CPHON Practice Test 26 Questions with Verified Answers
Which of the following is an indication that a child is experiencing precocious
... [Show More] puberty?
A-Testicular enlargement at age 10
B-Tall stature
C-Delayed epiphyseal fusion
D-Advanced bone age - CORRECT ANSWER D-advanced bone age
--when child's body changes into adult's body too soon
-age 10 is normal age to start puberty; would be a sign if <10
Parental grief following the death of a child from cancer generally plateau's at what point in time?
A- 4 -10 months
B- 12 - 18 months
C- 20 - 26 months
D- 30 - 36 months - CORRECT ANSWER B- 12-18mo
The parent of a 7-year-old child with end-stage disease asks the nurse, "My child has been asking questions about death, what do I say?" What would be the most appropriate response from the nurse?
A- Tell the patient that it is like a special sleep
B- Suggest that the parent be genuine and sincere
C- Ask a trained professional to talk with the parent
D- Explain that the child is too young to understand death - CORRECT ANSWER B- suggest that the parents be genuine and sincere
Phantom limb pain following a surgical amputation is an example of what type of pain?
A- Somatic
B- Nociceptive
C- Neuropathic
D- Visceral - CORRECT ANSWER C- neuropathic
--a persistent, burning pain; result of injury to the SNS
Moist desquamation of the skin occurs with radiation doses of:
A- 20Gy
B- 50Gy
C- 35Gy
D- 10Gy - CORRECT ANSWER B- 50 Gy
Which of the following is a cytogenetic feature for a patient diagnosed with Burkitt lymphoma?
A- CD20 positive cells
B- Translocation of B-cell immunoglobulin genes
C- ALK protein gene rearrangements
D- Basophilic cytoplasm with large nuclei - CORRECT ANSWER B- Translocation of B-cell immunoglobulin genes
How many stages of mucositis are there?
A- 3
B- 4
C- 5
D- 6 - CORRECT ANSWER C- 5
5 STAGES of mucositis (4th stage ulceration-->5th stage is healing); 4 GRADES of mucositis based on severity
Parents report that their school-aged child with leukemia is not sleeping well at home. Which tool is used to assess for sleep disturbance?
A- OMAS
B- APPT
C- BEARS
D- PEWS - CORRECT ANSWER C- BEARS
b- bedtime probs
e- excessive dayitme sleepiness
a- awaking in night
r- regularity/duration of sleep
s- snoring
After receiving treatment information, the parents of a child recently diagnosed with cancer ask if complementary and alternative treatments are an option. What is the nurse's best response?
A- "Safe dosage and toxicity have not been determined for children."
B- "Why do you think it will be beneficial for your child?"
C- "Which therapies have you looked in to?"
D- "It is contraindicated while using chemotherapy." - CORRECT ANSWER B- why do you think it will be beneficial for your child?
Oncogenes transform normal cells in to cancer cells by which of the following actions?
A- Coding for faulty genes
B- Disrupting inhibitory cell cycle pathways
C- Promoting gene mutation
D- Inhibiting programmed cell death - CORRECT ANSWER C- promoting gene mutation
--when genes mutate it makes it harder to treat
Caregivers ask when their child can be discharged after a stem cell transplant. A child can go home following transplant when:
A- the central line has been removed.
B- the patient has resumed normal activities.
C- the patient has adequate caloric intake.
D- home health services have been arranged. - CORRECT ANSWER C- the pt has adequate caloric intake
(even if it is on feeds and not PO, need to make sure patient is getting nutrition at home)
Which anti-emetic is used for patients receiving highly emetogenic chemotherapy?
A- Lorazepam
B- Ondansetron
C- Prochlorperazine
D- Promethazine - CORRECT ANSWER B- ondansetron
The initial ophthalmology exam for a child with sickle cell disease should be scheduled during which of the following developmental ages?
A-Adolescence
B- School age
C- Preschool age
D- Infancy - CORRECT ANSWER B- school age
percent of kids <18 in the US without health insurance:
A-8.5
B-15
C-25
D-40 - CORRECT ANSWER A- 8.5 %
All statements about Ewings sarcoma are true EXCEPT:
A-it is far more common in Caucasian than african american children
B-it is of neural crest origin
C-it is relatively resistant to radiation therapy
D-plain xrays of bone often reveal a "moth eaten" or "onion skin" appearance - CORRECT ANSWER C- it is relatively resistant to radiation therapy
(ewings responds well to RT)
most common rhabdomyosarcoma tumor site - CORRECT ANSWER #1 location: head and neck; followed by GU system and then extremities
-GU for infants
-head/neck children
-extremities teen/YAs
Incidence of Hodgkins vs Non Hodgkins in 15-18 year age group: - CORRECT ANSWER Hodgkins more common than Non Hodgkins
Most reliable diagnostic test for Hodgkins Lymphoma is:
A-positive test for EBV
B-presence of Reed Sternberg cells on lymph node biopsy
C-presence of enlarged cervical and axillary lymph nodes on phys exam
D-presence of mediastinal mass on CT - CORRECT ANSWER B-presence of reed sternberg cells
Dacarbazine is used in treatment of - CORRECT ANSWER Hodgkins Lymphoma
Which of the following is initial tx for ITP?
A- Prednisone
B- splenectomy
C- immunoglobulin
D-plt transfusion - CORRECT ANSWER A-prednisone
A primary feature of von Willebrand disease is:
A- elevated factor VIII level
B-abnormal or low plasma glycoprotein level
C- low plt count
D- elevated ristocetin cofactor activity - CORRECT ANSWER B- low or abnormal plasma glycoprotein level
VW- most common inherited bleeding (clotting) disorder; tx is vasopressin
types of contrast, with imaging studies:
CT
MRI - CORRECT ANSWER CT: iohexol
MRI: gadolinium
neoadjuvant chemotherapy - CORRECT ANSWER drugs given before primary therapy to reduce the size of a tumor
brachytherapy - CORRECT ANSWER radiation therapy in which the source of radiation (seeds) are implanted in the tissue to be treated
phases (in order) of cell cycle - CORRECT ANSWER G1, S, G2, M
Which of the following statements about implantable venous access devices is true?: - CORRECT ANSWER A- needles are not required
B- removal requires surgery and GA
C- flushing w/heparin must be done several times/day
D-they do not require sterile techniquer [Show Less]