CPHON Pediatric Oncology Nursing Assessment and Care Planning

Question 1

When performing a nursing assessment on a newly diagnosed pediatric oncology patient, which finding requires IMMEDIATE intervention?

Accepted Answer

Respiratory distress with mediastinal mass on chest X-ray

Answer

Blood pressure of 100/60 mmHg

Answer

Weight loss of 2 lbs over one month

Answer

Mild pallor of mucous membranes

Question 2

Which nursing diagnosis has HIGHEST priority for a child with febrile neutropenia?

Accepted Answer

Risk for infection related to immune suppression

Answer

Risk for imbalanced nutrition

Answer

Disturbed body image

Answer

Activity intolerance

Question 3

The CPHON nurse is caring for a child with superior vena cava (SVC) syndrome. Which position is MOST appropriate?

Accepted Answer

High Fowler's (head of bed elevated 60–90°)

Answer

Supine with legs elevated

Answer

Prone

Answer

Left lateral decubitus

Question 4

A child with ALL is admitted with a fever and ANC of 200/mm³. Within how many minutes should empiric antibiotics be initiated?

Accepted Answer

Within 60 minutes

Answer

Within 30 minutes

Answer

Within 4 hours

Answer

Within 24 hours

Question 5

When developing a care plan for a child with terminal cancer, the nurse includes which priority goal?

Accepted Answer

Maintain comfort and quality of life

Answer

Cure the underlying malignancy

Answer

Maximize aggressive treatment

Answer

Prevent all family visits

Question 6

A 10-year-old with leukemia refuses to take oral medication. The BEST nursing approach is to:

Accepted Answer

Collaborate with the child and family to problem-solve acceptability

Answer

Force the medication immediately

Answer

Crush and hide medication in food without telling the child

Answer

Document refusal and skip the dose without further action