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WorksheetsUnit 6 Blueprint
Total questions: 50
Worksheet time: 25mins
Which body fluid is not known to transmit HIV infection?
Blood
Vaginal secretions
Sweat
Breast milk
Which statement about HIV transmission during pregnancy is correct?
All infants of HIV-positive mothers are infected
Zidovudine during pregnancy decreases transmission risk to < 1%
Transmission is impossible with breastfeeding
Delivery method does not affect risk
The client’s CD4 count is 180 cells/mm³. Which interpretation is correct?
Indicates normal immune function
Indicates HIV infection without symptoms
Indicates AIDS
Indicates early HIV infection
Which is the most common opportunistic infection in clients with AIDS?
Candida albicans
Cytomegalovirus
Pneumocystis jirovecii pneumonia (PJP)
Toxoplasmosis
Which teaching is most appropriate for a patient taking Truvada (PrEP)?
You can stop taking it if you feel fine.
You’re protected immediately after one dose.
Use condoms and take the medication daily.
You only need HIV testing once a year.
What indicates effective antiretroviral therapy (ART)?
Decreased CD4 count
Increased viral load
Decreased viral load
Elevated liver enzymes
Which laboratory finding supports the diagnosis of SLE?
Elevated serum complement
Positive ANA test
Decreased ESR
Increased platelet count
Which medication is used for fatigue and joint pain in SLE?
Hydroxychloroquine
Methotrexate
A patient with SLE reports increased fatigue after a weekend at the lake. The nurse should:
Encourage continued outdoor activity
Review sun-exposure and reinforce UV protection
Advise daily tanning for vitamin D
Discontinue hydroxychloroquine
Which statement about hydroxychloroquine is correct?
It is nephrotoxic
It requires routine vision exams
It causes insomnia
It increases WBC count
Type III hypersensitivity reactions are associated with:
Contact dermatitis
Immune complexes lodging in tissues
IgE-mediated asthma
T-cell destruction
What is the main goal in teaching for patients with SLE?
Limit all medications
Increase UV exposure for vitamin D
Prevent exacerbations and maintain remission
Reduce fluid intake
The TNM classification system evaluates:
Tumor type, node involvement, and metastasis
Tumor size only
Tumor grading
Genetic mutations
Which finding is one of the seven warning signs of cancer?
Persistent cough or hoarseness
Skin itching
Abdominal distension
Constipation
Which is a primary prevention strategy for cancer?
Regular mammograms after age 45
Avoiding known carcinogens
Annual colonoscopy
PSA screening
Which diagnostic test identifies prostate cancer?
CA-125
PSA
CEA
CBC
Which type of tumor spreads from its original site to another organ?
Benign
Secondary
Primary
In situ
Which factor increases a patient's risk for developing cancer?
Low BMI
Smoking
Daily exercise
Balanced diet
The most common cause of therapy-related pancytopenia is:
Radiation
Chemotherapy
Immunotherapy
Hormonal therapy
What is the nurse’s priority before administering chemotherapy?
Checking for blood return
Applying cold compress
Pre-hydrating the patient
Measuring height and weight only
What PPE is required when administering IV chemotherapy?
Gloves only
Double gloves, mask, gown, and eye protection
Apron only
None
Which nursing intervention reduces nausea during chemotherapy?
Administer antiemetics before treatment
Encourage spicy foods
Withhold fluids
Avoid bland meals
Which lab result requires immediate intervention during chemotherapy?
WBC 6,000/mm³
Platelets 40,000/mm³
What is a priority safety teaching for external radiation?
You are radioactive after treatment.
Do not remove skin markings.
You should cover the area with ice packs.
Use alcohol-based lotion.
Which is true about brachytherapy (internal radiation)?
The patient emits radiation while the implant is in place
The nurse may stay in the room unlimited time
Visitors can hold the implant container
Patient is always radioactive after removal
What is the primary precaution for a nurse caring for a patient with an implanted radiation source?
Limit time and wear lead apron
Avoid wearing gloves
Use the same room for all patients
Keep the door open
The nurse recognizes which symptom as radiation dermatitis?
Hair loss
Dry, red, itchy skin
Yellow sclera
Petechiae
Which lab value indicates bone marrow suppression after chemotherapy?
RBC 4.8 million
WBC 2,000/mm³
Platelets 250,000
Hct 40%
Polycythemia vera is characterized by:
Decreased RBCs
Excessive RBC, WBC, and platelet production
Low hematocrit
Anemia
Which is a priority complication of polycythemia vera?
Dehydration
Thrombosis
Anemia
Leukopenia
The treatment goal for polycythemia vera is to:
Keep hematocrit below 45%
Increase platelet count
Reduce hemoglobin to 20
Restrict fluids
Which patient statement about polycythemia vera requires intervention?
I’ll drink at least 3 liters of fluid daily.
I will wear tight socks to prevent swelling.
I’ll take my low-dose aspirin.
I’ll report signs of infection.
What lab value confirms thrombocytopenia?
Platelets 180,000
Platelets 120,000
WBC 8,000
Hgb 15 g/dL
Which symptom is most associated with immune thrombocytopenic purpura (ITP)?
Petechiae and mucosal bleeding
Shortness of breath
Weight gain
Hypertension
Which nursing intervention is appropriate for thrombocytopenia?
Avoid IM injections
Encourage flossing
Use razor blades
Encourage contact sports
Which medication stimulates WBC production after chemotherapy?
Epoetin alfa
Filgrastim (Neupogen)
Tamoxifen
Rituximab
Which gene mutation increases risk for breast and ovarian cancer?
HER-2
BRCA1 and BRCA2
APC
BAP1
What is the most common metastasis site for breast cancer?
Kidney
Liver, bone, lung, brain
Which is the classic symptom of uterine cancer?
Abdominal pain
Abnormal uterine bleeding
Vaginal discharge
Weight loss
Which factor increases cervical cancer risk?
HPV infection
Low BMI
Early menopause
Late pregnancy
Which teaching should be given after lymph node removal for breast cancer?
You can take blood pressure on the affected arm.
Avoid BP and blood draws on that arm.
Do not elevate the affected arm.
Apply heating pads daily.
Which lab test is associated with ovarian cancer?
PSA
CA-125
CEA
CA-19
Which type of leukemia is most common in adults?
CLL
ALL
AML
CML
Which finding is expected in leukemia?
High hemoglobin
Low platelets
Increased clotting
Elevated RBC
Which is the definitive diagnostic test for leukemia?
CBC
Bone marrow biopsy
MRI
CT scan
The nurse identifies which complication of leukemia treatment as priority?
Infection
Hypercalcemia
Bradycardia
Fluid overload
During bone marrow transplant, which finding requires immediate action?
Fever and hypertension
Nausea
Itching
Low-grade fever
The presence of Reed-Sternberg cells indicates:
Non-Hodgkin’s lymphoma
Hodgkin’s lymphoma
Multiple myeloma
Leukemia
What treatment option can lead to permanent sterility in male lymphoma patients?
Immunotherapy
Radiation to lower abdomen
Antiemetics
Corticosteroids
What therapy enhances a patient’s immune system to attack cancer cells in NHL?
CAR T-cell therapy
Bone marrow transplant
Antibiotics
Antivirals
