TopicQuiz01_rf1__questions.pdf

Exam 1 questions will cover content from the the powerpoints linked on blackboard. The best way to prepare will be to will be to review these powerpoints. All questions in the exam will be pulled from content in the powerpoints.  No notes or books are allowed on exams so please make sure you review the material beforehand.During the exams, do not use any outside sources of information (notes, powerpoints, websites, etc.) Honorlock will prohibit you from opening other websites, it will also record your screen to ensure powerpoints aren’t being viewed.You will also need a functional webcam and your student ID. Honorlock will take a picture at the beginning of the exam of you and your Student ID.Please read the questions carefully and choose the best answer. You have 50 minutes to complete once you begin.

A nurse is providing discharge education to the parents of a 7-year-old child diagnosed with Sickle Cell Anemia following an admission for a severe vaso-occlusive painful crisis. Which statement made by the parent demonstrates a correct understanding of the primary triggers that precipitate sickling and lead to a vaso-occlusive crisis?

A pediatric oncology nurse is caring for a 13-year-old child admitted with a bulky mediastinal mass secondary to Non-Hodgkin Lymphoma. During the morning assessment, the nurse notes that the child is sitting upright in bed, leaning forward, and exhibiting dyspnea. Physical examination reveals facial edema, periorbital puffiness, jugular vein distension (JVD), and prominent, dilated collateral veins visible across the upper chest and neck. The nurse recognizes these clinical manifestations as an oncologic emergency caused by which pathophysiological process?

A 9-year-old child with Sickle Cell Anemia is admitted to the pediatric unit experiencing a severe vaso-occlusive crisis (VOC) with localized bone pain, low-grade fever, and mild hypoxia. The nurse understands that when red blood cells deform into rigid, crescent shapes, they initiate a systemic, multi-organ response. Which sequence best describes how sickle cell morphology leads to widespread microvascular thrombi and systemic inflammatory response?

Care for the child with acute idiopathic thrombocytopenia includes which therapeutic intervention?

A 15-year-old adolescent who underwent a right above-the-knee amputation (AKA) for distal femur osteosarcoma is on post-operative day 2. The child lies in bed facing the wall, refuses to look at the surgical dressing, and turns away when the physical therapist enters the room. During evening care, the child tearfully says, “I look deformed. My life is completely ruined, and no one at school is ever going to look at me the same way again.”

A pediatric oncology nurse is caring for an 11-year-old child with leukemia who is experiencing severe hair loss (alopecia) secondary to chemotherapy. The child refuses to see visitors, keeps the room dimmed, and covers their head with blankets. When planning care to support the child’s coping and body image, which intervention should the nurse implement as the highest priority?

A nurse is caring for an 8-year-old child receiving intravenous induction chemotherapy for Acute Lymphoblastic Leukemia (ALL). The child is experiencing severe acute nausea and vomiting. Which intervention should the nurse implement as the highest priority to manage chemotherapy-induced nausea and vomiting (CINV)?

A nurse in the pediatric oncology outpatient clinic notices the 9-year-old healthy brother of a child receiving active treatment for Acute Lymphoblastic Leukemia (ALL). The sibling is sitting alone in the waiting room, kicking his heels against the chair. When the nurse sits beside him, he angrily says, “Nobody cares about me anymore! Mom and Dad spend every single day with my sister, and I have to do everything by myself!” Which action by the nurse represents the most therapeutic response to sibling distress in pediatric cancer care?