd ultrasound - Answer-✅d) abd ultrasound
/.Which of the following observations would be most concerning to a nurse caring for a
toddler w diagnosis of idiopathic thrombocytopenia purpura ?
a) the child is jumping up and down on bed
b) mother of child placing blankets along side of crib
c) an order for acetaminophen for discomfort
d) petechiae on bilateral legs - Answer-✅a) the child is jumping up and down on bed
*petechiae is an expected finding
*padding the side of the crib helps prevent injury
*can give acetaminophen for discomfort—no aspirin b/c increases risk of bleeding
/.You are the nurse caring for following pts. Which pt would you assess 1st
a) 12 yr old w sickle cell anemia in vaso-occlusive crisis rating pain 8/10
b) 7 yr old diagnosed w hemophilia A w right knee bleed rating his pain 4/10 on FACES
scale
c) 2 yr old w sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm
d) 3 yr old w ITP w platelet count of 50,000 - Answer-✅c) 2 yr old w sickle cell anemia
in vaso-occlusive crisis w RR of 46 bpm
*Normal RR for 1 yrs: [25-40] and 3 yrs: [20-30]
*tachypneic concerned w oxygenation; could be from complication acute chest
syndrome
/.Which assessment finding is of greatest concern in a child who has sickle cell anemia
and of experiencing sickle cell pain crisis
a) oxygen saturation of 91%
b) hgb 8.2
c) hct 30%
d) platelet 205,000 - Answer-✅a) oxygen saturation of 91%
/.Which statement best describes the technique to feed an infant w cleft lip?
a) thicken feeding and enlarge nipple opening to allow for easier delivery
b) feed upright and slowly, slowing for frequent breaks
c) lay the infant on his right side to prevent aspiration
d) give small, frequent feedings to prevent aspiration - Answer-✅b) feed upright and
slowly, slowing for frequent breaks
