Hematology/Oncology

The patient underwent a femoral cardiac catheterization at 1000 today. The nurse informs the patient that he must remain supine in bed until which time at the earliest? Enter your answer using four-digit military time.

The nurse is checking on the patient who underwent cardiac catheterization via the femoral artery 2 hours after the procedure. The patient appears to be sleeping and the nurse notes that the bruise at the insertion site has increased in size since the last assessment. Which action does the nurse take first?

Following colon resection, the nurse is vigilant for which early symptoms of septic shock? Select all that apply.

The nurse has received an update from the unlicensed assistive personnel about four patients. Which patient does the nurse assess first?

The patient is brought to the emergency department (ED) after falling down and being briefly unconsciousness. The patient’s wife is with him and tells the nurse in private, “He’s not been like himself. He’s verbally abusive, now, and mean. He was always the sweetest man I ever knew.” The nurse suspects testing will reveal a lesion in which lobe of the brain?

On the complete blood cell count with differential, the nurse notes the patient has an elevated number of eosinophils. The nurse explains to the patient that eosinophils become elevated due to which causes? Select all that apply.

A decrease in the production of which type of cells may result in thrombocytopenia?

Which statement is true regarding the neonate's immune system?

The patient with chronic renal failure has been prescribed erythropoietin. The nurse informs the patient the drug has which intended effect?

The nurse anticipates which symptom in the patient newly diagnosed with Graves' disease?

Which statements are true regarding intravenous immunoglobulin? Select all that apply.

The patient with severe, symptomatic anemia who is a Jehovah's Witness refuses a blood transfusion for religious reasons. The nurse instructs the provider to discontinue the order. This is an example of which ethical principle? 

The nurse ensures which laboratory study is collected regularly to monitor the effectiveness and safety of the patient's continuous unfractionated heparin infusion?

Which is a late sign of hypoxemia?

Which medication may be prescribed for the treatment of anorexia and cachexia related to cancer?

The American Cancer Society recommends the patient's initial cervical cancer screening occurs at which time?

The nurse is preparing to discharge the patient following surgical creation of an arteriovenous fistula. For which complication is this patient most at risk?

The patient with seizures has been prescribed carbamazepine (Tegretol). Which medication, if found on the patient's current medication list, prompts the nurse to hold the medication and contact the provider for clarification?

The nurse is discussing palliative care with the patient with metastatic colorectal cancer. The patient responds, "I'm not ready to give up. I want to keep fighting this disease." Which response from the nurse is most appropriate? 

The nurse has received orders for the patient admitted following a hemorrhagic stroke and clarifies orders for which medications? Select all that apply.

Which order does the nurse clarify for the patient in the intensive care unit following a hemorrhagic stroke?

The nurse is supervising the care of the patient who suffered an embolic stroke of the right middle cerebral artery after a clot formed on the patient’s prosthetic mitral valve. Which instruction does the nurse provide to the unlicensed assistive personnel that will be most important to prevent bacterial endocarditis?

The child is brought to the emergency department for lacerations and abrasions to the knees, palms, and face after falling at recess. The parent informs the nurse, “He always bleeds so much with any injury." The nurse suspects which condition?

The baby requires phototherapy for moderate hyperbilirubinemia, but the baby’s mother wants to breastfeed. Which response by the nurse is most appropriate?

The patient with vasculitis has a rash of red marks that are greater than 3 mm and do not blanch when pressed. Which term does the nurse use to document this finding? 

The patient presents to the emergency department with left leg pain after landing from a transcontinental flight. Which assessments prompt the nurse to suspect a deep vein thrombosis? Select all that apply.

Which statement is true regarding the indirect Coombs test?

The nurse is vigilant for which symptoms of a life-threatening complication of the woman's precipitous vaginal delivery?

The nurse is assessing the arteriovenous fistula in the patient’s right arm; it is without thrill or bruit. Which action does the nurse take next?

The patient found unresponsive in the park is determined to be in ventricular fibrillation. After cardiopulmonary resuscitation and defibrillation, the patient experienced return of spontaneous circulation. Initial survey upon arrival to the emergency department (ED) reveals a cachectic appearance and an edematous mass on the right forearm; upon palpation, the nurse palpates a thrill. The nurse is aware life-saving measures will have which aim?

The patient with a brain neoplasm reports experiencing visual misperceptions. The nurse suspects the brain tumor is in which lobe of the brain? 

The nurse is assigned to the patient with a brain neoplasm who has been experiencing symptoms of depression. During shift report, the off-going nurse reports observing the patient in a trance-like state. The nurse suspects that the tumor is in which lobe of the brain?

The patient with a brain neoplasm is combative and cursing at the staff. The family reports that this is a drastic change in the patient's personality. The nurse suspects the tumor is in which lobe of the patient's brain?

Which interventions does the nurse include in the plan of care for the 2-day-old infant who requires phototherapy for hyperbilirubinemia? Select all that apply.

The nurse is caring for a patient after abdominal surgery and significant blood loss. A life-saving blood transfusion has been ordered but the patient refuses it. Which action does the nurse take first?

The patient newly diagnosed with Cor pulmonale is found to have a hematocrit of 55%. Which statement is true regarding this information?

Which term is used to describe a platelet level of 100,000/μL

Which evening meal choice is appropriate for this patient? Look at the patient’s chart to make a selection.

Which food item, if selected by the patient, would prompt the nurse to provide additional education? Review the patient’s chart to make selection.

Which meal selection is appropriate for this patient? Review the patient’s chart to make a selection.

After reviewing the patient’s chart, which instruction does the nurse give the unlicensed assistive personnel working with the patient?

Which patient in the emergency department (ED) must be treated first?

Which alarm does the nurse attend to first?

The nurse preceptor is supervising the graduate nurse during shift handoff. Which statements by the graduate nurse would prompt the veteran nurse to clarify for the oncoming nurse? Select all that apply.

The nurse is supervising the student nurse who is making a call to the provider about a patient who is decompensating. The student states, “Hello, Dr. Smith. This is Carly and I’m taking care of Alex Wright in room 433. He is in the hospital after surgery for a ruptured appendix. Over my shift his temperature has increased by 4 degrees and his heart rate is elevated. His blood pressure is decreased from the previous shift as well. Could you please come examine him?” Which additional comments are the priority for the nurse to add? Select all that apply.

The patient is scheduled for a percutaneous liver biopsy at the bedside at 0730. The nurse is reviewing the patient’s chart prior to the procedure. Which initial statement by the nurse is most appropriate? Review the chart to determine the correct answer.

The nurse receives a set of orders for a patient. After reviewing the patient’s chart, the nurse clarifies which orders? Review the patient’s chart then select all that apply.

After reviewing the patient’s chart, which order(s) require clarification? Review the patient’s chart, then select all that apply.

Which food is a priority for the nurse to encourage the patient to eat? Look at the patient’s chart to make a selection.

The nurse is providing post-mortem care to a patient on hospice after being treated for stage 4 colon cancer that metastasized to the bladder. Which action by the nurse is most appropriate?