ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 25 : The Child with Cancer Questions
Question 1 of 5
A young child with leukemia has anorexia and severe stomatitis. What approach should the nurse suggest that the parents try?
Correct Answer: A
Rationale: Relaxing eating pressures and offering soft, bland foods with mouthwashes and anesthetics support nutrition in children with stomatitis and anorexia. Insisting on normal eating creates conflict, hot/cold foods may irritate mucosa, and liquids alone are insufficient.
Question 2 of 5
The nurse is preparing a child for possible alopecia from chemotherapy. What information should the nurse include?
Correct Answer: C
Rationale: Chemotherapy-induced alopecia may result in hair regrowing with a different color or texture. Children choose preferred head coverings, sunlight risks sunburn, and hair typically regrows within 3-6 months post-chemotherapy, not 12 months.
Question 3 of 5
What pain management approach is most effective for a child who is having a bone marrow test?
Correct Answer: D
Rationale: Conscious or unconscious sedation is most effective for managing pain during bone marrow tests, with relaxation, opioids, and EMLA as adjuncts. Sedation ensures comfort and minimizes distress during this invasive procedure.
Question 4 of 5
The nurse is caring for a child receiving chemotherapy for leukemia. The childs granulocyte count is 600/mm3 and platelet count is 45,000/mm3. What oral care should the nurse recommend for this child?
Correct Answer: B
Rationale: With granulocytes above 500/mm3 and platelets above 40,000/mm3, daily toothbrushing and flossing are safe and effective for oral hygiene. Water rinsing is inadequate, lemon glycerin swabs irritate and dry mucosa, and gauze/
Toothettes are for lower counts.
Question 5 of 5
What immunization should not be given to a child receiving chemotherapy for cancer?
Correct Answer: D
Rationale: MMR, a live virus vaccine, risks severe disease in immunocompromised children receiving chemotherapy. Tetanus, inactivated poliovirus, and DPT are safe but may have reduced efficacy, often delayed until immunosuppression resolves.