CPHON Pediatric Oncology Nursing Assessment and Care Planning 2

Question 1

A child with Wilms' tumor is post-operative day 2. Which assessment finding is MOST concerning?

Accepted Answer

Abdomen firm and distended with absent bowel sounds

Answer

A firm, distended abdomen with absent bowel sounds post-nephrectomy may indicate paralytic ileus, hemorrhage, or bowel obstruction requiring urgent evaluation.

Question 2

The nurse is preparing a family for a bone marrow biopsy in their child. Which statement is accurate?

Accepted Answer

The posterior iliac crest is the most common site in children

Answer

The posterior iliac crest is the preferred bone marrow biopsy site in children because it provides good marrow access and avoids vital structures.

Question 3

During a nursing handoff, the nurse learns a child with a brain tumor has new onset of unequal pupils. This finding suggests:

Accepted Answer

Increased intracranial pressure — notify provider immediately

Answer

Unequal pupils (anisocoria) in a patient with a brain tumor is a neurological emergency indicating possible herniation or increased ICP.

Question 4

A child with osteosarcoma of the femur is preparing for limb-salvage surgery. Which nursing intervention is MOST important pre-operatively?

Accepted Answer

Teach the child about post-operative rehabilitation and expected functional outcomes

Answer

Pre-operative teaching about rehabilitation and realistic functional goals reduces anxiety and promotes engagement in post-operative recovery.

Question 5

A toddler with neuroblastoma has periorbital ecchymosis (raccoon eyes). The nurse documents this as a sign of:

Accepted Answer

Orbital metastasis from neuroblastoma

Answer

Bilateral periorbital ecchymosis ('raccoon eyes') in children with neuroblastoma indicates orbital metastasis from tumor spread to the skull base.

CPHON Exam Practice Test

CPHON Exam Practice Test

CPHON Pediatric Oncology Nursing Assessment and Care Planning 2