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WorksheetsNCLEX - HEMATOLOGY Day2
Total questions: 23
Worksheet time: 23mins
Name
Class
Date
1.
The nurse is reviewing new prescriptions for a client who has tumor lysis syndrome. The nurse should clarify the prescription for
a)
IV furosemide
b)
IV 0.9% sodium chloride
c)
PO sevelamer
d)
PO spironolactone
e)
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2.
A client with throat cancer receives radiation therapy to the head and neck. Which of the following strategies are appropriate to decrease the adverse effects associated with radiation therapy? Select all that apply.
a)
Avoid irritants such as acidic, spicy foods
b)
Discourage the use of topical analgesics
c)
Encourage liquid nutritional supplements
d)
Perform oral hygiene once per day
e)
Use artificial saliva to control dryness
3.
A nurse is screening clients at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply.
a)
For the past few years, I get a productive cough in the winter that goes away in spring.
b)
I occasionally have heartburn an hour after I eat fried foods and sausage.
c)
Last month when I was doing my breast self-examination, I noticed a marble-sized lump.
d)
My mole is itchy, and the borders have become uneven with a blackish to bluish color.
e)
Recently I have noticed that my bowel movements appear black.
4.
The nurse is caring for a 3-year-old client with Wilms tumor who is scheduled for a nephrectomy. Which of the following actions would be a priority for the nurse to take?
a)
Monitor the client's blood pressure
b)
Assess the client's emotional maturity level
c)
Instruct the parents to avoid palpating the client's abdomen
d)
Auscultate the client's lungs for adventitious breath sounds
e)
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5.
The nurse has attended a staff education program about various types of diets. The nurse recognizes that which diet would place a client at the highest risk for megaloblastic anemia?
a)
lactoovovegetarian
b)
lactovegetarian
c)
ovovegetarian
d)
vegan
e)
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6.
A student nurse is caring for a client with iron deficiency anemia who is newly prescribed ferrous sulfate. Which action by the student nurse requires the supervising nurse to intervene?
a)
Encourages the client to drink extra fluids while taking ferrous sulfate
b)
Offers the client orange juice for administration of ferrous sulfate
c)
Plans to administer ferrous sulfate one hour before breakfast
d)
Prepares to administer a prescribed calcium supplement with ferrous sulfate
e)
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7.
The nurse provides care for a client diagnosed with polycythemia vera. Which statement by the client would require immediate follow-up?
a)
I am trying to find makeup to cover my unattractive, ruddy facial complexion.
b)
I must have injured my leg in some way because it is sore, swollen, and red.
c)
I take low-dose aspirin to relieve my occasional headaches.
d)
My skin itches so severely, and no lotion or cream seems to help.
e)
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8.
The nurse is talking with a client who has breast cancer and is receiving tamoxifen. Which of the following statements by the client would require immediate follow-up?
a)
I have been experiencing frequent hot flashes.
b)
I have been experiencing vaginal dryness.
c)
I have had a decreased interest in sexual intercourse.
d)
I have noticed that my menses are heavy.
e)
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9.
The home health nurse is teaching a client who underwent a right mastectomy with lymph node removal. The client is experiencing lymphedema in the affected arm. Which of the following information should the nurse include? Select all that apply.
a)
Apply a heating pad to your right arm for 15 minutes several times a day.
b)
Avoid receiving injections in your right arm.
c)
Keep your right arm elevated at the level of your heart as much as possible.
d)
Perform isometric exercises with your right arm daily.
e)
Wear a compression sleeve on your right arm during the day.
10.
A nurse is caring for a client 1 day after a left-sided mastectomy with lymph node dissection. Which nursing intervention is the priority in caring for this client?
a)
Apply an ice pack to the left shoulder
b)
Elevate the affected arm on a pillow
c)
Help the client ambulate frequently
d)
Obtain a pneumatic compression sleeve
e)
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11.
The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.
a)
Encourage the client to increase the intake of fluids.
b)
Administer low-dose aspirin to the client as prescribed.
c)
Request a prescription for an iron supplement for the client.
d)
Teach the client to elevate the legs while sitting.
e)
Prepare the client for phlebotomy.
12.
The nurse is talking with the parent of a 5-year-old client about managing recurrent nosebleeds at home. Which of the following statements would be appropriate for the nurse to make? Select all that apply.
a)
Apply direct pressure by pinching your child's nostrils together for 5-15 minutes.
b)
Take your child to the emergency department as soon as possible.
c)
Tell your child to lie down and turn your child on the left side.
d)
Provide reassurance to keep your child calm and quiet.
e)
Place a cold cloth over the bridge of your child's nose.
13.
The nurse is planning education for the family of a child newly diagnosed with hemophilia. Which long-term complication will the nurse include in the teaching?
a)
Heart valve injury
b)
Intellectual disability
c)
Joint destruction
d)
Recurrent pneumonia
e)
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14.
The nurse is assessing a client with acute myeloid leukemia. Which of the following findings would the nurse expect to obtain?
a)
jaundice and abdominal pain
b)
night sweats and swollen lymph nodes
c)
petechiae and a decreased RBC count
d)
pathological fractures and an elevated serum calcium level
e)
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15.
The nurse is caring for a 50-year-old client in the clinic. The client's annual physical examination revealed a hemoglobin value of 10 g/dL (100 g/L) compared to 13 g/dL (130 g/L) a year ago. What should be the nurse's initial action?
a)
Encourage intake of over-the-counter iron pills
b)
Encourage intake of red meat and egg yolks
c)
Facilitate a screening colonoscopy
d)
Facilitate another blood test in 6 months
e)
-
16.
The nurse is caring for a client with breast cancer who has a new prescription for tamoxifen. Which of the following information in the client's medical record would indicate a contraindication for tamoxifen?
a)
allergies to shellfish and peanuts
b)
quit smoking cigarettes 5 years ago
c)
hospitalization with deep venous thrombosis 1 year ago
d)
previous treatment for depression following the death of a parent
e)
-
17.
The nurse teaches a client diagnosed with iron deficiency anemia about iron-rich foods. Which meal selection by the client indicates the teaching has been effective?
a)
Chicken salad with lettuce on French bread, chocolate pudding, and milk
b)
Fat-free yogurt, carrot sticks, apple slices, and diet soda
c)
Ham, steamed carrots, green beans, gelatin dessert, and iced tea
d)
Kale salad with boiled eggs and dried fruit, a brownie, and orange juice
e)
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18.
The nurse is assessing a client with suspected Hodgkin lymphoma. Which of the following statements by the client would support a diagnosis of Hodgkin lymphoma? Select all that apply.
a)
I have had a recurring fever for the past month.
b)
I have had a painless lump in my underarm for the past several weeks.
c)
Sometimes I sweat so much while sleeping that I need to change my bed sheets.
d)
My diet and exercise regimen have not changed, but my weight has decreased in the past month.
e)
I noticed a large, brown and black-colored mole on my back that was not there a few months ago.
19.
The nurse is screening clients for those at risk for developing endometrial cancer. Which of the following clients is at highest risk for developing endometrial cancer?
a)
42-year-old client who has been taking a progestin-containing oral contraceptive for 10 years
b)
45-year-old client who has a history of one ectopic pregnancy and two births
c)
51-year-old client who has polycystic ovary syndrome and is obese
d)
54-year-old client who has a history of hysterectomy for uterine fibroids
e)
-
20.
The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? Select all that apply.
a)
I have had four sexual partners during my lifetime.
b)
I have smoked cigarettes for many years.
c)
I never used birth control pills because my partners wore condoms.
d)
I received treatment for chlamydia when I was younger.
e)
I tested positive for human papillomavirus a few years ago.
21.
A client diagnosed with head and neck cancer has developed mouth sores related to external radiation therapy. Which of the following oral hygiene practices does the nurse include while educating the client about the condition? Select all that apply.
a)
Apply a water-soluble lubricating agent to moisturize mouth tissues
b)
Brush teeth with a soft-bristle toothbrush
c)
Cleanse the mouth with saline after meals and at bedtime
d)
Do not drink hot liquids or eat foods that are spicy or acidic
e)
Remove dentures between meals and soak with cleaning solution
22.
The nurse is preparing to admit a client with endometrial cancer to the oncology unit for brachytherapy via a sealed cervical implant. Which of the following interventions are appropriate to include in the plan of care for this client? Select all that apply.
a)
Assign the client to a lead-lined room and ensure availability of lead shields
b)
Cluster care to limit the amount of time in the client's room
c)
Ensure all staff caring for the client are wearing their own dosimeter badge
d)
Instruct the client to be careful not to dislodge the implant when repositioning
e)
Teach visitors to stay at least 6 ft (1.8 m) away from the client
23.
The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing pulmonary embolism is the client who
a)
has pneumonia
b)
has a subdural hematoma
c)
had a cesarean birth 6 hours ago
d)
is receiving hormone replacement therapy
e)
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