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Hematology practice questions latest upload, Exams of Nursing

Cheyney University of PennsylvaniaNursing

Hematology practice questions latest upload

Typology: Exams

2025/2026

Available from 03/20/2026

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tizian-mwangi 🇺🇸

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Hematology practice questions latest
upload
1.
The nurse is caring for clients on an
oncology unit. Which neutropenia
precautions should be implemented?
1.
Hold all venipuncture sites for
at least five (5) minutes.
2.
Limit fresh fruits and flowers.
3.
Place all clients in reverse isolation.
4.
Have the clients use a soft-bristle toothbrush.: 2. Limit fresh fruits and
flowers.
**holding venipuncture site would be for thrombocytopenia
**reverse
isolation
would
be
for
patients
with
SEVERE
neutropenia
**soft-bristle
toothbrush
is
for
THROMBOCYTOPENIA
2.
The nurse is assessing a client
diagnosed with acute myeloid leukemia.
Which assessment data support this
diagnosis?
1. Fever and infections.
2.
Nausea and vomiting.
3.
Excessive energy and high platelet counts.
4. Cervical lymph node enlargement and
positive
acid-fast
bacillus.:
1. Fever and infections.
leukemia=inability
to
produce
WBC
to
fight
infection
3. The client diagnosed with leukemia is
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c
pf3d
pf3e
pf3f
pf40
pf41
pf42
pf43
pf44

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Hematology practice questions latest

upload

  1. The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
  2. Hold all venipuncture sites for at least five (5) minutes.
  3. Limit fresh fruits and flowers.
  4. Place all clients in reverse isolation.
  5. Have the clients use a soft-bristle toothbrush.: 2. Limit fresh fruits and flowers. **holding venipuncture site would be for thrombocytopenia **reverse isolation would be for patients with SEVERE neutropenia **soft-bristle toothbrush is for THROMBOCYTOPENIA
  6. The nurse is assessing a client diagnosed with acute myeloid leukemia. Which assessment data support this diagnosis?
  7. Fever and infections.
  8. Nausea and vomiting.
  9. Excessive energy and high platelet counts.
  10. Cervical lymph node enlargement and positive acid-fast bacillus.: 1. Fever and infections. leukemia=inability to produce WBC to fight infection
  11. The client diagnosed with leukemia is

2 / 68 scheduled for bone marrow transplantation. Which interventions should be implemented to prepare the client for this procedure? Select all that apply.

  1. Administer high-dose chemotherapy.
  2. Teach the client about autologous transfusions.
  3. Have the family members' HLA typed.
  4. Monitor the complete blood cell count daily.
  5. Provide central line care per protocol: 1. Administer high-dose chemotherapy.
  6. Have the family members' HLA typed.
  7. Monitor the complete blood cell count daily.
  8. Provide central line care per protocol ***autologous transfusions are transfusions of ones own cells. to transfuse a cancer patient with their own cells would be to transfuse cancer.
  9. The client is diagnosed with chronic lymphocytic leukemia (CLL) after routine laboratory tests during a yearly physical. Which is the scientific rationale for the random nature of discovering the illness?
  10. CLL is not serious, and clients die from other causes first.
  11. There are no symptoms with this form of leukemia.
  12. This is a childhood illness and is self-limiting.
  13. In early stages of CLL, the client may be asymptomatic.: 4. In early stages of CLL, the client may be asymptomatic. In this form of leukemia, the cells seem to escape apoptosis

4 / 68 client may be asymptomatic.

  1. The client diagnosed with leukemia is being admitted for an induction course of chemotherapy. Which laboratory values indicate a diagnosis of leukemia?
  2. A left shift in the white blood cell (WBC) count differential.
  3. A large number of WBCs that decreases after the administration of antibiotics.
  4. An abnormally low hemoglobin (Hb) and hematocrit (Hct) level.
  5. Red blood cells (RBCs) that are larger than normal.: 1. A left shift in the white blood cell (WBC) count ditterential. A left shift indicates immature white blood cells are being produced and released into the circulating blood volume. This should be investigated for the malignant process of leukemia
  6. Which medication is contraindicated for a client diagnosed with leukemia?
  7. Bactrim, a sulfa antibiotic.
  8. Morphine, a narcotic analgesic.
  9. Epogen, a biologic response modifier.
  10. Gleevec, a genetic blocking agent: 3. Epogen, a biologic response modifier. Epogen is a biologic response modifier that stimulates the bone

5 / 68 marrow to produce red blood cells. The bone marrow is the area of malignancy in leukemia. Stimulating the bone marrow would be generally inettective for the desired results and would have the potential to stimulate malignant growth.

  1. The nurse writes a nursing problem of "altered nutrition" for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?
  2. Administer an antidiarrheal medication prior to meals.
  3. Monitor the client's serum albumin levels.
  4. Assess for signs and symptoms of infection.
  5. Provide skin care to irradiated areas.: 2. Monitor the client's serum albumin levels. Serum albumin is a measure of the protein content in the blood that is derived from the foods eaten; albumin monitors nutritional status.
  6. The nurse and the licensed practical nurse (LPN) are caring for clients on an oncology floor. Which client should not be assigned to the LPN?
  7. The client newly diagnosed with chronic lymphocytic leukemia.
  8. The client who is four (4) hours postprocedure bone marrow biopsy.

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  1. Weakness and fatigue.
  2. Pain in the left upper quadrant: 4. Pain in the left upper quadrant Pain is expected, but it is a priority, and pain control measures should be implemented.
  3. The client diagnosed with non- Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?
  4. The scan will identify any malignancy in the vascular system.
  5. Radiopaque dye will be injected between the toes.
  6. The test will be done similar to a cardiac angiogram.
  7. The test will be completed in about five (5) minutes.: 2. Radiopaque dye will be injected between the toes. Dye is injected between the toes of both feet and then scans are performed in a few hours, at 24 hours, and then possibly once a day for several days.
  8. The client asks the nurse, "They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?" The nurse's answer is based on which scientific rationale?
  9. Biopsies are nuclear medicine scans that can detect cancer.

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  1. A biopsy is a laboratory test that detects cancer cells.
  2. It determines which kind of cancer the client has.
  3. The HCP takes a small piece out of the tumor and looks at the cells: 4. The HCP takes a small piece out of the tumor and looks at the cells A biopsy is the removal of cells from a mass and examination of the tissue under a microscope to determine if the cells are cancerous. Reed-Sternberg cells are diagnostic for Hodgkin's disease. If these cells are not found in the biopsy, the HCP can rebiopsy to make sure the specimen provided the needed sample or, depending on involvement of the tissue, diagnose a non-Hodgkin's lymphoma
  4. The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?
  5. Night sweats and fever without "chills."
  6. Edematous lymph nodes in the groin.
  7. Malaise and complaints of an upset stomach.
  8. Pain in the neck area after a fatty meal.: 1. Night sweats and fever without "chills." Clients with Hodgkin's disease experience drenching diaphoresis, especially at night; fever without

10 / 68 asks the nurse about her prognosis. Which is the nurse's best response?

  1. Survival for Hodgkin's disease is relatively good with standard therapy.
  2. Survival depends on becoming involved in an investigational therapy program.
  3. Survival is poor, with more than 50% of clients dying within six (6) months.
  4. Survival is fine for primary Hodgkin's, but secondary cancers occur within a year.: 1. Survival for Hodgkin's disease is relatively good with standard therapy. Up to 90% of clients respond well to standard treatment with chemotherapy and radiation therapy, and those who relapse usually respond to a change of chemotherapy medications. Survival depends on the individual client and the stage of disease at diagnosis
  5. The nurse writes the problem of "grieving" for a client diagnosed with non- Hodgkin's lymphoma. Which collaborative intervention should be included in the plan of care?
  6. Encourage the client to talk about feelings of loss.
  7. Arrange for the family to plan a memorable outing.
  8. Refer the client to the American Cancer Society's Dialogue group.

11 / 68

  1. Have the chaplain visit with the client.: 4. Have the chaplain visit with the client. Collaborative interventions involve other departments of the health-care facility. A chaplain is a referral that can be made, and the two disciplines should work together to provide the needed interventions.
  2. Which test is considered diagnostic for Hodgkin's lymphoma?
  3. A magnetic resonance image (MRI) of the chest.
  4. A computed tomography (CT) scan of the cervical area.
  5. An erythrocyte sedimentation rate (ESR).
  6. A biopsy of the cervical lymph nodes.: 4. A biopsy of the cervical lymph nodes. Cancers of all types are definitively diagnosed through biopsy procedures. The pathologist must identify ReedSternberg cells for a diagnosis of Hodgkin's disease. 20.. Which client should be assigned to the experienced medical- surgical nurse who is in the first week of orientation to the oncology floor?
  7. The client diagnosed with non- Hodgkin's lymphoma who is having daily radiation treatments.
  8. The client diagnosed with Hodgkin's disease who is receiving combination

13 / 68 The client should be taught to practice birth control during treatment and for at least two (2) years after treatment has ceased. The therapies used to treat the cancer can cause cancer. Antineoplastic medications are carcinogenic, and radiation therapy has proved to be a precursor to leukemia. A developing fetus would be subjected to the internal conditions of the mother

  1. Which clinical manifestation of Stage I nonHodgkin's lymphoma would the nurse expect to find when assessing the client?
  2. Enlarged lymph tissue anywhere in the body.
  3. Tender left upper quadrant.
  4. No symptom in this stage.
  5. Elevated B-cell lymphocytes on the CBC.: 3. No symptom in this stage. Stage I lymphoma presents with no symptoms; for this reason, clients are usually not diagnosed until the later stages of lymphoma.
  6. The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a bone marrow transplantation unit. Which nursing task should the nurse delegate?
  7. Take the hourly vital signs on a client receiving blood transfusions.
  8. Monitor the infusion of

14 / 68 antineoplastic medications.

  1. Transcribe the HCP's orders onto the medication administration record (MAR).
  2. Determine the client's response to the therapy.: 1. Take the hourly vital signs on a client receiving blood transfusions. After the first 15 minutes during which the client tolerates the blood transfusion, it is appropriate to ask the UAP to take the vital signs as long as the UAP has been given specific parameters for the vital signs. Any vital sign outside the normal parameters must have an intervention by the nurse
  3. The 33-year-old client diagnosed with Stage IV Hodgkin's lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?
  4. Instruct the client to continue scheduled screenings for cancer.
  5. Discuss the need for follow-up appointments every five (5) years.
  6. Teach the client that the cancer risk is the same as for the general population.
  7. Have the client talk with the family about funeral arrangements.: 1. Instruct the client to continue scheduled screenings for cancer.

16 / 68 of anemia include dizziness and the tachycardia and dyspnea listed in the stem.

  1. The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?
  2. The pain associated with the menorrhagia does not allow the client to rest.
  3. The client's symptoms are unrelated to the diagnosis of menorrhagia.
  4. The client probably has been exposed to a virus that causes chronic fatigue.
  5. Menorrhagia has caused the client to have decreased levels of hemoglobin.: 4. Menorrhagia has caused the client to have decreased levels of hemoglobin. Menorrhagia is excessive blood loss during menses. If the blood loss is severe, then the client will not have the blood's oxygencarrying capacity needed for daily activities. The most frequent symptom and complication of anemia is fatigue. It frequently has the greatest impact on the client's ability to function and quality of life
  6. The nurse writes a diagnosis of

17 / 68 altered tissue perfusion for a client diagnosed with anemia. Which interventions should be included in the plan of care? Select all that apply.

  1. Monitor the client's hemoglobin and hematocrit.
  2. Move the client to a room near the nurse's desk.

19 / 68 delegate to the UAP?

  1. Check on the bowel movements of a client

20 / 68 diagnosed with melena.

  1. Take the vital signs of a client who received blood the day before.
  2. Evaluate the dietary intake of a client who has been noncompliant with eating.
  3. Shave the client diagnosed with severe hemolytic anemia: 2. Take the vital signs of a client who received blood the day before. The UAP can take the vital signs of a client who is stable; this client received the blood the day before
  4. The client is diagnosed with congestive heart failure and anemia. The HCP ordered a transfusion of two (2) units of packed red blood cells. The unit has 250 mL of red blood cells plus 45 mL of additive. At what rate should the nurse set the IV pump to infuse each unit of packed red blood cells? : 74 mL/hr 250

290 290/4=73. Round to 74 mL/hr

  1. The client is being admitted with folic acid deficiency anemia. Which