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2024 CHEMO/HEME EXAM 1 WITH CORRECT ANSWERS
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2024 CHEMO/HEME EXAM 1 WITH CORRECT ANSWERS
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2024 CHEMO/HEME EXAM 1 WITHCORRECT ANSWERS
A nursing student is caring for a patient with acute myeloid leukemia who is
preparing to undergo
induction therapy. In preparing a plan of care for this patient, the student
should assign the highest
priority to which nursing diagnoses?
A) Activity Intolerance
B) Risk for Infection
C) Acute Confusion
D) Risk for Spiritual Distress - CORRECT-ANSWERSB
A 35-year-old male is admitted to the hospital complaining of severe
headaches, vomiting, and testicular
pain. His blood work shows reduced numbers of platelets, leukocytes, and
erythrocytes, with a high
proportion of immature cells. The nurse caring for this patient suspects a
diagnosis of what?
A) AML
B) CML
C) MDS
D) ALL - CORRECT-ANSWERSD
An emergency department nurse is triaging a 77-year-old man who presents
with uncharacteristic fatigue
as well as back and rib pain. The patient denies any recent injuries. The
nurse should recognize the need
for this patient to be assessed for what health problem?
A) Hodgkin disease
B) Non-Hodgkin lymphoma
C) Multiple myeloma
D) Acute thrombocythemia - CORRECT-ANSWERSC
A patient with non-Hodgkins lymphoma is receiving information from the
oncology nurse. The patient
asks the nurse why she should stop drinking and smoking and stay out of the
sun. What would be the
nurses best response?
A) Everyone should do these things because theyre health promotion
activities that apply to everyone.
, B) You dont want to develop a second cancer, do you?
C) You need to do this just to be on the safe side.
D) Its important to reduce other factors that increase the risk of second
cancers. - CORRECT-ANSWERSD
A nurse practitioner is assessing a patient who has a fever, malaise, and a
white blood cell count that is
elevated. Which of the following principles should guide the nurses
management of the patients care?
A) There is a need for the patient to be assessed for lymphoma.
B) Infection is the most likely cause of the patients change in health status.
C) The patient is exhibiting signs and symptoms of leukemia.
D) The patient should undergo diagnostic testing for multiple myeloma. -
CORRECT-ANSWERSB
An oncology nurse recognizes a patients risk for fluid imbalance while the
patient is undergoing
treatment for leukemia. What relevant assessments should the nurse include
in the patients plan of care?
Select all that apply.
A) Monitoring the patients electrolyte levels
B) Monitoring the patients hepatic function
C) Measuring the patients weight on a daily basis
D) Measuring and recording the patients intake and output
E) Auscultating the patients lungs frequently - CORRECT-ANSWERSA, C, D, E
A patient with a myelodysplastic syndrome is being treated on the medical
unit. What assessment
finding should prompt the nurse to contact the patients primary care
provider?
A) The patient is experiencing a frontal lobe headache.
B) The patient has an episode of urinary incontinence.
C) The patient has an oral temperature of 37.5C (99.5F).
D) The patients SpO2 is 91% on room air. - CORRECT-ANSWERSC
A clinic nurse is working with a patient who has a long-standing diagnosis of
polycythemia vera. How
can the nurse best gauge the course of the patients disease?
A) Document the color of the patients palms and face during each visit.
B) Follow the patients erythrocyte sedimentation rate over time.
C) Document the patients response to erythropoietin injections.
D) Follow the trends of the patients hematocrit. - CORRECT-ANSWERSD
A nurse is planning the care of a patient who has been diagnosed with
essential thrombocythemia (ET).
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