You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?

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Burns Pediatric Primary Care 7th Edition Test Bank Questions

Question 1 of 5

You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?

A. first traumatic lumbar puncture (LP) B. T-cell leukemia C. cranial nerve involvement at the time of diagnosis D. presence of lymphoblast in the CSF at any time during treatment

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Of the following, the WORST prognostic factor in pediatric osteosarcoma is

A. primary pelvic bone tumor B. poor histologic response to treatment C. bony metastases at the time of diagnosis D. lung metastases at the time of diagnosis

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The physical manifestations of fetal alcohol syndrome include:

A. abnormal facial tissue, cleft lip, and cleft palate. B. hepatomegaly, hypotonia, and microphthalmia. C. microcephaly, short philtrum, and intrauterine growth restriction. D. hyperbilirubinemia, jaundice, and failure to thrive.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

When a patient participates in a research study, the pediatric nurse's primary concern is to ensure that the:

A. parent or guardian has given verbal consent for the patient's participation. B. quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study. C. research meets the developmental needs of the patient. D. research will directly benefit the patient.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The LEAST helpful advice for a 10-month-old baby refusing spoon feeding is

A. respect infant independence B. offer softer diet C. use 2 spoons (1 for child and 1 for parent) D. use finger foods

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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