Oncology Practice Questions Foreign Language

What is the most common type of childhood cancer? A. Hodgkin’s lymphoma B. Acute lymphoblastic leukemia (ALL) C. Osteosarcoma D. Retinoblastoma

B

True or False: Neuroblastoma typically presents with an abdominal mass and periorbital ecchymoses (“raccoon eyes”).

True

A nurse is caring for a child with neutropenia. Which interventions are appropriate? (Select All That Apply) A. Administer prophylactic antibiotics as prescribed. B. Perform daily hygiene practices, such as baths and oral care. C. Use a rectal thermometer to monitor for fever. D. Avoid exposure to sick individuals. E. Delay central line dressing changes to minimize infection risk.

A,B,D

A child with Hodgkin's lymphoma is admitted. Which clinical finding is most characteristic of this condition? A. Generalized rash and itching. B. Enlarged, painless lymph nodes in the neck or clavicle area. C. Persistent cough and respiratory distress. D. Severe bone pain and swelling.

B

True or False: A child with Wilms tumor should have their abdomen palpated frequently to monitor tumor growth.

False

Which treatment modality is used to restore bone marrow after high-dose chemotherapy? A. Biotherapy B. Surgery C. Stem cell transplant D. Radiation therapy

C

What are key nursing considerations for managing mucositis in a child undergoing chemotherapy? (Select All That Apply) A. Encourage bland, soft foods. B. Use a soft toothbrush for oral care. C. Administer antifungal medications as needed. D. Offer citrus juices to improve oral hydration. E. Provide frequent mouth rinses with saline.

A,B,C,E

What is the hallmark diagnostic finding in Hodgkin's lymphoma? A. Reed-Sternberg cells in the lymph nodes. B. Chloromas on imaging. C. Pancytopenia on a complete blood count. D. Presence of chromosomal translocations.

A

True or False: Bone pain and a pathological fracture are hallmark signs of osteosarcoma in children.

True

What is the most important initial nursing intervention when a neutropenic child develops a fever? A. Start IV fluids immediately. B. Administer antipyretics. C. Obtain blood cultures and start antibiotics as prescribed. D. Isolate the child to prevent the spread of infection.

C

Which clinical manifestations are associated with acute chest syndrome in sickle cell anemia? (Select All That Apply) A. Fever and hypoxia. B. Severe chest pain. C. Swelling in the hands and feet. D. Respiratory distress. E. Petechiae and purpura.

A,B,D

Which of the following long-term complications is associated with childhood cancer treatments? A. Hyperactivity B. Growth delays and infertility C. Increased risk of genetic disorders D. Hypercoagulability

B

True or False: Radiation therapy is often used in combination with surgery for solid tumors like osteosarcoma.

True

What clinical findings are typical in a child with retinoblastoma? (Select All That Apply) A. Leukocoria (white reflex). B. Strabismus. C. Abdominal mass. D. Eye redness. E. Severe bone pain.

A,B,D

Which nursing intervention is most appropriate for a child with thrombocytopenia? A. Avoid NSAIDs and aspirin. B. Encourage active participation in contact sports. C. Increase dietary iron intake. D. Delay all immunizations.

A

True or False: Biotherapy involves using the body’s immune system to target and destroy cancer cells.

True

What is the primary purpose of chemotherapy in treating leukemia? A. Enhance the immune system. B. Shrink the tumor prior to surgery. C. Target rapidly dividing cancer cells. D. Restore bone marrow function.

C

A nurse is educating parents about infection prevention for their neutropenic child. What should be included? (Select All That Apply) A. Perform hand hygiene frequently. B. Keep the child away from crowds and sick individuals. C. Administer live vaccines to boost immunity. D. Use sterile technique when handling central lines. E. Monitor for fever and report immediately.

A,B,D,E

True or False: Children with leukemia may present with symptoms like pallor, fatigue, petechiae, and hepatosplenomegaly.

True

What is the best nursing action when a child with sickle cell anemia reports severe pain? A. Apply cold compresses to affected areas. B. Administer prescribed opioids and fluids. C. Encourage active range of motion exercises. D. Restrict oral fluid intake.

B

A child with acute myeloid leukemia (AML) presents with gingival hyperplasia and a fever of 102°F (39°C). What is the nurse’s priority intervention? A. Administer antipyretics and monitor temperature. B. Obtain blood cultures and administer prescribed antibiotics. C. Provide oral care and encourage hydration. D. Isolate the child to prevent transmission of infection.

B

The nurse is educating parents on recognizing complications of chemotherapy. Which signs should parents report immediately? (Select All That Apply) A. Fever above 100.4°F (38°C). B. Petechiae or unusual bruising. C. Persistent nausea and vomiting. D. Gradual hair loss. E. Decreased urine output.

A,B,C,E

During the care of a child with Wilms tumor, the nurse should ensure that the _________ is not palpated to prevent tumor rupture.

Abdomen

Match the clinical manifestation to the associated childhood cancer: Manifestation: Bone pain, swelling, and fractures Cancer Type: A. Osteosarcoma B. Retinoblastoma C. Hodgkin's lymphoma D. Wilm's Tumor

A.

Match the clinical manifestation to the associated childhood cancer: Manifestation: Leukocoria and vision loss Cancer Type: A. Osteosarcoma B. Retinoblastoma C. Hodgkin's lymphoma D. Wilm's Tumor

B.

Match the clinical manifestation to the associated childhood cancer: Manifestation: Painless lymphadenopathy, night sweats Cancer Type: A. Osteosarcoma B. Retinoblastoma C. Hodgkin's lymphoma D. Wilm's Tumor

C.

Match the clinical manifestation to the associated childhood cancer: Manifestation: abdominal mass & hypertension Cancer Type: A. Osteosarcoma B. Retinoblastoma C. Hodgkin's lymphoma D. Wilm's Tumor

D.

True or False: CAR-T therapy is an example of biotherapy used to treat acute lymphoblastic leukemia (ALL).

True