CPHON Practice C Exam 50 Questions with Verified Answers
Participating in risk taking behavior- Adolescents can exhibit risk-taking behavior in
... [Show More] response to a terminal diagnosis. - CORRECT ANSWER A 12-year-old patient with metastatic osteosarcoma has been told that his prognosis is poor. The nurse knows that which of the following would be a normal display of grief in this age group?
4-year-olds have increased fine motor skills which includes drawing pictures rather than scribbles. - CORRECT ANSWER A 4-year-old child with acute lymphoblastic leukemia has had a regression of several developmental milestones. The nurse assesses the patient and determines which of the following to be inappropriate for age?
Discuss the importance of having the sibling visit the patient - Loved ones should be encouraged to visit the dying patient. - CORRECT ANSWER The mother of a child near the end-of-life voices concerns about the 8-year-old sibling visiting the patient, stating that it would be "traumatizing". What is the most appropriate response from the nurse?
Herbs and supplements increase the risk of side effects and medication interactions. - CORRECT ANSWER The mother of a patient with acute lymphoblastic leukemia asks if she can give her child natural herbs to supplement the immune system. Which of the following is the most appropriate response from the nurse?
"Inactivated immunizations are safe but may be ineffective." All family members and household contacts should be immunized with routinely recommended vaccines. - CORRECT ANSWER Which of the following statements indicates parents' understanding about immunizations while their child is being treated with chemotherapy?
Identity versus identity confusion - CORRECT ANSWER A 16-year-old patient diagnosed with acute myeloid leukemia expresses concerns about graduation. Which of the following developmental stages does this represent?
Itraconazole increases the risks for medication reactions - CORRECT ANSWER Which of the following can increase the risk of a medication interaction for a patient scheduled to receive vincristine?
The goal of a phase 3 trial is to determine if new treatment is better than existing treatment - CORRECT ANSWER A patient with cancer tells the nurse that she is enrolled in a clinical trial to see if combination chemotherapy is more effective than single agent chemotherapy. Which phase of the trial is the patient enrolled?
Intravenous immunoglobulins - IVIG is preferred over corticosteroids for treatment of ITP - CORRECT ANSWER A 13-month-old infant presents with a continuous nose bleed. The patient's laboratory values reveal hemoglobin 13g/dL; absolute neutrophil count 1545/mm3; and platelets 8/mm3. Which of the following will be the most likely initial treatment?
Capillary leak syndrome is an early complication associated with HSCT - CORRECT ANSWER Which of the following complications would the nurse expect during the early phase of a hematopoietic stem cell transplant?
Ferritin 875ng/mL - Iron overload can occur with repeated transfusions - CORRECT ANSWER A patient with beta-thalassemia requires blood transfusions every two weeks. Which of the following laboratory results would cause the nurse to be concerned?
"I will need to shower several times a day after I receive the medication." Patients receiving thiotepa for HSCT conditioning should shower several times daily for 24 hours after treatment - CORRECT ANSWER Which statement by a patient receiving thiotepa for HSCT conditioning indicates an understanding of potential side effects?
9-year-old boy with an astrocytoma - Bevacizumab is used for refractory solid tumors - CORRECT ANSWER Which of the following patients would most likely be treated with bevacizumab?
how well the body can fight off infection." Neutrophils fight infection - CORRECT ANSWER The mother of a child with acute lymphoblastic leukemia asks the nurse to explain the absolute neutrophil count. What is the nurse's best response? "The absolute neutrophil count measures:
Doxorubicin increases hepatic radiosensitivty - CORRECT ANSWER Which of the following medications can increase radiosensitivity of the liver?
Stereotactic radiosurgery - Stereotactic radiation is delivered via a focused beam to a small, well- circumscribed area of the tumor. - CORRECT ANSWER Which of the following is defined as radiation delivered via a focused beam to a small, well- cirumscribed area of the tumor?
Infuse the frozen cells over 3 hours - Rapid infusion of frozen cells is recommended - CORRECT ANSWER Which of the following orders for a frozen stem cell transfusion should the nurse question?
volume depleting the unit of packed red blood cells - Prevention of circulatory overload is accomplished by volume depleting the packed red blood cells. - CORRECT ANSWER Transfusion related circulatory overload can be prevented by:
Acyclovir should be given prior to HSCT if a patient is positive for CMV - CORRECT ANSWER Prior to an HSCT, a patient tests positive for CMV. The nurse would expect which of the following medications to be administered the day before transplant?
Fluorouracil causes diarhea. - CORRECT ANSWER After a four day course of chemotherapy, a patient is experiencing diarrhea. Which of the following medications most likely caused the diarrhea?
Deferoxamine administration used to treat iron overload. - CORRECT ANSWER Which of the following orders would the nurse expect to receive for a patient with major beta- thalassemia who has laboratory results of hemoglobin 10g/dL, platelets 120/mm3 and serum ferritin greater than 1000ng/mL?
Platelets - Platelet count should be greater than 50,000/mm3 for surgery. - CORRECT ANSWER Pre-operative laboratory results for a patient scheduled to receive an implanted port reveal hemoglobin 9g/dL, platelets 30,000/mm3, absolute neutrophil count 2500/mm3 and international normalized ratio 0.9. Which of the following products will the patient most likely receive before surgery?
Dexamethasone - Osteopenia is associated with corticosteroid treatments - CORRECT ANSWER An 18-year-old patient with acute lymphoblastic leukemia reports severe, bilateral knee joint pain during a follow-up appointment. Which of the following medications most likely is the cause for the pain?
• Tell me more about why you feel this way." - It is important to explore parents feelings when dealing with difficult diagnoses. - CORRECT ANSWER A patient with end stage leukemia is enrolled in hospice care. The mother states "You are wrong. My baby is going to live." Which of the following is the most therapeutic response from the nurse?
Cisplatin causes delayed nausea and vomiting - CORRECT ANSWER A patient should be given instructions regarding delayed nausea and vomiting after receiving which of the following medications?
Monitor strict intake and output - must be monitored following ifosfamide treatment. - CORRECT ANSWER The nurse caring for a patient who received ifosfamide prior to change of shift would expect orders for which of the following interventions?
Swollen gums with moderate bleeding - CORRECT ANSWER Which of the following findings indicates grade 3 mucositis?
Bone age study - Precociuos puberty symptoms include early breast development and advanced bone age - CORRECT ANSWER A 6-year-old female has breast development after completing radiation therapy for a brain tumor. Which of the following diagnostic studies would the nurse anticipate an order for?
APL differentiation syndrome - APL differentiation syndrome is a complication from arsenic administration - CORRECT ANSWER Which of the following is a complication from arsenic trioxide?
Limit outside activities between 11am and 3pm - Instruct patients to avoid being outside during extreme sun times - CORRECT ANSWER What instructions should the nurse provide to a patient starting weekly oral methotrexate?
Glutamine can reduce the severity of mucositis - CORRECT ANSWER Which of the following complementary medicines has been used to reduce the severity of mucositis?
Dexamethasone - Long term administration of corticosteriods can lead to cataract development - CORRECT ANSWER Which of the following medications does the nurse suspect caused cataract development in a 40-year-old pediatric cancer survivor?
Musculoskeletal pain is described as sharp, throbbing and worse with movement - CORRECT ANSWER What type of pain is described as sharp, throbbing, and worse with movement or weight bearing?
Non-rearranged germlines have improved outcomes - CORRECT ANSWER Which of the following cytogenetic abnormalities of acute lymphoblastic leukemia is associated with a poor prognosis?
Hodgkin lymphoma - Clinical presentation of Hodgkin lymphoma includes: painless adenopathy, fatigue, night sweats. - CORRECT ANSWER A patient presents to the hospital with painless adenopathy, fatigue, fever, weight loss, and night sweats. The nurse anticipates a work up for which of the following diagnoses?
Anaplastic astrocytomas are classified as grade 3 - CORRECT ANSWER According to the WHO classification system, an anaplastic astrocytoma is which grade of tumor?
Renal tumor - CORRECT ANSWER A patient with Beckwith- Wiedemann syndrome is at an increased risk of developing:
Increased unconjugated bilirubin a finding consistent with AHA - CORRECT ANSWER Which of the following findings is consistent witha diagnosis of autoimmune hemolytic anemia?
Elevated urine catecholamines - Blue nodules are a clinical presentation for neuroblastoma - CORRECT ANSWER A 2-month-old infant has blue nodules along the abdomen. Which of the following laboratory values would make the nurse suspect a diagnosis of neuroblastoma?
Down syndrome is a favorable prognostic factor for AML - CORRECT ANSWER Which of the following is considered a favorable prognostic factor for acute myeloid leukemia?
Phosphorous 12 mg/dL - Hyperphosphatemia is associated with TLS - CORRECT ANSWER A patient with flank pain, nausea, and vomiting arrives to the Emergency Department. Which of the following laboratory values would make the nurse suspect a diagnosis of tumor lysis syndrome?
Applying a warm compress to chest - Warm packs are used for a vincristine extravasation. - CORRECT ANSWER A patient receiving vincristine reports pain and redness at the implanted port site. After discontinuing the infusion, the nurse's next intervention would be:
Nothing by mouth - Patients with pancreatitis should be on complete bowel rest - CORRECT ANSWER A 14-year-old patient with acute lymphoblastic leukemia in delayed intensification presents with abdominal pain, vomiting, and elevated serum amylase. Which of the following is the most appropriate dietary order?
Dexamethasone administration - Dexamethasone is the initial treatment for spinal cord compression - CORRECT ANSWER A patient reports back pain for several weeks with a sudden onset of lower extremity weakness. A magnetic resonance image reveals a paravertebral spinal tumor and spinal edema. The nurse anticipates an initial order for which of the following?
An abdominal ultrasound - Abdominal ultrasound is used to diagnose pancreatitis; side effect of PEG- asparaginase is pancreatitis. - CORRECT ANSWER A patient with leukemia who recently received PEG- asparaginase presents with flank pain, vomiting, and a fever. The nurse anticipates an order for:
Hypersensitivity reaction - Urticaria and pruritis are symptoms of hypersensitivity reactions - CORRECT ANSWER A patient receiving a blood transfusion develops urticaria and reports pruritis. What does the nurse suspect?
Intravenous methylprednisolone - Corticosteroids are the current standard treatment for SVCS - CORRECT ANSWER A patient presents with difficulty breathing and an audible wheezing. A chest x-ray reveals a mediastinal mass with tracheal deviation. What is the most appropriate initial intervention?
Oxygen supplementation - Oxygen delivery in the least invasive way is one of the first treatments for shock. - CORRECT ANSWER Which of the following is the most appropriate initial nursing intervention for a patient who is lethargic, hypotensive and febrile?
Initiate IV antibiotics - Antibiotics are the first treatment for typhlitis - CORRECT ANSWER Which of the following initial orders would the nurse expect when a patient presents with fever, bloody diarrhea, and right lower quadrant pain?
"90% of children recover within 12 months." - 90% of children with ITP recover within 12 months - CORRECT ANSWER A patient diagnosed with idiopathic thrombocytopenic purpura (ITP) asks the nurse if this will affect him for the rest of his life. What should the nurse tell the patient? [Show Less]