AH2 EXAM 2 NEWEST ACTUAL EXAM
AND PRACTICE EXAM 2024-2025
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES |
GUARANTEED A+ GRADE
A hospitalized patient who has received chemotherapy for
leukemia develops neutropenia. Which observation by the
nurse would indicate a need for further teaching?
a. The patient ambulates several times a day in the room.
b. The patient's visitors bring in some fresh peaches from
home.
c. The patient cleans with a warm washcloth after having a
stool.
d. The patient uses soap and shampoo to shower every
other day. Correct Answer ANS: B
Fresh, thinned-skin fruits are not permitted in a
neutropenic diet because of the risk of bacteria being
present. The patient should ambulate in the room rather
than the hospital hallway to avoid exposure to other
patients or visitors. Because overuse of soap can dry the
skin and increase infection risk, showering every other day
is acceptable. Careful cleaning after having a bowel
movement will help prevent skin breakdown and infection
The nurse is caring for a patient who has been diagnosed
with stage I cancer of the colon. When assessing the need
,for psychologic support, which question by the nurse will
provide the most information?
a. "How long ago were you diagnosed with this cancer?"
b. "Do you have any concerns about body image
changes?"
c. "Can you tell me what has been helpful to you in the
past when coping with stressful events?"
d. "Are you familiar with the stages of emotional
adjustment to a diagnosis like cancer of the colon?"
Correct Answer ANS: C
Information about how the patient has coped with past
stressful situations helps the nurse determine usual coping
mechanisms and their effectiveness. The length of time
since the diagnosis will not provide much information
about the patient's need for support. The patient's
knowledge of typical stages in adjustment to a critical
diagnosis does not provide insight into patient needs for
assistance. Because surgical interventions for stage I
cancer of the colon may not cause any body image
changes, this question is not appropriate at this time
The nurse assesses a patient who is receiving interleukin-
2. Which finding should the nurse report immediately to
the health care provider?
a. Generalized muscle aches
b. Complaints of nausea and anorexia
c. Oral temperature of 100.6° F (38.1° C)
d. Crackles heard at the lower scapular border Correct
Answer ANS: D
,Capillary leak syndrome and acute pulmonary edema are
possible toxic effects of interleukin-2. The patient may
need oxygen and the nurse should rapidly notify the health
care provider. The other findings are common side effects
of interleukin-2.
The nurse obtains information about a hospitalized patient
who is receiving chemotherapy for colorectal cancer.
Which information about the patient alerts the nurse to
discuss a possible change in therapy with the health care
provider?
a. Poor oral intake
b. Frequent loose stools
c. Complaints of nausea and vomiting
d. Increase in carcinoembryonic antigen (CEA) Correct
Answer ANS: D
An increase in CEA indicates that the chemotherapy is not
effective for the patient's cancer and may need to be
modified. The other patient findings are common adverse
effects of chemotherapy. The nurse may need to address
these, but they would not necessarily indicate a need for a
change in therapy
The nurse reviews the laboratory results of a patient who
is receiving chemotherapy. Which laboratory result is most
important to report to the health care provider?
a. Hematocrit of 30%
b. Platelets of 95,000/µL
c. Hemoglobin of 10 g/L
, d. White blood cell (WBC) count of 2700/µL Correct
Answer ANS: D
The low WBC count places the patient at risk for severe
infection and is an indication that the chemotherapy dose
may need to be lower or that WBC growth factors such as
filgrastim (Neupogen) are needed. Although the other
laboratory data indicate decreased levels, they do not
indicate any immediate life-threatening adverse effects of
the chemotherapy
When caring for a patient who is pancytopenic, which
action by unlicensed assistive personnel (UAP) indicates a
need for the nurse to intervene?
a. The UAP assists the patient to use dental floss after
eating.
b. The UAP adds baking soda to the patient's saline oral
rinses.
c. The UAP puts fluoride toothpaste on the patient's
toothbrush.
d. The UAP has the patient rinse after meals with a saline
solution. Correct Answer ANS: A
Use of dental floss is avoided in patients with
pancytopenia because of the risk for infection and
bleeding. The other actions are appropriate for oral care of
a pancytopenic patient
The nurse supervises the care of a patient with a
temporary radioactive cervical implant. Which action by
unlicensed assistive personnel (UAP), if observed by the
nurse, would require an intervention?
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