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WorksheetsNCLEX - HEMATOLOGY Day2 (Part 2)
Total questions: 8
Worksheet time: 8mins
Name
Class
Date
1.
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)
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2.
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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3.
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.
4.
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)
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5.
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.
6.
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
7.
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
8.
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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