Hematology/Oncology

The patient is brought to the emergency department after a motorcycle accident which resulted in head trauma. The nurse observes a hematoma and bruising around the mastoid bone. Which term does the nurse use to document the finding?

The patient is in the post-anesthesia care unit (PACU) following abdominal surgery. Which finding would prompt the nurse to delay discharge from the PACU to a hospital bed?

A patient has a white blood cell (WBC) count of 17,000 cells per ml. What is the possible etiology? Select all that apply.

The 31-week-gestation woman is brought to the emergency department after being struck in the abdomen when the airbags deployed during a motor vehicle accident. Initial screening labs reveal the mother is blood type A-. The nurse advocates for which additional lab to assess the status of the pregnancy?

The nurse is providing medication teaching to the patient who was just prescribed warfarin. Which statements does the nurse include in teaching? Select all that apply. 

The nurse reviews the woman’s complete blood count (CBC) and finds the red blood cell count is 3.9 million cells per microliter. The nurse suspects the patient will be diagnosed with which condition?

The day after administering a blood product to the anemic patient, the nurse learns it was contaminated with a fungal pathogen due to improper processing. The nurse is vigilant for which symptom(s)?

The patient is scheduled for bariatric surgery in one month. During the preoperative physical, the nurse notes the patient takes St. John's wort. The nurse instructs the patient to stop taking St. John's wort 5 days prior to the surgery for which reason?  

The patient with advanced liver disease is being evaluated for moderate hematemesis, tachycardia, and hypotension. An esophagogastroduodenoscopy (EGD) confirms the patient has esophageal varices. Which is the priority action by the nurse?

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The nurse is providing discharge education to the patient regarding immunizations following a hematopoietic stem cell transplant. When does the nurse instruct the patient to visit the clinic for the Haemophilus influenzae type b (Hib) vaccine?

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The 18-year-old healthy female presents to the clinic requesting to receive the vaccinations her mother refused for her when she was a child. Reviewing the chart, the nurse notes the patient never received the measles, mumps, rubella (MMR) vaccine. Prior to administering the vaccination, which test is most important?

Which initiative is a primary strategy to prevent lead toxicity?

The nurse assists with a pericardiocentesis to drain a pericardial effusion and notes serosanguinous fluid. The nurse suspects which condition?

The nurse is providing medication instructions for iron supplements to a patient with anemia. Which information is included?

The nurse receives report on four patients at the start of the shift. Which patient does the nurse visit first?

The nurse is advising a 20 pack-year smoker about smoking cessation. The patient knows about increased risk of lung cancer, but wants to know if smoking is linked to other forms of cancer. The nurse explains that smoking increases the risk of which cancers? Select all that apply.

Which medication is a member of the biologic pharmacologic class?

The 35-year-old woman is interested in starting hormonal birth control. Which characteristic, if found in the patient's medical record, indicates the patient requires an alternative form of contraceptive?

Which comorbidities increase the risk for refeeding syndrome in the chronically ill patient who is started on total parenteral nutrition (TPN)? Select all that apply.

Hemolytic anemia can have which etiologies? Select all that apply.

The patient with a lung mass that was discovered on imaging is scheduled for a flexible bronchoscopy. Which nursing action is appropriate to prepare the patient for the procedure?

The nurse receives shift report on four patients. Which patient does the nurse see first?

The nurse provides which instruction to the patient who will undergo guaiac stool testing?

Which symptoms, if present in the patient receiving a blood transfusion, indicate the patient is experiencing an acute hemolytic transfusion reaction? Select all that apply.

Which lab result is expected in the patient with acute disseminated intravascular coagulation (DIC)?

The nurse is providing discharge teaching to the patient admitted with anaphylaxis after blowing up a rubber balloon. Which foods, if selected by the patient as safe to eat, indicate a need for further teaching? Select all that apply.

The nurse is assisting the provider in lancing the abscess of a patient whose medical history is notable for anaphylaxis after ingestion of oysters. The nurse enters the room as the provider begins swabbing the affected skin with povidone-iodine solution. Which response by the nurse is appropriate?

The nurse notes a sinusoidal pattern on the fetal heart rate tracing of a patient who is 32-weeks pregnant. Which information is most important for the nurse to determine?

The nurse receives an alert that a packed red blood cell transfusion has been ordered for the patient who was admitted after a laparoscopic cholecystectomy. Which is the nurse’s initial action?

The nurse is asked to help properly dispose of the patient’s soiled linens. Which question is most important for the nurse to ask?

The nurse is planning care for the patient receiving adalimumab. Which nursing intervention does the nurse utilize to prevent complications of the medication?

The nurse is providing discharge teaching to a patient who will receive chemotherapy at home for cervical cancer. Which statement by the patient indicates a need for further teaching?

The patient is receiving alefacept. Which finding indicates the patient is having the desired response to therapy?

The 56-year-old intubated and sedated patient’s arterial blood gas results are as follows: pH = 7.25, PCO2 = 36, PaO2 = 50, HCO3- = 15, SaO2 = 86%. Other lab values are notable for a hemoglobin of 7.9 mg/dL, albumin of 2.5 g/dL, sodium of 152 mEq/L, potassium of 2.1 mEq/L, chloride of 118 mEq/L. Vital signs are notable for a heart rate of 118 bpm, blood pressure of 86/38 mmHg, temperature of 102°F, and pulse oximetry of 85% on room air. The nurse advocates for which order?

Which cell is responsible for cleaning wounds of microorganisms?

The nurse advocates for a guaiac test to be performed on the patient with which stool?

During routine tracheostomy cleaning and care, the nurse notes a strong smell of dirty gym socks coming from the dressing around the stoma. Which action by the nurse is most appropriate?

Which patient does the nurse assess first?

The nurse notes the patient in Sierra Leone has anemia on peripheral blood smear. The patient reports pins and needles in both feet and mouth soreness. Which condition explains the patient's symptoms?

The patient receiving inhaled nitric oxide (iNO) is at risk for which adverse event?

The patient with a traumatic brain injury has symptoms of life-threatening elevated intracranial pressure. The provider instructs the nurse to prepare the patient for the insertion of an intraventricular catheter to monitor intracranial pressure (ICP) and drain cerebrospinal fluid as necessary. Which lab value prompts the nurse to clarify the safety of the procedure with the patient?

The patient is receiving therapeutic hypothermia treatment following a massive myocardial infarction with return of spontaneous circulation (ROSC) after 30 minutes of cardiopulmonary resuscitation (CPR). It is most important to plan care to address which complication of therapeutic hypothermia?

The nurse learns the patient who takes fosphenytoin was prescribed apixaban two months ago. The nurse assesses the patient for which complication caused by taking these two medications together?

The patient has been taking apixaban for 4 weeks. Which monitoring test does the nurse review to evaluate the efficacy of the medication?

The offspring of which couple is at highest risk for hemolytic anemia of the newborn?

The patient has received an infusion of packed red blood cells for the treatment of anemia. The nurse anticipates which lab result following the transfusion?

The patient presents with a blood pressure of 135/95 mm Hg and appears jaundiced. She has a history of alcoholism, cirrhosis, and untreated hepatitis C. While the oncoming nurse is receiving report, the patient begins vomiting a large amount of blood. The nurse knows which to be the most likely cause of the patient’s hematemesis?

The nurse is assessing the patient 4 hours after a cholecystectomy and notes the skin around the umbilicus to be blue. The nurse contacts the provider to report which positive sign?