ATI RN
Nursing Practice Questions for Pediatric Infectious Disease Questions
Question 1 of 5
A 10-year- old girl with newly diagnosed abdominal lymphoma was admitted to the hematology ward with difficult breathing and poor urine output for the last day, her biochemical renal indices (urea and creatinine) are high and the electrolytes were disturbed (hyperkalemia, hyperuricemia and hyperphosphatemia). Of the following, the MOST likely diagnosis is
Correct Answer: C
Rationale: Tumor lysis syndrome causes renal failure and electrolyte imbalances (hyperkalemia, hyperuricemia, hyperphosphatemia) after rapid cell turnover in lymphoma.
Question 2 of 5
Pulmonary fibrosis is a side effect of
Correct Answer: C
Rationale: Bleomycin is a well-known cause of pulmonary fibrosis due to its toxicity to lung tissue.
Question 3 of 5
An 11-year-old boy presented with a 1-month history of fever, pallor, and easy skin bruising. His CBC showed: Hb $5.0 \mathrm{gm} / \mathrm{dl}$, WBC $90.000 / \mathrm{cmm}$, Plt 33.000 with many blast cells in the peripheral film. His chest X-ray showed big mediastinal mass. Physical examination showed pale, febrile, ill looking boy with generalized lymph node enlargement, mild respiratory distress and hepatosplenomegaly. Of the following, the MOST likely diagnosis is
Correct Answer: B
Rationale: Precursor T-cell ALL often presents with a mediastinal mass, high WBC, and lymphadenopathy.
Question 4 of 5
The major short term complication of chemotherapy treatment of childhood leukemia is
Correct Answer: C
Rationale: Bone marrow suppression (neutropenia, anemia, thrombocytopenia) is the most immediate and common chemotherapy complication.
Question 5 of 5
The MOST common clinical presentation of Hodgkin disease in children is painless lymph node enlargement of which region?
Correct Answer: B
Rationale: Cervical lymphadenopathy is the most common presenting feature of Hodgkin disease in children.