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ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+., Exams of Nursing

Imperial College London Nursing

ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+. ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+.

Typology: Exams

2024/2025

Available from 07/16/2025

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NURS 405 Prep U Ricci Chapter 46 (Nursing Care of the Child

With an Alteration in Cellular Regulation/Hematologic or

Neoplastic Disorder Questions With Complete Solutions 2025

Graded A+

The nurse assesses that the client is at risk for an infection related to

chemotherapy-induced immunosuppression. What will the nurse include in the

teaching plan for the child and parents to help reduce this risk? Select all that

apply.

- Have the child sleep in a single bed and room.

- Encourage frequent, thorough handwashing.

- Provide a low-carbohydrate, low-protein diet.

- Encourage frequent contact with multiple visitors.

- Cheer up the environment with fresh flowers and plants. - ANSWERS-- Have the

child sleep in a single bed and room.

- Encourage frequent, thorough handwashing.

The nurse has been asked to participate in a community health teaching session.

Which interventions would the nurse include to help achieve the 2030 National

Health Goals to reduce the incidence of anemias? Select all that apply.

- Explain the importance of healthy eating for adolescent participants.

- Instruct pregnant women to take iron supplementation as prescribed.

- Emphasize ways to reduce unintentional injuries at home, work, and play.

- Review foods that are rich in iron that should be a part of a school-age child's

diet.

- Examine strategies for elderly community members to improve the quality of

life. - ANSWERS-- Explain the importance of healthy eating for adolescent

participants.

- Instruct pregnant women to take iron supplementation as prescribed.

- Review foods that are rich in iron that should be a part of a school-age child's

diet.

Wilms tumor is suspected in a 5-year-old child. Which action would be avoided? -

ANSWERS-abdominal palpation

Partial preview of the text

Download ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+. and more Exams Nursing in PDF only on Docsity!

NURS 405 Prep U Ricci Chapter 46 (Nursing Care of the Child

With an Alteration in Cellular Regulation/Hematologic or

Neoplastic Disorder Questions With Complete Solutions 2025

Graded A+

The nurse assesses that the client is at risk for an infection related to chemotherapy-induced immunosuppression. What will the nurse include in the teaching plan for the child and parents to help reduce this risk? Select all that apply.

Have the child sleep in a single bed and room.
Encourage frequent, thorough handwashing.
Provide a low-carbohydrate, low-protein diet.
Encourage frequent contact with multiple visitors.
Cheer up the environment with fresh flowers and plants. - ANSWERS-- Have the child sleep in a single bed and room.
Encourage frequent, thorough handwashing. The nurse has been asked to participate in a community health teaching session. Which interventions would the nurse include to help achieve the 2030 National Health Goals to reduce the incidence of anemias? Select all that apply.
Explain the importance of healthy eating for adolescent participants.
Instruct pregnant women to take iron supplementation as prescribed.
Emphasize ways to reduce unintentional injuries at home, work, and play.
Review foods that are rich in iron that should be a part of a school-age child's diet.
Examine strategies for elderly community members to improve the quality of life. - ANSWERS-- Explain the importance of healthy eating for adolescent participants.
Instruct pregnant women to take iron supplementation as prescribed.
Review foods that are rich in iron that should be a part of a school-age child's diet. Wilms tumor is suspected in a 5-year-old child. Which action would be avoided? - ANSWERS-abdominal palpation

When reviewing information about the incidence of the various types of childhood cancer, nursing students demonstrate understanding of the information when they identify which type as having the highest incidence? - ANSWERS-Acute lymphoblastic leukemia (ALL) A nurse is teaching the parents of a child with sickle cell disease about factors that predispose the child to a sickle cell crisis. The nurse determines that the teaching was successful when the parents identify what as a factor?

Infection
Pallor
Fluid overload
Respiratory distress - ANSWERS-Infection The pediatric nurse reviews the radiographs of a child and observes that there are lesions on the bone. The nurse interprets this finding as suggesting which condition?
non-Hodgkin lymphoma
Hodgkin disease
Ewing sarcoma
neuroblastoma - ANSWERS-Ewing sarcoma A high school football player has been diagnosed as having osteosarcoma of the femur. The parents are angry because they told their adolescent not to play football. Which health teaching points will the nurse include in the teaching plan for the adolescent and parents?
There will be some discoloration of the leg following chemotherapy.
Tumor growth is related to the adolescent's dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury. - ANSWERS- Football injuries do not contribute to the development of a tumor. The parent contacts the health care provider because their preschool-age child has a temperature of 101.5°F (38.6°C). The child received outpatient chemotherapy 1 week ago. Which is the most appropriate response by the nurse?

Baseball
Wrestling - ANSWERS-Baseball A child diagnosed with idiopathic thrombocytopenic purpura (ITP) is scheduled to receive an infusion of intravenous immunoglobulin (IVIG) due to low platelet counts. Prior to the infusion, the nurse administers acetaminophen to the child. The nurse would explain to the parents that acetaminophen is administered to obtain which expected outcome?
to decrease fever produced from the medication
to relax the child during drug infusion
to reduce any pain at infusion site
to prevent chills from developing - ANSWERS-to decrease fever produced from the medication The nurse is assessing children in an ambulatory clinic. Which child would be most likely to have iron-deficiency anemia?
A 7-month-old infant who has started table food
A 3-month-old infant who is totally breastfed
An 8-year-old child who carries lunch to school
A 15-year-old adolescent who has heavy menstrual periods - ANSWERS-A 15- year-old adolescent who has heavy menstrual periods A 14-year-old girl who is a vegetarian has recently developed anemia. Blood smear results show large, fragile, immature erythrocytes. She claims to take an iron supplement regularly and is surprised to learn that she is anemic, as she is otherwise healthy. As the nurse considers all of the data in the case, which anemia will the nurse discuss when collaborating with the primary healthcare provider?
vitamin B12 deficiency
sickle-cell disorder
acute blood loss
iron deficiency - ANSWERS-vitamin B12 deficiency A child is receiving chemotherapy and develops stomatitis. The nurse identifies a

nursing diagnosis of Impaired oral mucous membranes related to the effects of chemotherapy. What instructions would the nurse include in the child's plan of care? Select all that apply.

Vigorously rub the child's gums with gauze to clean them.
Have the child rinse the mouth with lukewarm water three times a day.
Provide various soft and bland foods to minimize further irritation.
Give the child acidic foods (e.g., orange juice) to cleanse the mouth.
Apply a lip balm or petroleum jelly to prevent cracking. - ANSWERS-- Have the child rinse the mouth with lukewarm water three times a day.
Provide various soft and bland foods to minimize further irritation.
Apply a lip balm or petroleum jelly to prevent cracking. A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?
Beginning active range-of-motion exercises
Seeing that the child ingests a protein-rich diet
Encouraging the child to take deep breaths hourly
Maintaining fluids through an intravenous line - ANSWERS-Maintaining fluids through an intravenous line A nurse is talking with parents of a child who is to begin radiation treatment for cancer. The parents ask, "What kind of effects might we see soon after the child starts treatment?" Which effects would the nurse include when instructing the parents? Select all that apply.
Shortening of the spine
Sleepiness
Vomiting
Loss of appetite
Skin redness
Nausea - ANSWERS-- Vomiting

Call it a tumor of muscle tissue
Explain that it develops in nerves outside the brain and spinal cord
Indicate that the more commonly used name is Hodgkin lymphoma
Describe it as a bone tumor - ANSWERS-Call it a tumor of muscle tissue A child is diagnosed with iron-deficiency anemia. Which diagnostic test results would the nurse expect to be altered?
serum iron level
serum ferritin
transferrin saturation
total iron-binding capacity - ANSWERS-serum ferritin Parents ask why their child just diagnosed with leukemia needs a "spinal tap." Which is the best response by the nurse?
"It will help rule out a second malignancy."
"The spinal tap will help relieve pressure and headache for your child."
"Checking the cerebrospinal fluid will reveal whether leukemic cells have entered the central nervous system."
"A sample of cerebrospinal fluid is needed to check for possible central nervous system infection." - ANSWERS-"Checking the cerebrospinal fluid will reveal whether leukemic cells have entered the central nervous system." The nurse is preparing to send a child with cancer for a radiation treatment. Which medication should the nurse provide to premedicate the child for this procedure?
Antipyretic
Analgesic
Antineoplastic
Antiemetic - ANSWERS-Antiemetic

The nurse is providing care for a 13-year-old child diagnosed with iron-deficiency anemia. The client's current hemoglobin level is 11 g/dL (110 g/L). Which intervention will the nurse anticipate including in the client's care?

providing a high dose of intravenous immunoglobulin weekly
giving ferrous sulfate with orange juice between meals
increasing the daily intake of fresh fruits and vegetables
packed red blood cell transfusions - ANSWERS-giving ferrous sulfate with orange juice between meals A couple is expecting a child. The fetus undergoes genetic testing and the couple discover the fetus has sickle cell disease. The couple ask the nurse how most commonly happens. Which statement is accurate for the nurse to provide?
"Sickle cell disease is passed to a fetus when one of the parents has the gene."
"Sickle cell disease is passed to a fetus when both parents have the gene."
"Sickle cell disease can be passed to the fetus in many ways. We will know more at birth."
"Sickle cell disease occurs from a random genetic mutation." - ANSWERS-"Sickle cell disease is passed to a fetus when both parents have the gene." The child has been prescribed chemotherapy. In order to properly calculate the child's dose, the nurse must first figure the child's body surface area (BSA). The child is 130 cm tall and weighs 27 kg. Calculate the child's BSA. Record your answer using two decimal places. - ANSWERS-0. Square root of (height [cm] x weight [kg] divided by 3,600) = BSA. The child is 130 cm tall and weighs 27 kg: 130 x 27 = 3,510; 3,510/3,600 = 0.975; and the square root of 0.975 is 0.9874. The BSA would be 0.987, when rounded to the hundredths place = 0.99. A nurse is caring for a child with Hodgkin disease who is in the induction phase of a chemotherapy regimen. The nurse explains to the parents that the goal of this phase is to:
destroy any residual cancer cells.

An enlarged thyroid gland
Enlarged lymph nodes
An enlarged heart
An enlarged spleen - ANSWERS-An enlarged spleen The nurse is caring for a 4-year-old child following surgical removal of a stage I neuroblastoma. Which intervention is appropriate for this child?
maintaining isolation as prescribed to avoid infection
giving medications as prescribed via the least invasive route
administering antiemetics as prescribed for nausea
applying aloe vera to the postsurgical site to promote healing - ANSWERS-giving medications as prescribed via the least invasive route A school-aged child with cancer is receiving chemotherapy. Which nursing action would best promote the oral comfort of a child receiving chemotherapy?
Vigorously brushing the teeth and gums to remove secretions
Encouraging the use of acidic fruit juices to decrease mouth organisms
Keeping the child's lips moist with petroleum jelly to prohibit cracking
Having the child solely eat or drink cold foods to reduce mucosal pain - ANSWERS-Keeping the child's lips moist with petroleum jelly to prohibit cracking The nurse is developing a plan of care for a child who is to have a transfusion. Which would the nurse expect to administer because it is the most common form of transfusion?
Plasma factors
Whole blood
Washed red blood cells
Packed red blood cells - ANSWERS-Packed red blood cells After teaching a group of students about hemophilia, the instructor determines that the students have understood the information when they identify hemophilia A as involving a problem with:

platelets.
plasmin.
factor IX.
factor VIII. - ANSWERS-factor VIII 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."
"We'll have him take the liquid medicine with some orange or pineapple juice."
"We can mix the liquid form of the drug with milk."
"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." - ANSWERS-- "We'll give him the medicine before he eats his meals."
"We'll have him take the liquid medicine with some orange or pineapple juice."
"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." A 5-year-old child is at the pediatric clinic for a well-child visit. Which symptom alerts the health care provider that this child might have acute lymphoblastic leukemia (ALL)?
abdominal pain, nausea, and vomiting
lethargy, bruises, and lymphadenopathy
anorexia and weight loss
joint pain and swelling - ANSWERS-lethargy, bruises, and lymphadenopathy An 8-month-old girl appears pale, irritable, and anorexic. On blood testing, the red blood cells are hypochromic and microcytic. The hemoglobin level is less than 5 g/100 mL, and the serum iron level is high. Which symptom should the nurse most expect as a result of excessive iron deposits?

Hair is exposed to the sun, which increases sensitivity to chemotherapy.
Chemotherapy affects cancer cells and normal cells that multiply rapidly.
Hair is not a living tissue, and it is easily damaged by chemotherapy.
Circulation to the head causes large doses of chemotherapy to reach the scalp. - ANSWERS-Chemotherapy affects cancer cells and normal cells that multiply rapidly. The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the nurse conducting an assessment of the child what causes the disease. What is the nurse's best response?
"ITP is characterized by the loss of surface area on the red blood cell membrane."
"ITP is a serious bleeding disorder characterized by a decreased, absent, or dysfunctional procoagulant factor."
"ITP is primarily an autoimmune disease in which the immune system attacks and destroys the body's own platelets, for an unknown reason."
"ITP occurs when the body's iron stores are depleted due to rapid physical growth, inadequate iron intake, inadequate iron absorption, or loss of blood." - ANSWERS-"ITP is primarily an autoimmune disease in which the immune system attacks and destroys the body's own platelets, for an unknown reason." The nurse is preparing a child for discharge following a sickle cell crisis. Which statement by the mother indicates a need for further teaching?
"She has been down, but playing in soccer camp will cheer her up."
"I bought the medication to give to her when she says she is in pain."
"She loves popsicles, so I'll let her have them as a snack or for dessert."
"I put her legs up on pillows when her knees start to hurt." - ANSWERS-"She has been down, but playing in soccer camp will cheer her up." The nurse is caring for a child who had a stem cell transplant and is being monitored for engraftment. Which nursing action is priority?
Remind parents to contact the child's school.

Monitor daily complete blood count (CBC).
Ensure neutropenic precautions are in place.
Encourage therapeutic play activities. - ANSWERS-Ensure neutropenic precautions are in place. The nurse is caring for a school-age child recovering from an allogeneic stem cell transplant. What nursing action best ensures the child does not develop an infection after the transplant? Select all that apply.
Encourage eating raw vegetables for each meal after the procedure.
Send for total body irradiation immediately after the transplant.
Provide sterilized age-appropriate play materials.
Restrict all visits from other children.
Arrange time for studying while in the hospital. - ANSWERS-Restrict all visits from other children. Provide sterilized age-appropriate play materials. A child is admitted with a diagnosis of aplastic anemia. The nurse is creating a plan of care for the child. Which intervention(s) will the nurse include in the plan of care? Select all that apply.
administration of hydroxyurea
adequate rest and activity
neutropenic precautions
increased iron intake
age-appropriate activities - ANSWERS-- adequate rest and activity
age-appropriate activities
neutropenic precautions A client with cancer is diagnosed with typhlitis. Which emergency intervention would the nurse perform?
Administer diuretics.

Eliminate second-hand smoke within the home. - ANSWERS-No routine live vaccines are administered while on chemotherapy. The 2-year-old child receiving treatment for a cancer diagnosis is seen for a well- child checkup. Which health maintenance activity will the nurse exclude?
teaching the importance of taking water safety measures
assessing dietary intake by addressing "picky eating" and "food jags"
plotting height and weight on a growth chart
administering the measles, mumps, rubella (MMR) vaccine - ANSWERS- administering the measles, mumps, rubella (MMR) vaccine A 6-year-old boy has a rash on his buttocks, posterior thighs, and the extensor surface of his arms and legs. His joints are tender and swollen. The healthcare provider diagnoses him with Henoch-Schönlein syndrome. The nurse should anticipate what laboratory results? Decreased platelet count Decreased white blood cell count Normal platelet count Elevated platelet count - ANSWERS-Normal platelet count The nurse is caring for a child with aplastic anemia. The nurse is reviewing the child's blood work and notes the granulocyte count is about 500, platelet count is over 20,000, and the reticulocyte count is over 1%. The parents ask if these values have any significance. Which response by the nurse is appropriate? "I'm really not allowed to discuss these findings with you." "These labs are just common labs for children with this disease." "The doctor will discuss these findings with you when he comes to the hospital." "These values will help us monitor the disease." - ANSWERS-"These values will help us monitor the disease." A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which nursing action would be most important?

Placing a "no abdominal palpation" sign above the child's bed Restricting the child's visitors Preventing weight-bearing activities Preparing the child for chemotherapy Ensuring that the child be allowed nothing by mouth - ANSWERS-Placing a "no abdominal palpation" sign above the child's bed A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. The nurse is gathering data during the admission process and notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child most likely has a deficiency of which blood factor? Factor XIII Factor VIII Factor X Factor V - ANSWERS-Factor VIII The nurse is admitting to an examination room a child with the diagnosis of "probable acute lymphoblastic leukemia (ALL)." What will confirm this diagnosis? Lethargy, bruising, and pallor Bone marrow aspiration Complete white blood count History of leukemia in twin - ANSWERS-Bone marrow aspiration A child is receiving chemotherapy and develops stomatitis. The nurse identifies a nursing diagnosis of Impaired oral mucous membranes related to the effects of chemotherapy. What instructions would the nurse include in the child's plan of care? Select all that apply. Vigorously rub the child's gums with gauze to clean them. Provide various soft and bland foods to minimize further irritation. Have the child rinse the mouth with lukewarm water three times a day.

The child has mild to moderate iron deficiency. The child has severe iron deficiency. The child is being prepared for packed red blood cell administration. - ANSWERS- The child has mild to moderate iron deficiency. Which symptom would lead the nurse to suspect that a child is developing a common side effect of vincristine? The child says the teeth "ache." The cheeks are turning bright red. The child's hearing seems to be altered. The child says the fingertips feel numb. - ANSWERS-The child says the fingertips feel numb. A group of nursing students are studying information about childhood cancers in preparation for a class examination. They are reviewing how childhood cancers differ from adult cancers. The group demonstrates understanding of the information when they identify what location as an unlikely site for childhood cancer? Bladder Blood Kidney Brain - ANSWERS-Bladder The nurse is evaluating the complete blood count of a 7-year-old child with a suspected hematological disorder. Which finding is associated with an elevated mean corpuscular volume (MCV)? decreased white blood cells (WBCs) macrocytic red blood cells (RBCs) hemoglobin (Hgb) of 11.2 g/dl (112 g/L) platelet count of 250,000 - ANSWERS-macrocytic red blood cells (RBCs) A child receiving chemotherapy wants to have a large birthday party and invite all

the classmates. When the parent asks the nurse about this, how should the nurse respond? "What about taking your child to a movie instead?" "It is better to avoid large groups right now." "That will be a good way to cheer your child up!" "We can have the party here in the hospital play room." - ANSWERS-"It is better to avoid large groups right now." The nurse is preparing clients for diagnostic testing for cancer. Which test is used to differentiate a neuroblastoma from other tumors? Serum chemistries Urinalysis Complete blood count (CBC) with differential Urine catecholamine metabolites, homovanillic acid (HVA), and vanillylmandelic acid (VMA) - ANSWERS-Urine catecholamine metabolites, homovanillic acid (HVA), and vanillylmandelic acid (VMA) An adolescent receiving chemotherapy has lost all hair and is sad about self- image. Which action should the nurse take to support this adolescent and involve the client in decision making? Support the adolescent's choice of comfortable clothing. Encourage the adolescent to select hats or wigs to fit one's personality. Have a Child Life specialist work with the adolescent. Refer the adolescent to a peer support group. - ANSWERS-Encourage the adolescent to select hats or wigs to fit one's personality. Children with acute lymphoblastic leukemia (ALL) may need periodic lumbar punctures. The nurse would teach the parent that this is done to assess for: leukemic cells. early development of septicemia.

ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+., Exams of Nursing

Related documents

Partial preview of the text

Download ASU BIO 182 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025 GRADED A+. and more Exams Nursing in PDF only on Docsity!

NURS 405 Prep U Ricci Chapter 46 (Nursing Care of the Child

With an Alteration in Cellular Regulation/Hematologic or

Neoplastic Disorder Questions With Complete Solutions 2025

Graded A+