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WorksheetsChronic Myelogenous Leukemia (CML) ATI-like Questions
Total questions: 50
Worksheet time: 38mins
A nurse is teaching a client newly diagnosed with chronic myelogenous leukemia (CML) about the cause of the disease. Which statement by the nurse is accurate?
“CML develops due to a chromosome abnormality that is inherited from parents.”
“CML is associated with a mutation involving the movement of genetic material between chromosomes.”
“CML occurs when all cells lose their ability to produce DNA.”
“CML results from damage to mitochondrial DNA within blood cells.”
The nurse is reviewing laboratory teaching materials and notes the presence of a Philadelphia chromosome. This finding is most commonly associated with which condition?
Acute lymphoblastic leukemia
Chronic myelogenous leukemia
Chronic lymphocytic leukemia
Multiple myeloma
Which explanation best describes how the Philadelphia chromosome forms in chronic myelogenous leukemia (CML)?
DNA is completely deleted from chromosome 22.
Chromosomes fail to replicate during cell division.
Genetic material from one chromosome relocates to another chromosome.
An extra copy of chromosome 22 is produced.
A client asks whether chronic myelogenous leukemia (CML) could have been inherited from their parents. Which response by the nurse is most appropriate?
“Yes, this mutation is commonly passed through families.”
“No, this mutation is acquired and develops after birth.”
“Only mothers can pass this mutation to their children.”
“Inheritance depends on which chromosome is affected.”
The nurse is reinforcing education about genetic changes in CML. Which statement should be included?
“All clients with CML have a normal chromosome 22.”
“The Philadelphia chromosome occurs in fewer than half of CML cases.”
“Chromosome changes in CML affect only reproductive cells.”
“Most clients with CML have a shortened chromosome 22.”
Which statement best summarizes the genetic basis of chronic myelogenous leukemia (CML)?
CML is caused by inherited mutations affecting all body cells at birth.
DNA abnormalities occur only in lymphoid cells.
CML develops when chromosomes lose their DNA content.
CML results from an acquired chromosomal mutation involving chromosome 22.
A nurse is reviewing epidemiologic data related to chronic myelogenous leukemia (CML). Which age group has both the highest incidence and the highest mortality from CML?
18-44 years
45-64 years
65-84 years
85 years and older
A nurse is providing education about risk patterns associated with chronic myelogenous leukemia (CML). Which statement accurately reflects the distribution of CML by sex?
CML occurs only in males
CML is significantly more common in females
CML occurs equally in males and females
CML occurs slightly more often in males than females
A nurse is reviewing risk factors associated with chronic myelogenous leukemia (CML). Which findings should the nurse identify as risk factors? Select all that apply.
Older age
Female sex
History of radiation therapy
Family history of leukemia
Male sex
A nurse is reviewing the plan of care for a client with chronic myelogenous leukemia (CML). Which complication places the client at greatest risk for infection?
Nutrional deficiencies
Immunosuppresion related to CML or its treatment
Splenomegaly
Reduced exercise tolerance
A nurse identifies safety risks commonly associated with chronic myelogenous leukemia (CML). Which risks should the nurse include? Select all that apply.
Infection
Splenomegaly
Anemia
Nutrtional deficiencies
Hypertension
A nurse is assessing an older adult client with CML who reports fatigue and decreased exercise tolerance. These findings are most consistent with which complication?
Anemia
Splenomegaly
Infection
Nutrtional excess
A nurse is reviewing possible causes of anemia in a client with chronic myelogenous leukemia (CML). Which factors should the nurse identify? Select all that apply.
Bone marrow suppression
Nutrtional deficiences
Chronic disease
Acute hemorrhage
Treatment-related cytopenias
Why is anemia particularly concerning in older adults with chronic myelogenous leukemia (CML)?
Older adults experience faster disease progression
Older adults have increased pain sensitivity
They may live independently and lack adequate support systems
They are more likely to develop hypertension
If anemia in an older adult with CML is not addressed, which outcomes is the nurse most concerned about? Select all that apply.
Increased risk of falls
Diminished functional status
Social isolation
Improved endurance
Enhanced mobility
A client with CML reports early satiety and left upper quadrant discomfort. Which complication should the nurse suspect?
Infection
Anemia
Splenomegaly
Nutrtional deficiency
Which nursing actions are appropriate when caring for a client with CML who has splenomegaly? Select all that apply.
Assess for abdominal pain
Palpate for an enlarged spleen
Educate the client to report worsening symptoms
Encourage vigorous abdominal exercise
Monitor for changes in abdominal discomfort
A nurse is reinforcing infection-prevention teaching for a client with chronic myelogenous leukemia (CML). Which instructions should be included? Select all that apply.
Avoid contact with individuals who are ill
Promptly report fever
Perform frequent hand hygiene
Delay reporting mild symptoms
Report other signs of infection
A client with chronic myelogenous leukemia (CML) reports feeling extremely tired. The nurse recognizes this manifestation is most likely to affect which aspect of the client’s health?
Ability to perform daily activities
Renal elimination
Immune response
Cardiopulmonary function
Which manifestations should the nurse expect when assessing a client with chronic myelogenous leukemia (CML)? Select all that apply.
Weight loss
Fever
Night sweats
Pain on the left side below ribs
Productive cough
A nurse is caring for a client with CML who expresses worry about death and dying. How should the nurse interpret this concern?
It is unrelated to the disease process
It reflects the overall impact of CML on the client's health
It indicates disease progression
It suggests ineffective coping
Which statement by a client newly diagnosed with CML indicates understanding of how the disease may present?
“I will always notice symptoms early.”
“CML is usually diagnosed after severe pain develops.”
“Symptoms only occur in advanced stages.”
“CML may be found during a routine medical visit even without symptoms.”
A nurse reviews a client’s chart and notes a new diagnosis of CML made during a routine physical exam. The client reports no current symptoms. How should the nurse interpret this finding?
The diagnosis is likely incorrect
The disease is unrelated to current health
CML can be present without noticable manifestations
Symptoms will develop immediately
A nurse is identifying factors that may contribute to the development of disseminated intravascular coagulation (DIC). Which factors should the nurse recognize? Select all that apply.
Cancer
Pulmonary embolism
Family history of clotting disorders
Chronic myelogenous leukemia (CML)
Blood vessel abnormalities
A nurse is caring for a client with CML who develops DIC. Which complication places the client at greatest risk for hypovolemic shock?
Leukemia cell buildup
Increased clot formation
Bleeding caused by DIC
Reduced immune response
A nurse is teaching a client with CML about infection risk. Which explanation by the nurse is most accurate?
Infection risk increases due to inherited immune disorders
Leukemia cells build up in the blood and reduce healthy cells
Infection risk is unrelated to blood cell changes
Infection occurs only during active treatment
Which findings explain why clients with chronic myelogenous leukemia (CML) are at increased risk for infection? Select all that apply.
Buildup of leukemia cells in the blood
Increased red blood cell production
Suppressed immune defenses
Reduced number of healthy cells
Blood vessel abnormalities
A nurse is reviewing factors that affect prognosis in a client with chronic myelogenous leukemia (CML). Which factors should the nurse recognize as influencing prognosis?
Client age, prior health status, and stage of CML
Family history and genetic inheritance
Nutritional intake and hydration status
Environmental exposure and occupation
Which characteristics of chronic myelogenous leukemia (CML) should the nurse include when providing client education? Select all that apply.
CML is divided into three phases
Disease phase determines treatment decisions
CML can recur after treatment
CML most commonly affects children
CML typically affects adults
A nurse reviews bone marrow results for a client with CML and notes that blast cells account for 8% of cells present. Which phase of CML does this finding indicate?
Accelerated phase
Blastic phase
Relapsed phase
Chronic phase
A client’s laboratory findings show blast cells accounting for 15% of the bone marrow and blood. Which phase of chronic myelogenous leukemia (CML) does the nurse identify?
Chronic phase
Accelerated phase
Blastic phase
Terminal phase
A nurse identifies that blast cells make up 25% of a client’s bone marrow. Which phase of CML is most consistent with this finding?
Chronic phase
Accelerated phase
Remission phase
Blastic phase
A nurse is reviewing findings that may indicate a blastic crisis in a client with chronic myelogenous leukemia (CML). Which findings should the nurse recognize? Select all that apply.
Fever
Splenomegaly
Hypertension
Fatigue
Weight gain
Why is accurate identification of the phase of chronic myelogenous leukemia (CML) essential?
It determines whether the disease is inherited
It predicts whether infection will occur
It guides treatment decisions and monitoring
It eliminates the possibility of recurrence
A nurse is assessing a newly diagnosed client with CML. Which information should the nurse collect to help determine prognosis? Select all that apply.
Client age
Family history of leukemia
Health status prior to diagnosis
Current phase of CML
Presence of blast cells
A nurse is caring for a client in the blastic phase of chronic myelogenous leukemia (CML). Which new finding requires immediate provider notification?
8% blast cell percentage
Fever and increasing fatigue
300,000 platelet count
Low hematocrit
A nurse is teaching a client with chronic myelogenous leukemia (CML) about managing fatigue related to the disease and tyrosine kinase inhibitor (TKI) therapy. Which instructions should the nurse include? Select all that apply.
Schedule frequent rest breaks
Increase activity intensity to reduce fatigue
Pace daily activities
Use energy-conservation strategies
Expect fatigue to resolve quickly with treatment
A nurse is providing education to a client with chronic myelogenous leukemia (CML) who is starting tyrosine kinase inhibitor (TKI) therapy. Which symptom should the nurse emphasize as a common and expected effect?
Fatigue
Sudden weight gain
Severe joint swelling
Acute abdominal pain
A client with CML reports difficulty completing daily activities due to low energy levels. Which nursing recommendation is most appropriate?
Increase activity intensity to improve endurance
Limit all physical activity
Incorporate rest breaks and pace activities throughout the day
Delay activities until fatigue resolves
A nurse is educating a client with CML who experiences early satiety related to splenomegaly. Which instruction should the nurse include?
Eat three large meals per day
Consume small, frequent meals
Restrict fluid intake during meals
Follow a strict meal schedule
A nurse is reinforcing education for a client with CML who is immunocompromised and experiencing emotional distress. Which interventions should the nurse include? Select all that apply.
Build a support network with family or friends
Report fever or signs of infection immediately
Avoid contact with sick individuals
Discourage discussion of emotional concerns
Practice strict hand hygiene
Which dietary recommendation best supports nutritional intake for a client with CML who has decreased appetite?
Eliminate snacks between meals
Avoid high-calorie foods
Limit variety in meal choices
Choose nutrient-dense foods
A nurse is reinforcing infection-prevention education for a client with CML during the early phases of treatment. Which instruction is the priority?
Practice strict hand hygiene
Increase outdoor activities
Receive all visitors without restrictions
Delay reporting mild symptoms
Which statement by a client with CML indicates correct understanding of when to seek medical attention?
“I will wait a few days before reporting a fever.”
“I only need to report symptoms if they are severe.”
“I should report fever or signs of infection immediately.”
“Infections are expected and usually harmless.”
A nurse is addressing psychosocial needs of a client with CML who reports feeling isolated. Which intervention is most appropriate?
Encourage the client to manage independently
Promote building a support network and consider referrals if needed
Limit social interactions to reduce stress
Focus teaching only on physical symptoms
A nurse is conducting an initial assessment of a client with suspected chronic myelogenous leukemia (CML). Which finding is most characteristic of CML and should be assessed during the physical examination?
Splenomegaly on abdominal assessment
Peripheral edema
Generalized lymphadenopathy
Jugular vein distention
When assessing a client with CML, which cues should the nurse recognize as consistent with disease progression or complications? Select all that apply.
Fatigue
Hypertension
Night sweats
Splenic discomfort
Weight loss
A nurse reviews laboratory results for a client with CML. Which abnormality requires further analysis to determine complications or progression?
Normal hemoglobin and platelet count
Decreased sodium level
Elevated glucose level
Anemia and platelet abnormalities on CBC
The nurse is prioritizing care for a client with chronic myelogenous leukemia (CML). Which clinical concerns should be addressed as priorities? Select all that apply.
Infection prevention
Pain management
Impaired vision
Fatigue
Risk of bleeding
A nurse is collaborating with the healthcare team to develop a plan of care for a client with chronic myelogenous leukemia (CML). Which intervention should be included in the plan?
Provide education about the chronic nature of CML and the importance of long-term treatment adherence
Emphasize short-term symptom control without addressing long-term management
B. Focus primarily on medication administration and laboratory monitoring
Defer discussions about psychosocial support until disease progression occurs
