Which of the following is an indication that a child is experiencing precocious puberty?
A-Testicular enlargement at age 10
B-Tall stature
C-Delayed epiphyseal fusion
D-Advanced bone age - ANSWER D-advanced bone age
--when child's body changes into adult's body too soon
-age 10 is normal age to start puberty; would be a sign if <10
Parental grief following the death of a child from cancer generally plateau's at what point in
time?
A- 4 -10 months
B- 12 - 18 months
C- 20 - 26 months
D- 30 - 36 months - ANSWER B- 12-18mo
The parent of a 7-year-old child with end-stage disease asks the nurse, "My child has been
asking questions about death, what do I say?" What would be the most appropriate response
from the nurse?
A- Tell the patient that it is like a special sleep
B- Suggest that the parent be genuine and sincere
C- Ask a trained professional to talk with the parent
D- Explain that the child is too young to understand death - ANSWER B- suggest that the
parents be genuine and sincere
Phantom limb pain following a surgical amputation is an example of what type of pain?
A- Somatic
B- Nociceptive
, C- Neuropathic
D- Visceral - ANSWER C- neuropathic
--a persistent, burning pain; result of injury to the SNS
Moist desquamation of the skin occurs with radiation doses of:
A- 20Gy
B- 50Gy
C- 35Gy
D- 10Gy - ANSWER B- 50 Gy
Which of the following is a cytogenetic feature for a patient diagnosed with Burkitt
lymphoma?
A- CD20 positive cells
B- Translocation of B-cell immunoglobulin genes
C- ALK protein gene rearrangements
D- Basophilic cytoplasm with large nuclei - ANSWER B- Translocation of B-cell
immunoglobulin genes
How many stages of mucositis are there?
A- 3
B- 4
C- 5
D- 6 - ANSWER C- 5
5 STAGES of mucositis (4th stage ulceration-->5th stage is healing); 4 GRADES of mucositis
based on severity
Parents report that their school-aged child with leukemia is not sleeping well at home. Which
tool is used to assess for sleep disturbance?
A- OMAS
B- APPT
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