Deck 11: Cancer in Children

Question 1

A 16-year-old male with aspirations of becoming a bodybuilder spends 3 hours a day in the gym.Five years later he develops hepatocellular carcinoma.Which of the following is the most likely cause of the cancer?

A) Immunosuppressive agents
B) Cytotoxic agents
C) Anabolic steroids
D) A viral infection

Answer 1

Anabolic steroids

Question 2

When an aide asks why carcinomas rarely occur in childhood,how should the nurse respond? (Select all that apply.)

A) Carcinomas cannot develop in an immunosuppressed environment.
B) Carcinomas need a long time from exposure to occurrence.
C) Carcinomas are due to environmental exposures.
D) Carcinomas occur primarily in secondary sexual organs.
E) Carcinomas are mesodermal.

Answer 2

Carcinomas need a long time from exposure to occurrence.
Carcinomas are due to environmental exposures.

Question 3

A couple brings their child to his primary care provider for a checkup.The child has Down syndrome,and the couple is concerned about other diseases that could afflict the child.The primary care provider explains that young children with Down syndrome are at higher risk for developing:

A) Nephroblastoma
B) Rhabdomyosarcoma
C) Leukemia
D) Retinoblastoma

Answer 3

Leukemia

Question 4

A nurse is preparing to teach the most common malignancy in children.Which malignancy should the nurse discuss?

A) Leukemia
B) Neuroblastoma
C) Wilms tumor
D) Retinoblastoma

Question 5

A child was recently diagnosed with cancer.The diagnosis suggests it is an embryonic tumor.Which of the following characterizes this type of cancer?

A) Commonly occurring
B) Often seen in adults
C) Composed of mature, differentiated cells
D) Usually manifested around age 5

Question 6

A newborn male is born with heart failure.Three weeks later he receives a heart transplant.Which of the following is he at the highest risk for developing?

A) Leukemia
B) Liver cancer
C) Pancreatic cancer
D) Burkitt lymphoma

Question 7

While planning care for children with cancer,which information should the nurse remember? Most childhood cancers originate from the:

A) Placenta
B) Environment
C) Mesodermal germ layer
D) Neural tube

Question 8

A 40-year-old female developed adenocarcinoma of the vagina.Which of the following is the most likely cause of her cancer?

A) Rb gene mutation
B) Prenatal exposure to diethylstilbestrol (DES)
C) Prenatal exposure to solvents
D) Prenatal exposure to radiation

Question 9

A 3-year-old female was diagnosed with Wilms tumor.This disease is a tumor of the:

A) Kidney
B) Brain
C) Bone marrow
D) Liver

Question 10

The most common tissue type of cancer occurring after adolescence is:

A) Sarcoma
B) Squamous cell
C) Carcinoma
D) Neuromas