Hematology/Oncology

The nurse is providing disease prevention education to a 63-year-old woman with a negative family history of breast cancer. The nurse recommends the patient schedule mammograms with which frequency?

The nurse is caring for a 38-year-old G2P1 patient diagnosed with iron-deficiency anemia. The nurse recommends which drink choice to improve absorption of the ordered iron supplements?

The 72-year-old male patient was recently diagnosed with prostate cancer. The nurse anticipates which additional complaint? 

The nurse is caring for a 60-year-old female patient who is confined to bed and most closely monitors for signs of which complication?

A 51-year-old man complains of mild headache and dizziness when standing up from bed. Which of the following medications was recently started?

A 12-year-old boy presents to the pediatrician with a wound on his knee. Physical examination reveals redness and edema near the wound. Which of the following is the cause of the edema and redness?

The patient in the emergency room has a traumatic leg wound which has been cleaned and dressed. The nurse enters the room to reassess the wound prior to discharging the patient and notes bright red drainage on the dressing that is increasing in size. Which action does the nurse take first?

Which of the following events requires immediate intervention by the nurse while teaching a nursing student how to administer PRBCs?

Which of the following statements by a patient indicates that they understand the nurse’s teaching about having an IVC (inferior vena cava) filter placed?

The nurse is taking care of a patient who recently received an allogenic stem-cell transplant for acute lymphoblastic leukemia (ALL). The patient abruptly complains of right upper quadrant abdominal pain. Upon assessment, the nurse notes abdominal swelling and yellowing of the sclera and skin. The nurse anticipates the provider will prescribe which treatment?

The nurse provides counseling to a client with atrial fibrillation (AF) who is starting on rivaroxaban. Which statement, if made by the client, indicates the teaching is effective?

A client with an intracranial hemorrhage has a sudden increase of 25 mmHg intracranial pressure. The nurse also notes an elevated temperature, increased blood pressure, fixed and dilated right pupil, loss of consciousness, and irregular pulse and respirations. Which condition does the nurse suspect is causing these signs and symptoms?

The nurse is providing discharge teaching for a client who had abdominal surgery and is being discharged with a Jackson-Pratt (JP) drain. Which statements does the nurse include in the teaching? Select all that apply.

The nurse is caring for a client following a diagnostic liver biopsy. Which interventions does the nurse include in the plan of care? Select all that apply.

The 24-year-old female patient presents to the emergency department with hematemesis. She rarely drinks alcohol and has no known medical conditions. She is afebrile and her laboratory tests are normal, though she has signs of dehydration. The physician diagnoses the patient with Mallory-Weiss Syndrome. The nurse assesses the patient for which conditions?

The patient presents to the clinic with rectal bleeding. Which diagnosis is most likely?

A 54-year-old client admitted with new-onset atrial fibrillation is prescribed warfarin. Which instruction does the nurse include when teaching the client about warfarin?

The patient is receiving a transfusion of packed red blood cells. After 30 minutes, the patient complains of intense itching and flank pain. Upon assessment, the nurse notes a fever and tachycardia. Which of the following is the next best step in management?

The nurse is caring for a patient with blood type A+, who requires a transfusion of packed red blood cells. The nurse receives a unit of blood from the blood bank that is labeled AB -. Which of the following is the best course of action for the nurse to take?

The patient complains of severe fatigue and joint pain. Upon assessment, the nurse notes the patient’s skin is bronzed. Which of the following physical assessments is most important?

The patient has been diagnosed with hemochromatosis. Which of the following lab values could be used to monitor for complications of the disease? Select all that apply.

The patient presents with severe fatigue, joint pain, and bronzed skin. Based on these findings, the nurse prepares the patient for which of the following diagnostic test(s)?

A patient with hemochromatosis has just undergone a liver biopsy to assess for cirrhosis. For which complication must the nurse be vigilant in the hours following the procedure?

The nurse is supervising a student nurse in the care of a patient following a percutaneous liver biopsy. The student nurse instructs the patient to lie on his left side following the procedure. Which response by the nurse is most appropriate?

The nurse is reviewing the chart of a patient scheduled to undergo a percutaneous liver biopsy in 2 hours. Which of the following characteristics, if present in the patient’s chart, would prompt the nurse to contact the provider immediately?

The patient with hemochromatosis has a hemoglobin of 8 g/dL. The nurse prepares the patient for which therapy?

The nurse is providing discharge education to a patient with hemochromatosis. Which of the following statements by the patient indicates teaching was effective?

The patient with hemochromatosis has been prescribed deferasirox. Which of the following instructions should the nurse include in discharge teaching?

A nurse made a medication error and administered 50000 units instead of 500 units of unfractionated heparin and the patient begins oozing blood from his IV site. Which of the following does the nurse anticipate will be ordered for this patient?

The patient is diagnosed with Kawasaki disease. Which of the following tests should the nurse anticipate for this patient to assess for complications of this condition?

The pediatric patient presents with prolonged fever, a red, strawberry tongue, desquamation of the soles and palms, and lymphadenopathy. The nurse anticipates administering which of the following medication(s)? Select all that apply.

The nurse administers intravenous immunoglobulin (IVIG) to a patient with Kawasaki disease. The nurse assesses the patient continuously for which life-threatening complication of IVIG?

A teenager collapsed in the heat following a particularly strenuous football practice. Upon presentation to the emergency department, the patient complains of severe muscle pain and weakness. Rhabdomyolysis is suspected. Which of the following laboratory tests will confirm the diagnosis because it is the most sensitive and specific?

The patient presents to the emergency department after particularly strenuous weight-lifting at the gym complaining of severe muscle pain, inability to remain standing for more than a couple of minutes, and dark urine. The nurse anticipates the patient will be diagnosed with which of the following conditions?

Which of these patients is least likely to develop disseminated intravascular coagulation (DIC)?

A septic patient begins to ooze blood from around intravenous cannulation sites and from the gums. The patient’s urine has turned from concentrated yellow to brown. Upon further assessment, the nurse notes the patient’s right calf is swollen, red, and painful. The nurse anticipates which laboratory abnormalities in this patient? Select all that apply.

A patient with septicemia acutely develops a deep vein thrombosis and pulmonary embolism. No evidence of hemorrhage is noted. Laboratory studies have revealed prolonged clotting times, moderate thrombocytopenia, and an elevated D-dimer level. A diagnosis of disseminated intravascular coagulation is made. Administration of which of the following therapies will be most effective at resolving this patient’s DIC?

During a well-woman exam, a lump was palpated in the patient’s right breast. The patient undergoes further testing, which reveals a tumor that is 40 mm in diameter. A right axillary lymph node is determined to be involved but no other lymph nodes or distant metastases are noted. The lymph node is ipsilateral to the tumor and is movable. Which of the following describes the stage of breast cancer in this patient?

A patient with stage IV breast cancer is admitted for palliative radiation. Which of the following is the most appropriate goal of treatment for this patient?

A child with maple syrup urine disease presents to the emergency department with vomiting, diarrhea, lethargy and seizures for the past two days. Which of the following treatments should be started first for this patient?

A 32-year-old African American male presents with sudden onset severe jaundice and fatigue. A detailed history revealed a recent dietary change of eating fava beans for the first time. The nurse anticipates genetic testing will reveal which of the following conditions?

The nurse is assigned to a patient with acute lymphocytic leukemia (ALL) about to undergo his first round of chemotherapy. The patient’s WBC is 120,000/uL and his LDH is 3 times the upper limit of normal. Which intervention is most important?

The nurse is assigned a patient with Hodgkin’s lymphoma undergoing initial treatment. On the patient’s second day, he develops an acute painful swelling and erythema of the right gastrocnemius. The following morning, the patient develops an acute shortness of breath and pleuritic chest pain. Within minutes, the patient loses consciousness and dies. Which of the following interventions would most likely have prevented this patient’s death?

The nurse is assigned a patient who presents with anemia secondary to iron deficiency. Which of the following laboratory values do you expect in this patient?

The nurse is asked to assist with a 38-year-old woman who desires oral birth control pills. The patient decides on an estrogen-progesterone formulation because she still desires to get her monthly periods. The patient states she is a heavy smoker. Which of the following is the most accurate statement about the smoking and this medication?

The nurse is assigned to care for a patient with a history of pulmonary embolism who is on anticoagulation therapy. The patient takes warfarin and her last INR check was therapeutic. Which of the following statements about warfarin is most accurate?

The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient’s plan of care to prevent thromboembolism?

One week following a total hysterectomy, a patient presents to the emergency department with a temperature of 104° F, heart rate 118, blood pressure 100/68 mmHg, new onset confusion and delirium, and flushed, warm skin. On assessment, the patient has positive bowel sounds, the patient’s abdomen is soft and non-tender, she has mild to moderate subcostal and intercostal retractions, and her breath sounds are clear and equal bilaterally. The nurse anticipates which diagnosis?

The nurse is preparing to obtain an arterial blood gas sample from a patient. Which intervention does the nurse perform first?

A patient who is immobilized following surgery to repair a pelvic fracture is at risk for which life-threatening condition?