Quiz
Cancer and Care of the Dying Child
Questions in this quiz (20)
1Cancer is the #1 disease-related cause of death in infants, children, and adolescents.
- ATrue
- BFalse
2What cooperative group coordinates pediatric cancer treatment plans?
- AChildren's Oncology Group
- BChildren's Hospital of Philadelphia
- CAmerican Pediatric Cancer Association
- DMayo Clinic
3What facts about acute lymphoblastic leukemia can you give to the parents of a child diagnosed with it?
- A"This cancer is the most common cancer of children; it accounts for 3/4 of childhood leukemia cases."
- B"All pediatric age groups have the same amount of risk for getting leukemia."
- C"The five-year survival rate for a standard-risk child is 90%."
- D"The five-year survival rate for a standard-risk child 64%."
- E"It is more common in children with chromosomal disorders."
4You have delivered teaching to the parents of a child with acute myelogenous leukemia.
Which of the following statements shows that more teaching is needed?- A"This type of leukemia is not as common; it represents 17% of all childhood leukemia."
- B"It has a higher rate in the first 2 years of life."
- C"It has a 5-year survival rate of 64%."
- D"It has a sharp peak in ages 2-3 years."
5What are the known risk factors for acute myelogenous leukemia?
- AIonizing radiation in utereo
- BConstitutional genetic disorders, such as trisomy 21
- CPrenatal environmental factors, such solvents and pesticides.
- DAccelerated fetal growth
- ELow birth weight
6Which of the following is accelerated fetal growth/high birth weight not associated with?
- AAcute lymphoid leukemia
- BCNS tumors
- CWilms tumor (kidney tumor)
- DNon-Hodgkins lymphoma
- EEmbryonal rhabdomyosarcoma
- FAcute myeloid leukemia
7Parents with a child newly diagnosed with leukemia asks you what treatment may consist of.
Which of the following shows the BEST teaching?- A"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."
- B"There is not a great deal of options available, aside from chemtotherapy and radiation."
- C"Ask your oncologist what your child's treatment consists of."
- D"For leukemia, your only option is likely stem cell transplantation."
8Which of the following is UNTRUE about neuroblastomas?
- AThey're usually stage IV when diagnosed.
- BThe 5-year survival rate is 79%.
- CIt arises from the adrenal gland or sympathetic ganglia.
- DMost of these types of tumors secrete catecholamines.
9Which of the following is NOT a symptom of a neuroblastoma?
- ALump in the abdomen
- BLump in the chest
- CBone pain
- DBruising around the eyes
- EPetechiae
10Which of the following is not true about Wilm's Tumor?
- AIt's a rare kidney cancer that primarily affects children.
- B1-2% is familial and associated with a gene on chromosome 11.
- CIt's most common between age 3-4
- DOverall 5-year survival rate is at 90%
- EThe best way to assess for the tumor is palpation.
11What stage of the grieving process is this patient in?
"I still don't understand how my child could have cancer."- ADenial
- BAnger
- CBargaining
- DDepression
- EAcceptance
12What 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?"- ADenial
- BAnger
- CBargianing
- DDepression
- EAcceptance
13What 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."- ADenial
- BAnger
- CBargaining
- DDepression
- EAcceptance
14What stage of the grieving process is this patient in?
"I don't think I can live the rest of my life without my baby."- ADenial
- BAnger
- CBargaining
- DDepression
- EAcceptance
15What stage of the grieving process is this patient in?
"My son is with the Lord now."- ADenial
- BAnger
- CBargaining
- DDepression
- EAcceptance
16Which of the following does not influence a child's ability to cope with loss?
- AThe caregiver's ability to communicate and provide emotional support.
- BSupport from peers and others.
- CPrior experience with loss.
- DReligious and cultural belief system.
- ESocioeconomic level.
17What would you expect to see and hear when performing a physical assessment of a dying child?
- ACool, clammy skin
- BSkin is cyanotic and mottling
- CDeath rattle
- DMoaning/grunting with breathing
- EShivering
- FDyspnea.
18What findings would you expect to see when performing a neurological assessment on a child that is dying?
- AAgitation or restlessness
- BDeterioration of hearing and vision
- CDecreasing level of consciousness, ending in loss of consciousness.
- DBrief burst of energy right before death.
- EAuditory and/or visual hallucinations
19What musculoskeletal, urinary, and bowel findings would you expect to find when assessing a child who is dying?
- AExtreme weakness
- BInability to speak or swallow, leading to decreased fluid intake and/or anorexia
- CDecreased urine output
- DBladder/bowel incontinence
- EHypotonia or hypertonia
- FTwitching of fingers and/or toes
20Which of the following vital sign findings would you expect to see in a child that is dying?
- ATachypnea
- BBradypnea
- CTachycardia
- DHypotension
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- User has deleted their subject information Quiz on Cancer and Care of the Dying Child, created by Deleted user on 08/11/2019.
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- Created on 8 Nov 2019 · updated on 4 Dec 2019
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