NR 404 Midterm 1 questions with correct answers
The nurse is reviewing the medical record of a child diagnosed with
Hodgkin lymphoma at the asymptomatic stage. Which would the nurse
identify as typically the first sign reported by the child?
A. anorexia
B. weight loss
C. night sweats
D. painless, enlarged lymph node
Ricci Chapter 46 Correct Answer-D. painless, enlarged lymph node
The blood cell becomes an erythrocyte. Rank the following steps in the
proper order of occurrence.
Erythropoietin helps the cell turn into a red blood cell.
The myeloid cell becomes a megakaryocyte.
Thrombopoietin acts on the cell.
The bone marrow releases a stem cell.
Ricci Chapter 46 Correct Answer-1. The bone marrow releases a stem
cell.
2. Thrombopoietin acts on the cell.
3. The myeloid cell becomes a megakaryocyte.
4. Erythropoietin helps the cell turn into a red blood cell.
,A nurse is teaching the parents of a child with sickle cell disease about
factors that predispose the child to a sickle cell crisis. The nurse
determines that the teaching was successful when the parents identify
what as a factor?
a. Pallor
b. Infection
c. Respiratory distress
d. Fluid overload
Ricci Chapter 46 Correct Answer-b. Infection
Explanation:Factors that may precipitate a sickle cell crisis include:
fever, infection, dehydration, hot or humid environment, cold air or
water temperature, high altitude, or excessive physical activity.
Respiratory distress and pallor are general signs and symptoms of a
sickle cell crisis.
An adolescent receiving chemotherapy has lost all hair and is sad about
self-image. Which action should the nurse take to support this adolescent
and involve the client in decision making?
a. Refer the adolescent to a peer support group.
b. Have a Child Life specialist work with the adolescent.
c. Encourage the adolescent to select hats or wigs to fit one's personality.
,d. Support the adolescent's choice of comfortable clothing.
Ricci Chapter 46 Correct Answer-c. Encourage the adolescent to select
hats or wigs to fit one's personality.
A hospice nurse is providing at-home care to a child with end-stage
cancer. The nurse is developing a plan of care to manage the child's pain.
Which medications will the nurse likely include?
a. mild analgesics
b. opioids
c. sedatives
d. topical anesthetics
Ricci Chapter 46 Correct Answer-b. opioids
The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
a. enlarged mandibular growth
b. increased growth of long bones
c. lightly yellow sclera
d. depigmented areas on the abdomen
Ricci Chapter 46 Correct Answer-c. lightly yellow sclera
, When developing the postoperative plan of care for a child with sickle
cell anemia who has undergone a splenectomy, which would the nurse
identify as the priority?
a. Risk for delayed growth and development
b. Risk for infection
c. Deficient fluid volume
d. Impaired skin integrity
Ricci Chapter 46 Correct Answer-b. Risk for infection
Explanation: Removal of the spleen places the child at significant risk
for infection. Although the child's skin integrity is disrupted due to the
surgery, this is not the priority nursing diagnosis. Loss of fluids occurs
during surgery and adequate hydration is important to prevent a sickle
cell crisis, but this diagnosis is not the priority in the postoperative
period. Although the child is at risk for delayed growth and
development, the priority postoperatively is to prevent infection.
What is one advantage of an implanted port (central venous access
device) that the nurse will explain to an adolescent?
a. No special procedure is necessary for removal.
b. Flushing of the device is not necessary.
c. No tunneling is needed when the port is inserted.
The nurse is reviewing the medical record of a child diagnosed with
Hodgkin lymphoma at the asymptomatic stage. Which would the nurse
identify as typically the first sign reported by the child?
A. anorexia
B. weight loss
C. night sweats
D. painless, enlarged lymph node
Ricci Chapter 46 Correct Answer-D. painless, enlarged lymph node
The blood cell becomes an erythrocyte. Rank the following steps in the
proper order of occurrence.
Erythropoietin helps the cell turn into a red blood cell.
The myeloid cell becomes a megakaryocyte.
Thrombopoietin acts on the cell.
The bone marrow releases a stem cell.
Ricci Chapter 46 Correct Answer-1. The bone marrow releases a stem
cell.
2. Thrombopoietin acts on the cell.
3. The myeloid cell becomes a megakaryocyte.
4. Erythropoietin helps the cell turn into a red blood cell.
,A nurse is teaching the parents of a child with sickle cell disease about
factors that predispose the child to a sickle cell crisis. The nurse
determines that the teaching was successful when the parents identify
what as a factor?
a. Pallor
b. Infection
c. Respiratory distress
d. Fluid overload
Ricci Chapter 46 Correct Answer-b. Infection
Explanation:Factors that may precipitate a sickle cell crisis include:
fever, infection, dehydration, hot or humid environment, cold air or
water temperature, high altitude, or excessive physical activity.
Respiratory distress and pallor are general signs and symptoms of a
sickle cell crisis.
An adolescent receiving chemotherapy has lost all hair and is sad about
self-image. Which action should the nurse take to support this adolescent
and involve the client in decision making?
a. Refer the adolescent to a peer support group.
b. Have a Child Life specialist work with the adolescent.
c. Encourage the adolescent to select hats or wigs to fit one's personality.
,d. Support the adolescent's choice of comfortable clothing.
Ricci Chapter 46 Correct Answer-c. Encourage the adolescent to select
hats or wigs to fit one's personality.
A hospice nurse is providing at-home care to a child with end-stage
cancer. The nurse is developing a plan of care to manage the child's pain.
Which medications will the nurse likely include?
a. mild analgesics
b. opioids
c. sedatives
d. topical anesthetics
Ricci Chapter 46 Correct Answer-b. opioids
The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
a. enlarged mandibular growth
b. increased growth of long bones
c. lightly yellow sclera
d. depigmented areas on the abdomen
Ricci Chapter 46 Correct Answer-c. lightly yellow sclera
, When developing the postoperative plan of care for a child with sickle
cell anemia who has undergone a splenectomy, which would the nurse
identify as the priority?
a. Risk for delayed growth and development
b. Risk for infection
c. Deficient fluid volume
d. Impaired skin integrity
Ricci Chapter 46 Correct Answer-b. Risk for infection
Explanation: Removal of the spleen places the child at significant risk
for infection. Although the child's skin integrity is disrupted due to the
surgery, this is not the priority nursing diagnosis. Loss of fluids occurs
during surgery and adequate hydration is important to prevent a sickle
cell crisis, but this diagnosis is not the priority in the postoperative
period. Although the child is at risk for delayed growth and
development, the priority postoperatively is to prevent infection.
What is one advantage of an implanted port (central venous access
device) that the nurse will explain to an adolescent?
a. No special procedure is necessary for removal.
b. Flushing of the device is not necessary.
c. No tunneling is needed when the port is inserted.
