Four parents call a clinic to have their children seen for unusual lumps or swelling. The nurse is trying to work the children into the HCP’s over- booked schedule. Which child should the nurse schedule to be seen first?

The child with aplastic anemia has had human leukocyte antigen (HLA) typing, evaluation of organ function, and laboratory studies completed as an outpatient. Which action should the nurse plan to implement first when the child is admitted to a transplant center for a hematopoietic stem cell transplant?

The nurse is preparing a child for abdominal irradiation. Which medications should the nurse plan to administer to prevent nausea and vomiting?

The mother of the pediatric client consults the nurse because her daughter, who has alopecia from chemotherapy, refuses to wear the wig that she wants her to wear. The mother states she feels uncomfortable when people stare at her daughter. Which response is most appropriate?

The clinic nurse collects information from a parent and assesses the pediatric client one week after hospital discharge for removal of a brain tumor. Which finding best suggests the child may have developed a complication?

The child hospitalized following surgical intervention for osteosarcoma is not interested in eating. Which nursing intervention would best support the child’s nutrition?

The new nurse asks the experienced nurse on the oncology unit why there are more adolescents than clients of other age groups with osteosarcoma. The experienced nurse explains that osteosarcoma has a peak incidence during adolescence due to which occurrence?

The adolescent receiving chemotherapy for treatment of Hodgkin’s lymphoma is to receive tilgrastim. Which statement should reflect the nurse’s thinking about filgrastim?

The nurse suspects that the adolescent with NHL has superior vena cava syndrome and notifies the HCP. Which findings support this?

The HCP explains the disease process and recommended treatment to the teenage client diagnosed with Hodgkin’s lymphoma. Which statement made by the client to the nurse indicates understanding of the diagnosis and treatment?

The child with leukemia is being discharged after an initial chemotherapy treatment. The nurse is teaching the parents about the. allopurinol the child will continue to take at home- How should the nurse describe the most important purpose of allopurinol for this child?

The African American child with thalassemia major has iron overload after receiving multiple blood transfusions. Which intervention should the nurse anticipate?

The nurse is reviewing the laboratory results for the infant newly diagnosed with hemophilia A. Which finding should the nurse expect?

The nurse is developing the plan of care for the child hospitalized in sickle cell crisis. Which nursing problem is priority?

During a clinic visit, the parent states to the nurse, “When taking pictures of my baby using the camera flash, I see a red coloration to my baby’s left eye, but the right eye has a white reflection. Is this normal?” Which response by the nurse is correct?

The nurse is caring for the newly admitted 1-year—old hospitalized in sickle cell crisis. This is the parents’ only child. Which intervention is priority?

The new nurse is telling the experienced nurse about treatments that the HCP discussed with the parents of the child who has thalassemia major. Which statement by the new nurse should the experienced nurse question?

The nurse observes the NA preparing a food tray for the 4-year-old who recently underwent a bone marrow transplant. Which food item should the nurse remove from the child’s tray?

The experienced nurse and the new nurse are providing preoperative care for the 4-year-old with Wilms tumor. Which action by the new nurse requires the experienced nurse to intervene?

The child diagnosed with thrombocytopenia purpura is being discharged from the hospital. Which nursing intervention is most important?

Prednisone is prescribed tid for a child receiving chemotherapy. Which is the best schedule for the nurse to suggest to a parent?

After 7 days of iron therapy, the child with iron- deficiency anemia has serum laboratory tests completed. Which finding indicates that the iron therapy is beginning to correct the anemia?

The nurse provides teaching to the 9-year-old who is to undergo bone marrow aspiration. Which statement by the child best indicates understanding of the teaching?

The nurse is completing discharge teaching for the parents of a child who has hemophilia A. Which is the most important intervention for the nurse to teach the parents in the event that an injury occurs?

The child with hemophilia is brought to the clinic due to pain and restricted movement of the left knee after falling. The nurse assesses that the knee is hot, swollen, and tender to touch, and applies an ice pack. Based 011 the child’s diagnosis, the nurse is thinking that the child may be experiencing which problem?

Prior to administering asparaginase to the 12-year—old with ALL, the nurse reviews the child’s laboratory report. Which result should prompt the nurse to notify the I-ICP before administering the asparaginase?

The nurse is planning care for the 18-month-old with iron-deficiency anemia. Which intervention should the nurse implement?

The parents of the child with sickle cell anemia are being taught pain control measures for their child. Which measure is most important to teach the parents to prevent the onset of vaso-occlusive pain?