Title: Module 5 Quiz
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 5

Q: The nurse is preparing a child for possible alopecia from chemotherapy. Which of the following should be included?
- Explain to child that hair usually regrows in 1 year.
- Advise child to expose head to sunlight to minimize alopecia.
- Explain to child that wearing a hat/scarf is preferable to wearing a wig.
- Explain to child that when hair regrows, it may have a slightly different color or texture.
A: Explain to child that hair usually regrows in 1 year.

Q: The school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include which of the following?
- Correction of acidosis
- Pain management, administration of heparin
- Adequate oxygenation, replacement of factor VIII
- Adequate hydration, pain management
A: Adequate hydration, pain management

Q: Which of the following immunizations should not be given to a child receiving chemotherapy for cancer?
- Tetanus vaccine
- Inactivated poliovirus vaccine
- Measles, Mumps, Rubella
- Diphtheria, pertussis, tetanus (DPT)
A: Measles, Mumps, Rubella

Q: Myelosuppression associated with chemotherapeutic agents or some malignancies such as leukemia can cause thrombocytopenia because of what?
- Decrease in leukocytes
- Increase in lymphocytes
- Decrease in Vitamin C absorption
- Decrease in blood platelets
A: Decrease in blood platelets

Q: The school nurse is assessing and giving initial care to a child with hemophilia who has significant pain in his knee. The nurse suspects hemarthrosis. As the nurse waits for his caregiver to arrive, she takes which of the following actions?
- Maintains joint mobility with passive range of motion exercises
- Elevates the leg above the heart
- Applies warm soaks to reduce the swelling
- Administers children's Aspirin or Ibuprofen for pain
A: Elevates the leg above the heart

Q: The nurse is educating the family of a child who is diagnosed with sickle cell anemia. What information would be most important to teach this family?
- Decrease fluid intake at night
- Place cool compresses on the child when he/she is having pain
- Provide extra fluids in hot weather
- Home school the child to prevent exposure to illness
A: Provide extra fluids in hot weather

Q: Which nursing intervention is the most effective in preventing the most common complication leading to death in a child with leukemia?
- Physical therapy
- Frequent oral hygiene.
- Aseptic technique
- Adequate hydration.
A: Aseptic technique

Q: Which of the following clinical manifestations should the nurse expect to see in a toddler with Sickle Cell anemia experiencing a Vaso-Occlusive Crisis?
- Circulatory collapse
- Cardiomegaly, systolic murmur
- Hepatomegaly, cholestasis
- Painful swelling of hands, feet and joints
A: Painful swelling of hands, feet and joints

Q: The nurse is preparing to give an infant the morning dose of Digoxin. What assessment should the nurse make prior to giving this dose of digoxin?
- Check last digoxin level
- Measure Blood pressure
- Weigh infant
- Assess apical pulse rate
A: Assess apical pulse rate

Q: Which nursing activity would be most appropriate for the pediatric patient with anemia related to leukemia?
- Medicate around the clock for pain
- Protect child from injuries
- Allow for periods of rest between activities
- Assess level of consciousness
A: Allow for periods of rest between activities

Q: Which of the following is an important nursing assessment for a child with leukemia who has neutropenia?
- Assess for bleeding
- Assess for fever
- Assess for muscle weakness
- Provide physical activities for distraction
A: Assess for fever

Q: An important nursing action for a child with leukemia who has thrombocytopenia is which of the following?
- Protect the child from injuries
- Careful assessment for pain
- Promote extra rest periods
- Monitor temperature every four hours
A: Protect the child from injuries

Q: What is the most serious side effect of an antineoplastic drug?
- Skin rashes
- Headache
- Bone marrow depression
- Oliguria
A: Bone marrow depression

Q: A young child who is receiving chemotherapy for acute leukemia is now experiencing stomatitis (severe mouth ulcers) and anorexia. His parents are asking advice about the child's diet. Which action would the nurse initially suggest?
- Relax eating pressures for now
- Firmly enforce normal eating
- Start gavage feedings
- Avoid soft or cold foods
A: Relax eating pressures for now

Q: Which of the following information should be included when teaching a mother of a toddler who is starting on liquid iron preparation?
- Iron should be given with milk
- Iron should be stopped immediately if the child becomes constipated
- Iron should be given between meals
- Iron should not be given if stools are black or tarry
A: Iron should be given between meals

Q: What is the most common cause of iron deficiency in a toddler?
- Bone marrow depression
- Exposure to toxins
- Excessive intake of milk
- Lack of Vitamin D in diet
A: Excessive intake of milk

Q: The mother of a 2 year old child with sickle cell anemia asks the nurse why her doctor has ordered a Trans-cranial Doppler study (TCD) for her child. The nurse explains
- This test help determine the child's IQ.
- This will help determine the child's success in school.
- This test will determine the child's risk for stroke
- The test is not necessary.
A: This test will determine the child's risk for stroke

Q: When teaching the parents of a child newly diagnosed with Hemophilia, the nurse needs to help the parents understand which of the following?
- Protection form injury is more import than mastering motor skills
- Physical therapy may be harmful to joints and muscles
- Normal development should be encouraged with supervision
- All physical activity should be discouraged
A: Normal development should be encouraged with supervision

Q: Pediapred is available in a liquid preparation of 15mg per 5mls. The child will be taking 12 mgs BID by mouth. If one dose is due at 9 a.m., how many mls will you administer?
- 6mls
- 8 mls
- 2 mls
- 4 mls
A: 4 mls

Q: Ordered is Phenobarbital 30 mg BID through a G tube. On hand is Phenobarbital 20 mg/ 5 mls. The nurse will give how many ml's per dose
- 2.5 mls
- 3 mls
- 6 mls
- 7.5 mls
A: 7.5 mls