Hematology/Oncology

The patient presents to the dermatology clinic for a skin cancer check and a small red papule is found on the right chest. It is noted to have a crater in the middle and have pearly borders. How does the nurse interpret this finding?

Following an explosion at a factory, the patient is brought by ambulance to the emergency department. The patient has soot on the face and around the mouth and is coughing up black sputum. He verbalizes severe pain in his leg and his voice is noted to be a hoarse whisper. Further assessment reveals full thickness burns to the arms and hands and partial thickness burns to the legs. Shrapnel appears to have been embedded in the patient’s thigh. While moving the leg to assess the inner thigh, a piece of shrapnel shifts and the patient begins bleeding profusely from the wound. The patient cries out in pain and requests pain relief. Which action does the nurse take first?

The nurse anticipates administering cobalamin and folic acid to the patient presenting with which symptoms? Select all that apply.

The patient with cobalamin deficiency requires prompt and effective treatment to prevent which conditions? Select all that apply.  

The nurse more closely assesses patients with which conditions for signs of pernicious anemia? Select all that apply.  

Which patient characteristic increases the risk for pernicious anemia following a subtotal gastrectomy?  

The nurse is creating a screening form to determine which patients are at heightened risk for laryngeal cancer. Which professions does the nurse include? Select all that apply.  

The patient with a history of colon cancer presents to the emergency department reporting significant abdominal pain, bloating, and vomiting. Which question to garner more information about the emesis is most important?  

In the postoperative period following a Whipple procedure, the nurse includes which interventions in the care plan? 

Four hours after a rectal resection for treatment of rectal cancer, the patient is noted to be pale and diaphoretic. Which assessments are the priority? Select all that apply.  

The nurse is supervising the unlicensed assistive personnel (UAP) in the care of the patient who underwent surgical therapy for lung cancer in the right lower lobe one day prior. Which patient positions, if helped into by the UAP, prompt the nurse to intervene and provide additional education? Select all that apply.  

The nurse is caring for the patient who underwent colon resection and ileostomy creation two days ago. Upon assessment, the nurse notes 40 mL of dark green liquid in the ostomy bag. Which action by the nurse is correct?  

At 48 hours after a bowel resection surgery for colon cancer, the colostomy is noted to be moist and purple. Which additional assessment is most important?  

The nurse is providing preoperative education regarding total laryngectomy to the patient with laryngeal cancer. Which statement indicates a need for further teaching?   

The nurse is providing preoperative teaching to the patient prior to a total laryngectomy. Which information does the nurse include in teaching? Select all that apply.

The nurse notes the patient has an increased prostate-specific antigen level. The nurse searches the chart for which information?  

The nurse is providing discharge education to the patient who has a tracheostomy following a total laryngectomy. Which instruction does the nurse give the patient to maintain airway patency?   

The nurse learns the patient has a tracheoesophageal fistula following a resection of laryngeal cancer. How does the nurse interpret this information?  

The nurse informs the patient beginning pharmacological therapy for prostate cancer to anticipate which additional changes? Select all that apply.

The nurse is caring for a patient 6 hours after a transurethral resection of the prostate and notes decreased urine output. Which is the most likely cause of the decreased urine output? 

During postoperative day 1 after a suprapubic prostatectomy, which assessment is most important for the drainage from the surgical wound?  

The nurse most closely monitors the temperature for the patient who underwent which procedure?  

The patient undergoing continuous bladder irrigation (CBI) following a prostatectomy reports an extreme need to urinate. Which action by the nurse is most appropriate? 

The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?

The nurse is preparing an informational session for individuals at risk for prostate cancer. Which statement does the nurse include in the talk?  

The nurse assesses the patient who has received continuous bladder irrigation (CBI) therapy since a transurethral resection of the prostate (TURP) 24 hours ago. Which assessment is the priority to report?  

The nurse is caring for the patient with prostate cancer and left-sided heart failure who underwent transurethral resection of the prostate (TURP) 12 hours ago. Clots are noted in the continuous bladder irrigation (CBI) outflow. Which action by the nurse is most appropriate?  

The nurse clarifies the order for a perineal prostatectomy for treatment of prostate cancer in the patient with which condition?   

At 48 hours postop from a prostatectomy, the patient is noted to have pink output from the continuous bladder irrigation (CBI) system. Which action by the nurse is most appropriate?  

The nurse reviews the patient’s 24-hour intake and output for the patient with continuous bladder irrigation (CBI). The CBI intake is 2000 mL and the output is 2600 mL. Which action by the nurse is most appropriate?  

During a shift assessment 14 hours after a prostatectomy, the nurse notes bright red drainage in the continuous bladder irrigation (CBI) drainage bag. Which assessment is most important?  

The 62-year-old male patient presents to the office complaining of difficulty urinating, with a weak stream, waking multiple times in the night to urinate, and the feeling of not completely emptying the bladder that has been occurring for months. Which test must be performed first for this patient? 

The patient with severe psoriasis has been prescribed methotrexate. The nurse instructs the patient to schedule which follow-up tests? Select all that apply.   

The patient who has been prescribed methotrexate for the treatment of severe psoriasis has received medication teaching. Which statements indicate the teaching was effective? Select all that apply.

The nurse counsels which women against the use of black cohosh as an herbal supplement?  

The nurse places a call to the provider that the 74-year-old patient’s potassium level is 7.1 mEq/dL. The nurse is prepared to answer which questions from the provider? Select all that apply.  

The patient is started on subcutaneous heparin injections 7500 units q12h for deep vein thrombosis prophylaxis at 0900. When does the nurse plan to obtain the activated partial thromboplastin time (aPTT) to determine effectiveness of therapy?  

The patient is receiving a continuous heparin infusion that started at 0000 for the treatment of a deep vein thrombosis in the leg. Prior to the initiation of therapy, the patient’s activated partial thromboplastin time (aPTT) level was 35 seconds. The aPTT level drawn at 0800 was found to be 70 seconds. The nurse reports this information to the provider and advocates for which intervention?  

The patient who was started on warfarin sodium for the treatment of atrial fibrillation has reached steady state with the current dose. Which instruction is most important to give the patient?

The patient’s platelet level is found to be 560,000 mm³. The nurse assesses the patient for which symptoms? Select all that apply.  

The patient is scheduled for a liver biopsy tomorrow. The nurse has difficulty obtaining blood specimens from the patient and can only send one lab. Which lab test does the nurse choose? 

The patient on bowel rest has been prescribed 10% dextrose total parenteral nutrition at 50 mL/h, intravenous lipids 3 grams/kg/day, and 10 mg intravenous famotidine every other day. Which information in the patient’s chart prompts the nurse to contact the provider? 

The nurse is caring for a patient in the intensive care unit with breast cancer who has a radiation implant in the right breast. The patient is also receiving a chemotherapy regimen. Which additional patient is most appropriate to be assigned to the nurse?

The nurse finds the patient’s vaginal radiation implant in the bed while turning the patient. Which action by the nurse is most appropriate?   

Following a bone marrow transplant, the patient exhibits a 10-pound weight gain in 3 days, increased abdominal circumference, and yellow tinge to the sclera and skin. The nurse notifies the provider and prepares to perform which intervention?  

The patient had an unsealed radiation source instilled into the uterus on Tuesday. On Friday, the patient has an episode of incontinence and requires a full linen change. How does the nurse dispose of the soiled linens? 

The nurse has provided self-care teaching to the patient who has undergone radiation therapy for breast cancer. Which action by the patient indicates a need for further teaching?  

On Monday, the patient receiving chemotherapy for cervical cancer has an unsealed radiation source instilled into the uterus. Tuesday morning, the patient vomits after breakfast. Which action does the nurse take while cleaning the emesis?  

The patient with uterine cancer has a sealed radiation implant placed into the uterus. Which action by the nurse promotes safety? 

Which intervention is appropriate for the patient receiving chemotherapy for breast cancer?