HESI Case Studies: RN Pediatrics : Acute Lymphoblastic Leukemia (ALL)Questions and
Answers
After reviewing the results of Roberto's ANC count, which assessment finding should the nurse document? -
ansThe child is at a high risk for infection
After the dx of ALL is confirmed, the HCP orders a lumbar puncture (LP). Which explanation by the nurse best
describes the purpose of the LP? - ansDetermine whether cancer cells have spread to the spinal fluid.
Based on Roberto's lab results, which factors place him at high risk for acute lymphoblastic leukemia (ALL)? -
ansSex and WBC
Based on Roberto's presenting symptoms and history, which diagnostic test does the nurse anticipate as a
priority? - ansBone marrow aspiration
Based on the diagnosis, the nurse anticipates the administration of which medications during the induction
stage? - ans- Vincristine
- Prednisone
Based on the understanding of the effects of chemotherapy, the nurse implements which intervention in the
nursing care of a pediatric client with myelosuppression from chemotherapeutic agents? - ansImplement good
hand washing techniques.
During intake, the triage nurse quickly realizes Roberto's parents speak limited English. Who is the best
resource for the nurse to consult? - ansHospital interpreter
During the child's initial assessment, which assessment findings would be of concern to the nurse? - ans- bone
pain
- fever
- pallor
- bruises on the legs
Answers
After reviewing the results of Roberto's ANC count, which assessment finding should the nurse document? -
ansThe child is at a high risk for infection
After the dx of ALL is confirmed, the HCP orders a lumbar puncture (LP). Which explanation by the nurse best
describes the purpose of the LP? - ansDetermine whether cancer cells have spread to the spinal fluid.
Based on Roberto's lab results, which factors place him at high risk for acute lymphoblastic leukemia (ALL)? -
ansSex and WBC
Based on Roberto's presenting symptoms and history, which diagnostic test does the nurse anticipate as a
priority? - ansBone marrow aspiration
Based on the diagnosis, the nurse anticipates the administration of which medications during the induction
stage? - ans- Vincristine
- Prednisone
Based on the understanding of the effects of chemotherapy, the nurse implements which intervention in the
nursing care of a pediatric client with myelosuppression from chemotherapeutic agents? - ansImplement good
hand washing techniques.
During intake, the triage nurse quickly realizes Roberto's parents speak limited English. Who is the best
resource for the nurse to consult? - ansHospital interpreter
During the child's initial assessment, which assessment findings would be of concern to the nurse? - ans- bone
pain
- fever
- pallor
- bruises on the legs
