How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is admitting an 8-year-old child to the pediatric unit.

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 disease process.

A.

Pain

B.

Lymph nodes

C.

Skin

D.

Neurologic

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B,C"},"C":{"answers":"B,C"},"D":{"answers":"B"}}

Bacterial Meningitis (Most Likely Diagnosis). Headache, nausea, irritability, lethargy, nuchal rigidity → Signs of meningeal irritation Petechiae → Possible meningococcal sepsis. Fever, chills, elevated WBC count (14,000/mm³) → Indicates an infection. Irregular respirations, agitation, capillary refill 4 seconds → Signs of worsening perfusion, possible sepsis

Hodgkin Lymphoma (Possible but Less Likely). Enlarged lymph nodes → Common in lymphoma but does not explain acute symptoms like fever, petechiae, or neurologic signs.

Acute Lymphoblastic Leukemia (ALL) (Possible but Less Likely). Petechiae → Possible due to thrombocytopenia, but child’s platelet count (350,000) is normal.. Enlarged lymph nodes → Can occur in leukemia but is not the primary concern given the acute symptoms.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is B

Explanation

A. "Offer your child foods that are low in calories." Children with cystic fibrosis (CF) require a high-calorie diet because their bodies have difficulty absorbing nutrients due to pancreatic insufficiency.
B. "Offer your child foods that are high in fat." A high-fat diet (35%-40% of total calories from fat) is recommended because fat malabsorption is common in CF, and they need additional fat to meet their energy needs.
C. "Offer your child foods that are high in vitamin C." While vitamin C is important, fat-soluble vitamins (A, D, E, and K) are the primary concern since CF patients struggle to absorb them.
D. "Offer your child foods that are low in protein." Children with CF require adequate protein intake to support growth and maintain muscle mass, so protein restriction is not recommended.

Correct Answer is B

Explanation

A. "I will be excused from physical education class." Exercise is encouraged for children with cystic fibrosis (CF) because it helps clear mucus from the lungs and improves overall lung function.

B. "I will increase my intake of vitamin D." People with CF have difficulty absorbing fat-soluble vitamins (A, D, E, and K) due to pancreatic insufficiency. Vitamin D supplementation is essential to prevent deficiencies and support bone health.

C. "I will limit my calcium intake to prevent kidney stones." CF patients are at risk for osteoporosis due to malabsorption of calcium and vitamin D, so they should increase, not limit, their calcium intake.

D. "I will take fewer enzymes when I eat high-fat foods." CF patients require pancreatic enzyme replacement therapy (PERT) with every meal and snack to aid digestion. More enzymes, not fewer, are needed for high-fat meals to properly digest and absorb nutrients.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register