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NURS 6500 Exam 3 2025/2026 Newest Updates
Questions with Correct Answers Actual Exam
(Score A)-Marquette University
when the trait is inherited from ___, the child has sickle cell disease, and anemia develops. The trait does not skip generations. The traits occurs most commonly in black clients. from both parents (homogygous state) After the initial assessment is performed on a child with Wilms tumor, further palpation of the abdomen should be avoided because? the tumor is highly vascular and soft therefore, excessive handling of the tumor may result in tumor seeding and metastasis. A teenage girl asks why chemotherapy causes hair loss. Which response by the nurse is accurate? chemotherapy affects cancer cells and normal cells that multiply rapidly chemotherapy is cytotoxic to rapidly proliferating cells-malignant or normal. Normal cells that turn over rapidly include? those of bone marrow, hair, and mucous membranes
Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? administer the antiemetic before starting chemotherapy to prevent N/V throughout administration of chemotherapy you can give antiemetics they are most effective when given? before chemotherapy begins and then on a regular schedule Parents ask why their child just diagnosed with leukemia needs a "spinal tap." Which is the best response by the nurse? checking the CSF will reveal whether leukemic cells have entered the central nervous system A nurse is teaching parents of a child with iron-deficiency anemia how to administer ferrous sulfate. The nurse determines that the teaching was successful when they make which statements? Select all that apply. We'll give him the medicine before he eats his meals." "He has to make sure that he brushes his teeth well." "He might get constipated, so we'll try to get him to eat some more fiber."
the mouth of a child receiving chemotherapy can become very inflamed and painful. It is important of the nurse to? assess the oral cavity for redness, lesions, and plaques frequently use soft-bristle toothbrush if gums are inflamed the child may use a saltwater solution or commercial mouthwash to keep the mouth clean A nursing student compares and contrasts childhood and adult cancers. Which statement does so accurately? children cancers unlike those of adults often are detected accidentally, not through screening bone marrow aspiration provides samples of bone marrow so the type and quantity of cells being produced can be determined in children, the bone marrow aspirations sites used are? the iliac crests or spines
in a situation where the child exhibits signs of anemia related to acute hemorrhage, the nurse should anticipate administering? a transfusion of packed red blood cells to improve oxygenation and circulation a hallmark of vaso-occulsive crisis, _____, which results from the sickled red cells and increased blood viscosity. dactylitis the normal absolute neutrophil count ranges from? 1.5 to 8. an ANC less than 1.5 in children over age 1 indicates? neutropenia The nurse is caring for a child with leukemia. Which nursing intervention would be the highest priority for this child? following guidelines for reverse isolation
is defined as failure to provide a child with appropriate food, clothing, shelter, medical care, and schooling risk factors for abuse in children include poverty prematurity cerebral palsy chronic illness intellectual disability risk factors for being abusers in parents or caretakers include history of being abused themselves alch or substance abuse extreme stress
vigorous shaking in the infant leads to? intracranial hemorrhage and shaken baby syndrome if an infant has shaken baby syndrome what is a clinical manifestation intracranial hemorrhage bruises located on the ___ are suspicious for abuse. chest head neck abdomen burns located where are highly suspicious for inflicted burns of abuse? burns that occur in stocking or glove pattern or only to the soles or palms
history of trauma that is inconsistent with the observed injury types of child maltreatment physical abuse sexual abuse emotional abuse neglect what does it mean that a nurse is a mandated reporter? in the course of professional responsibilities, the RN must refer suspected cases of neglect or abuse to the local child protection agency a history of childhood abuse is associated with? the development of anxiety and depressive disorders, suicidal ideation and attempts, and alcohol and drug use
how would you interview parents/caregivers who were suspected of abusing their child? a. Questions for children: i. Are you afraid of anyone at home? ii. Who could you tell if someone hurt you or touched you in a way that made you uncomfortable? iii. Has anyone hurt you or touched you in that way? b. Question for parents: i. Are you afraid of anyone at home? ii. Do you ever feel like you may hit or hurt your child when frustrated? proper assessment technique with suspected abuse take a thorough and detailed health history of the child's illness or illnesses use quotations to document the parent's responses
Nursing process when caring for child with suspected abuse Step 1) Assessment obtain data Ask caregivers questions, ask child questions R/O medical/physical cause of injury (Henoch-Schönlein Purpura (HSP) Mongolian spots Nevus Simplex Bullous Impetigo, Bilateral black eyes (basilar skull fx, etc.) perform physical exam Step 2) Diagnose (suspect abuse) Step 3) Plan/Implement: Notify supervisor and report suspected abuse to Dept. of Child Services
Provide nursing care to child S/S of abusive head trauma Seizures Abrupt change in LOC Vomiting without diarrhea Coma Fever Irritability Breathing difficulty Changes in visual gaze When the history involves a sudden onset of symptoms; eg: "I went to check on him and he looked blue."
chemotherapy drugs work in two different ways in relation to the cell cycle. Cell cycle specific agents and cell cycle nonspecific drugs. How do cell cycle specific agents exert their actions? they exert their actions during a specific phase of the cell cycle chemotherapy drugs work in two different ways in relation to the cell cycle. Cell cycle specific agents and cell cycle nonspecific drugs. How do cell cycle nonspecific drugs exert their effect? they exert their effect regardless of which phase the cell is in chemotherapy protocols often call for a combination of drugs because? it can act on different phases of the cell cycle thus maximizing the destruction of cancer cells chemotherapeutic medications disrupt the cell cycle of not only cancer cells but also normal rapidly dividing cells. The cells most likely to be affected by chemotherapy are? those in bone marrow digestive tract (especially the mouth) reproductive system hair follicles
adverse effects of chemotherapy drugs Immunosuppression Infection Myelosuppression Nausea Vomiting Constipation Oral mucositis Alopecia Pain long term complications of chemotherapy is? microdontia and missing teeth as a result of damage to developing permanent teeth
may develop as a result of decreased production of RBCs or loss and destruction of RBCs anemia caused by the alteration or destruction of the RBCs is termed? hemolytic anemia there are several types of hemolytic anemia such as? sickle cell disease thalassemia iron deficiency anemia occurs? when the body does not have enough iron to produce Hgb s/s of iron deficiency anemia irritability HA dizziness
weakness SOB pallor fatigue spooning of nails leukemia is a primary disorder of the bone marrow in which the normal elements are replaced with abnormal WBCs acute lymphoblastic leukemia (ALL) is the most common form of cancer in children 85% occur in children between 2 and 10 years of age complications of ALL
