CPHON Symptom Management and Supportive Care

Question 1

A child undergoing chemotherapy reports mouth sores that prevent eating. The nurse documents this as:

Accepted Answer

Stomatitis/mucositis

Answer

Xerostomia

Answer

Esophagitis

Answer

Oral candidiasis

Question 2

Which intervention is MOST effective in preventing chemotherapy-induced nausea and vomiting (CINV) in children?

Accepted Answer

Pre-medicating with antiemetics before chemotherapy

Answer

Administering antiemetics after nausea begins

Answer

Restricting all oral intake during infusion

Answer

Administering acetaminophen 30 minutes prior

Question 3

A child on opioids for cancer pain develops constipation. The BEST intervention is:

Accepted Answer

Administer a stimulant laxative and stool softener

Answer

Increase dietary fiber alone

Answer

Discontinue opioids immediately

Answer

Order a tap water enema

Question 4

A child with cancer who is in moderate pain rates it 7/10. According to the WHO analgesic ladder, the appropriate step is:

Accepted Answer

Strong opioid (morphine) ± non-opioid

Answer

Non-opioid only (acetaminophen/NSAIDs)

Answer

Weak opioid (codeine/tramadol) + non-opioid

Answer

Topical analgesic alone

Question 5

To assess pain in a 3-year-old child with leukemia who cannot verbalize pain level, the nurse should use:

Accepted Answer

FLACC behavioral pain scale

Answer

Numeric rating scale (0–10)

Answer

Visual analog scale

Answer

McGill Pain Questionnaire

Question 6

A child receiving radiation therapy to the head develops hair loss. The nurse should explain that this hair loss is:

Accepted Answer

Likely temporary if radiation dose is low, but may be permanent at high doses

Answer

Permanent in all cases

Answer

Unrelated to the radiation field

Answer

Only caused by concurrent chemotherapy