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WorksheetsNeuro/Muscoskeletal/Cancer
Total questions: 24
Worksheet time: 24mins
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?
A child who has cystic fibrosis
A child who has nephrotic syndrome
A child who has rheumatic fever
A child recovering from a ruptured appendix
A child comes to the clinic for an assessment 20 days post–bone marrow transplant. The system that should receive the highest priority during the nursing assessment would be the:
Integumentary.
Gastrointestinal
Respiratory.
Cardiovascular.
A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. It is important that the nurse teach the family to ( Select all that Apply)
Recognize the signs of graft-versus-host disease.
Return the child to school within six weeks.
Practice good handwashing.
Avoid obtaining influenza vaccinations.
Avoid live plants and fresh vegetables.
A child has cancer and has been treated with chemotherapy. The latest lab value indicates the white-blood-cell count is very low. The nurse would expect to administer
Filgrastim (Neupogen).
Ondansetron (Zofran).
Oprelvekin (Neumega).
Epoetin alfa (human recombinant erythropoietin).
A preschool child is being seen in the clinic, and the nurse anticipates a diagnosis of cancer. The nurse prepares for the common reaction preschool-age children often have to a diagnosis of cancer, which is
Acceptance, especially if able to discuss the disease with children their own age.
Thoughts that they caused their illness and are being punished.
Understanding of what cancer is and how it is treated.
Unawareness of the illness and its severity.
A child has thrombocytopenia secondary to chemotherapy treatments. The nurse should not
Administer intramuscular injections (IM).
Perform oral hygiene.
Monitor intake and output.
Use palpation as a component of assessment.
A child has recently been diagnosed with leukemia. The child’s sibling is expressing feelings of anger and guilt. This reaction by the sibling is
Abnormal; the sibling should be referred to a psychologist.
Normal; the illness doesn’t affect the sibling.
Unexpected; the cancer is easily treated.
Normal; the sibling is affected too, and anger and guilt are expected feelings.
The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. The nurse would expect to see
A red reflex.
Yellow sclera.
A white pupil.
Blue-tinged sclera.
A 4-year-old child is brought to the clinic by his mother, who says he has been lethargic and anorexic lately and complains that his bones hurt. On exam, the nurse notes petechiae, joint pain, and an enlarged liver. The nurse anticipates the physician will order additional tests for what disease process?
Hodgkin disease.
Leukemia.
Rhabdomyosarcoma.
Ewing sarcoma.
A child with a brain tumor has been admitted to the PICU after brain surgery to remove the tumor. The nurse implements the following orders from the physician. Which order should the nurse question?
Antibiotics.
Sodium levels every 24 hours.
Anticonvulsants.
Hourly intake and output.
The nurse is planning care for a school-age child with bacterial meningitis. Which of the following should be included?
Keep environmental stimuli at a minimum.
Avoid giving pain medications that could dull sensorium.
Measure head circumference to assess developing complications.
Have child move head side to side at least every two hours.
A nurse is doing a postoperative assessment on an infant who has just had a ventriculoperitoneal shunt placed for hydrocephalus. Which assessment would indicate a malfunction in the shunt?
Incisional pain.
Movement of all extremities.
Negative Brudzinski’s sign.
Bulging fontanel.
An important nursing intervention when caring for an infant with a myelomeningocele in the preoperative stage would be to pressure on the sac.
Place infant supine to decrease pressure on the sac.
Apply a heat lamp to facilitate drying and toughening of the sac.
Measure head circumference every shift to identify developing hydrocephalus.
Apply a diaper to prevent contamination of the sac.
The nurse should suspect a child has cerebral palsy if the parent says,
“My 6-month-old baby is rolling from back to prone now.”
“My 3-month-old seems to have floppy muscle tone.”
“My 8-month-old can sit without support.”
“My 10-month-old is not walking.”
A child has sustained a traumatic brain injury and is being monitored in the pediatric intensive-care unit. The nurse is using the Glasgow Coma Scale to assess the child. What will the nurse be assessing for this scale?
Select all that apply.
Eye opening.
Verbal response.
Motor response.
Head circumference.
Pulse oximetry.
A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. The nurse should (Select all that apply).
Place a continuous-pulse oximetry monitor on the child.
Place the child in a room near the nurse’s station.
Allow for several visitors to remain at the child’s bedside.
Use soft restraints if the child becomes confused.
Use sedation around the clock to decrease agitation.
A 10-year-old child is transported to the emergency room by ambulance from the scene of a car accident. He is alert and oriented × 3; his pulse, respirations, and blood pressure are stable; and his neck and back are immobilized on a backboard. The nurse sees no obvious bleeding. The child states, “I can’t feel or move my legs.” What injury is most likely?
Traumatic brain injury.
Traumatic shock.
Ruptured spleen.
Spinal-cord injury
A child is being discharged after surgery for a myelomeningocele repair. Before discharge, the nurse works with the parents to establish a catheterization schedule to prevent urinary tract infection. With what frequency should the nurse instruct the parents to catheterize the child?
Every 1–2 hours.
Every 3–4 hours.
Every 6–8 hours.
Every 10–12 hours
The nurse in the newborn nursery is doing the admission assessment on a neonate. Congenital hip dysplasia will be suspected when the nurse observes
Asymmetry of the gluteal and thigh fat folds.
Trendelenburg sign.
Telescoping of the affected limb.
Lordosis.
The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. The nurse will include in the parental education to
Apply lotion or powder to minimize skin irritation.
Put clothing over the harness for maximum effectiveness of the device.
Check at least two or three times a day for red areas under the straps.
Place a diaper over the harness, preferably using a thin superabsorbent disposable diaper.
A nurse is assessing a child after an open reduction of a fractured femur. Signs that compartment syndrome could be occurring would be
( Select all that apply)
Pink, warm extremity.
Pain not relieved by pain medication.
Dorsalis pedis pulse present.
Prolonged capillary-refill time with paresthesia.
A child has been admitted to the hospital unconscious. The child has a history of type 1 diabetes, and according to the child’s mother, he has been to two birthday parties in the last few days and has resisted taking his insulin. At school the child had two more pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this child’s unconscious state?
Metabolic alkalosis.
Metabolic ketoacidosis.
Insulin shock.
Insulin reaction.
The nurse is teaching the parent of a type 1 diabetic preschool child about management of the disease. The parent should be told to allow the preschool child to
Administer all the insulin injections.
Pick which finger to stick for glucose testing.
Draw up the insulin dose.
Test blood glucose.
An important nursing intervention when caring for an infant with a myelomeningocele in the preoperative stage
Place infant supine to decrease pressure on the sac.
Apply a heat lamp to facilitate drying and toughening of the sac.
Measure head circumference every shift to identify developing hydrocephalus.
Apply a diaper to prevent contamination of the sac.
