Olivia McRitchie
Quiz by , created more than 1 year ago

NCLEX Nursing (Pediatrics) Quiz on Cancer and Care of the Dying Child, created by Olivia McRitchie on 08/11/2019.

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Olivia McRitchie
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Cancer and Care of the Dying Child

Question 1 of 20

1

Cancer is the #1 disease-related cause of death in infants, children, and adolescents.

Select one of the following:

  • True
  • False

Explanation

Question 2 of 20

1

What cooperative group coordinates pediatric cancer treatment plans?

Select one of the following:

  • Children's Oncology Group

  • Children's Hospital of Philadelphia

  • American Pediatric Cancer Association

  • Mayo Clinic

Explanation

Question 3 of 20

1

What facts about acute lymphoblastic leukemia can you give to the parents of a child diagnosed with it?

Select one or more of the following:

  • "This cancer is the most common cancer of children; it accounts for 3/4 of childhood leukemia cases."

  • "All pediatric age groups have the same amount of risk for getting leukemia."

  • "The five-year survival rate for a standard-risk child is 90%."

  • "The five-year survival rate for a standard-risk child 64%."

  • "It is more common in children with chromosomal disorders."

Explanation

Question 4 of 20

1

You have delivered teaching to the parents of a child with acute myelogenous leukemia.

Which of the following statements shows that more teaching is needed?

Select one of the following:

  • "This type of leukemia is not as common; it represents 17% of all childhood leukemia."

  • "It has a higher rate in the first 2 years of life."

  • "It has a 5-year survival rate of 64%."

  • "It has a sharp peak in ages 2-3 years."

Explanation

Question 5 of 20

1

What are the known risk factors for acute myelogenous leukemia?

Select one or more of the following:

  • Ionizing radiation in utereo

  • Constitutional genetic disorders, such as trisomy 21

  • Prenatal environmental factors, such solvents and pesticides.

  • Accelerated fetal growth

  • Low birth weight

Explanation

Question 6 of 20

1

Which of the following is accelerated fetal growth/high birth weight not associated with?

Select one of the following:

  • Acute lymphoid leukemia

  • CNS tumors

  • Wilms tumor (kidney tumor)

  • Non-Hodgkins lymphoma

  • Embryonal rhabdomyosarcoma

  • Acute myeloid leukemia

Explanation

Question 7 of 20

1

Parents with a child newly diagnosed with leukemia asks you what treatment may consist of.

Which of the following shows the BEST teaching?

Select one of the following:

  • "You have a few options: chemo, surgery, radiation, biotherapy, and a stem cell transplant. Your oncologist will discuss with you what option, or combination of options, is best."

  • "There is not a great deal of options available, aside from chemtotherapy and radiation."

  • "Ask your oncologist what your child's treatment consists of."

  • "For leukemia, your only option is likely stem cell transplantation."

Explanation

Question 8 of 20

1

Which of the following is UNTRUE about neuroblastomas?

Select one of the following:

  • They're usually stage IV when diagnosed.

  • The 5-year survival rate is 79%.

  • It arises from the adrenal gland or sympathetic ganglia.

  • Most of these types of tumors secrete catecholamines.

Explanation

Question 9 of 20

1

Which of the following is NOT a symptom of a neuroblastoma?

Select one of the following:

  • Lump in the abdomen

  • Lump in the chest

  • Bone pain

  • Bruising around the eyes

  • Petechiae

Explanation

Question 10 of 20

1

Which of the following is not true about Wilm's Tumor?

Select one of the following:

  • It's a rare kidney cancer that primarily affects children.

  • 1-2% is familial and associated with a gene on chromosome 11.

  • It's most common between age 3-4

  • Overall 5-year survival rate is at 90%

  • The best way to assess for the tumor is palpation.

Explanation

Question 11 of 20

1

What stage of the grieving process is this patient in?

"I still don't understand how my child could have cancer."

Select one of the following:

  • Denial

  • Anger

  • Bargaining

  • Depression

  • Acceptance

Explanation

Question 12 of 20

1

What stage of the grieving process is this patient in?

"I am so pissed at myself for getting an X-ray while I was pregnant. Why did I have to break my arm?"

Select one of the following:

  • Denial

  • Anger

  • Bargianing

  • Depression

  • Acceptance

Explanation

Question 13 of 20

1

What stage of the grieving process is this patient in?

"I promised God that if he brought my son through this, I would dedicate my entire life to praising him."

Select one of the following:

  • Denial

  • Anger

  • Bargaining

  • Depression

  • Acceptance

Explanation

Question 14 of 20

1

What stage of the grieving process is this patient in?

"I don't think I can live the rest of my life without my baby."

Select one of the following:

  • Denial

  • Anger

  • Bargaining

  • Depression

  • Acceptance

Explanation

Question 15 of 20

1

What stage of the grieving process is this patient in?

"My son is with the Lord now."

Select one of the following:

  • Denial

  • Anger

  • Bargaining

  • Depression

  • Acceptance

Explanation

Question 16 of 20

1

Which of the following does not influence a child's ability to cope with loss?

Select one of the following:

  • The caregiver's ability to communicate and provide emotional support.

  • Support from peers and others.

  • Prior experience with loss.

  • Religious and cultural belief system.

  • Socioeconomic level.

Explanation

Question 17 of 20

1

What would you expect to see and hear when performing a physical assessment of a dying child?

Select one or more of the following:

  • Cool, clammy skin

  • Skin is cyanotic and mottling

  • Death rattle

  • Moaning/grunting with breathing

  • Shivering

  • Dyspnea.

Explanation

Question 18 of 20

1

What findings would you expect to see when performing a neurological assessment on a child that is dying?

Select one or more of the following:

  • Agitation or restlessness

  • Deterioration of hearing and vision

  • Decreasing level of consciousness, ending in loss of consciousness.

  • Brief burst of energy right before death.

  • Auditory and/or visual hallucinations

Explanation

Question 19 of 20

1

What musculoskeletal, urinary, and bowel findings would you expect to find when assessing a child who is dying?

Select one or more of the following:

  • Extreme weakness

  • Inability to speak or swallow, leading to decreased fluid intake and/or anorexia

  • Decreased urine output

  • Bladder/bowel incontinence

  • Hypotonia or hypertonia

  • Twitching of fingers and/or toes

Explanation

Question 20 of 20

1

Which of the following vital sign findings would you expect to see in a child that is dying?

Select one of the following:

  • Tachypnea

  • Bradypnea

  • Tachycardia

  • Hypotension

Explanation

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