Update 2025
A nurse is caring for a 5 year old who has terminal cancer. Which of the following statements
are true? (SATA)
A. parents may be at different stages in dealing with the child's death
B. the child is thinking about the future and knows he may not be able to participate
C. the 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 my have long term disruptive effects on a family
F. child doesn't fully understand concept of death - Answers A, C, E, F
The parents of a 10 year old child with an inoperable brain tumor insist that the child not be
informed of his condition. Parents are reluctant to a tell a child he's dying due to:
A. fear
B. anger
C. denial
D. shock - Answers C (denial)
A 6 year old girl has been receiving chemotherapy. She is also receiving TPN via a central line.
Which of the following nursing diagnoses is of HIGHEST priority?
A. imbalanced nutrition: less than requirements
B. risk for deficient fluid volume
C. risk for infection
D. activity intolerance - Answers C. (risk for infection)
The nurse is caring for a child with leukemia. The nurse should be aware that children being
treated for leukemia may experience which of the following: (SATA)
, A. anemia
B. infection
C. bleeding tendencies
D. bone deformities
E. polycythemia - Answers A, B, C
The universal first reaction of a parents to a child's life threatening illness or death is:
A. acceptance
B. anger
C. depression
D. shock - Answers D (shock)
The nurse is assigned to a child with ALL who has a platelet count of 35,000. The nurse should
implement which of the following interventions?
A. provide a soft toothbrush for mouth care
B. isolation precautions should be started immediately
C. the child's VS monitored Q4hr
D. all visitors should be discouraged from coming to the hospital - Answers A (soft toothbrush)
The nurse overhears the parent of a critically injured child who is praying at the child's bedside
saying, "I will stop drinking and smoking." The nurse understands that the parent is in which
stage of the grieving process?
A. denial
B. accceptance
C. bargaining
D. anger - Answers C (bargaining)