Nclex-Rn Practice Questions-Care Of The Adult - Hematologic & İmmune Disorders Part 3
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Adult - Hematologic & İmmune Disorders Part 3.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
The nurse recognizes that the most appropriate treatment for clients with tumor lysis syndrome is:
A | antibiotics. |
B | I.V. hydration. |
C | packed red blood cells (RBCs). |
D | potassium chloride I.V. |
Question 2 |
The nurse is performing mouth care on a client with acquired immunodeficiency syndrome (AIDS). The most appropriate nursing intervention is:
A | use reverse isolation. |
B | place the client in a private room. |
C | put on a mask, gloves, and a gown. |
D | wear gloves. |
Question 3 |
The nurse is reviewing a client’s laboratory values and recognizes that the lab changes most consistent with a diagnosis of aplastic anemia would be?
A | Decreased production of T-helper cells |
B | Decreased levels of white blood cells (WBCs), red blood cells (RBCs), and platelets |
C | Increased levels of WBCs, RBCs, and platelets |
D | Reed-Sternberg cells and lymph node enlargement |
Question 4 |
The nurse is providing discharge instructions for a client with iron deficiency anemia. What is the most important information for the nurse to include about the prescribed ferrous gluconate therapy?
A | “Take the medication with an antacid.” |
B | “Take the medication with a glass of milk.” |
C | “Take the medication with whole-grain cereal.” |
D | “Take the medication on an empty stomach.” |
Question 5 |
A nurse is working on a medical/surgical unit and notes that one of the client’s assigned has a diagnosis of ankylosing spondylitis. The nurse would assess this client for:
A | red, painful, swollen joints |
B | fatigue and night sweats |
C | low back pain |
D | neck pain and stiffness |
Question 6 |
A young, African-American, female client with a history of sickle cell disease is complaining of severe abdominal pain. What is the priority intervention by the nurse?
A | Obtaining a history of the sequence of symptoms |
B | Keeping the client nothing by mouth (NPO) |
C | Administering I.V. fluids |
D | Preparing the client for a computed tomography (CT) scan of the abdomen |
Question 7 |
A nurse is developing a care plan for a neutropenic client with lymphoma. Appropriate nursing interventions for this client would include?
A | Have the client use a soft toothbrush and electric razor, avoid using enemas, and watch for signs of bleeding. |
B | Put on a mask, gown, and gloves when entering the client’s room. |
C | Provide a clear liquid, low-sodium diet. |
D | Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing. |
Question 8 |
The nurse is reviewing lab results on a postoperative client. Upon analysis of the lab work, the nurse notes the client is immunocompromised. The nurse should assess the client for which of the following?
A | Nutrition |
B | Acquired immune disorder |
C | Family history of immune problems |
D | Personal history of substance abuse or use |
Question 9 |
What is the most appropriate nursing intervention to promote healing of a laceration?
A | Elevate the body part. |
B | Monitor blood pressure. |
C | Apply a pressure dressing and heat. |
D | Apply a pressure dressing and ice pack. |
Question 10 |
The nurse is planning care for a client undergoing chemotherapy. What is the most important instruction for the nurse to give the client?
A | “Maintain bed rest.” |
B | “Perform activity as tolerated.” |
C | “Walk to the bathroom only.” |
D | “Get out of bed for brief periods.” |
Question 11 |
The nurse is monitoring the lab values of a client diagnosed with multiple myeloma early in the disease course. The nurse would anticipate the lab values to identify abnormal:
A | immunoglobulins. |
B | platelets. |
C | red blood cells (RBCs). |
D | white blood cells (WBCs). |
Question 12 |
A client has been diagnosed with multiple myeloma. The nurse should assess the client for:
A | hypercalcemia. |
B | hyperkalemia. |
C | hypernatremia. |
D | hypermagnesemia. |
Question 13 |
A client is admitted to the hospital with hypercalcemia. The nurse is aware that the client is at risk for what?
A | Tremors |
B | Headache |
C | Confusion |
D | Muscle weakness |
Question 14 |
A client with multiple myeloma has developed hypercalcemia. The nurse is aware that the client is at risk for what secondary complication?
A | Pneumonia |
B | Muscle spasms |
C | Renal insufficiency |
D | Myocardial irritability |
Question 15 |
Neurologic complications of multiple myeloma usually involve the:
A | brain. |
B | spinal column. |
C | autonomic nervous system. |
D | parasympathetic nervous system |
Question 16 |
A client diagnosed with leukemia is now experiencing neutropenia. Which of the following is a priority assessment by the nurse?
A | Blood pressure |
B | Bowel sounds |
C | Heart sounds |
D | Breath sounds |
Question 17 |
A client with leukemia has developed neutropenia. The nurse informs the client to avoid which food?
A | White bread |
B | Carrot sticks |
C | Stewed apples |
D | Medium rare steak |
Question 18 |
Which intervention has the most impact in delaying the development of acquired immunodeficiency syndrome (AIDS) once a client has been infected with human immunodeficiency virus (HIV)?
A | Monthly plasmapheresis |
B | Eating a balanced, nutritious diet |
C | Compliance with complete therapeutic regimen |
D | Getting adequate rest and sleep |
Question 19 |
A child has developed chickenpox. The mother asks the nurse if the child has immunity. What is the best response by the nurse?
A | The child has passive immunity. |
B | The child has immunological immunity. |
C | The child has active immunity. |
D | The child has adaptive immunity. |
Question 20 |
The nurse is teaching a client about stress management. Which rationale by the nurse best explains the reason for using stress management?
A | Everyone is stressed. |
B | It has become an accepted practice. |
C | Eastern health practices have shown its effectiveness. |
D | Prolonged psychological stress may contribute to the development of physical illness. |
Question 21 |
A client asks the nurse what corticosteroid drugs suppress. What is the most appropriate response by the nurse?
A | Sympathetic response |
B | Pain receptors |
C | Immune response |
D | Neural transmission |
Question 22 |
The nurse determines that teaching was successful when a client with a negative human immunodeficiency virus (HIV) antibody test makes which statement?
A | “I’m not infected with HIV.” |
B | “I haven’t produced antibodies to HIV.” |
C | “I’m immune to HIV.” |
D | “I have antibodies to HIV.” |
Question 23 |
In community health and epidemiologic studies, which definition of disease prevalence is correct?
A | The number of individuals affected by a particular disease at a specific time |
B | The rate at which individuals without a specific disease develop that disease |
C | The proportion of individuals affected by the disease who live for a particular period of time |
D | The proportion of individuals without the disease who eventually develop the disease within a specific period of time |
Question 24 |
Which response to an antigen is an appropriate therapeutic immune system response?
A | Widespread histamine release |
B | Autoimmune response |
C | Inflammation and increased body temperature |
D | Antibody production by T cells |
Question 25 |
The nurse is teaching the family of a client newly diagnosed with multiple myeloma. The nurse determines that teaching has been effective when the family states the importance of:
A | maintaining bed rest. |
B | enforcing fluid restriction. |
C | drinking 3 qt (3 L) of fluid daily. |
D | keeping the lower extremities elevated. |
Question 26 |
A nurse anticipates that a client who has been prescribed corticosteroids would also have an order for:
A | blood glucose checks every 6 hours. |
B | restriction of fluids to 1,000 ml in 24 hours. |
C | administer lactulose 40 g in 4 oz. of water daily. |
D | obtain serum platelet counts with hemoglobin and hematocrit levels every 12 hours. |
Question 27 |
A female client with the beta-thalassemia trait plans to marry a man of Italian ancestry who also has the trait. The nurse determines teaching is successful when the client makes which statement?
A | “Thalassemia is treated with iron supplements.” |
B | “I need to learn how to give myself vitamin B12 injections.” |
C | “I’ll see a genetic counselor before starting a family.” |
D | “If my fiancé were of Middle Eastern descent, I wouldn’t be worried about having children.” |
Question 28 |
The nurse is examining charts to identify clients at risk for developing multiple myeloma. The client who is most at risk would be?
A | A 20-year-old Asian woman |
B | A 30-year-old White man |
C | A 50-year-old Hispanic woman |
D | A 60-year-old Black man |
Question 29 |
A 32-year-old client is admitted with a tentative diagnosis of acquired immunodeficiency syndrome (AIDS). The preliminary report of biopsies done on his facial lesions indicates Kaposi’s sarcoma. What is the most appropriate response by the nurse?
A | Tell the client that Kaposi’s sarcoma is common in people with AIDS. |
B | Pretend not to notice the lesions on the client’s face. |
C | Inform the client of the biopsy results and support him emotionally. |
D | Explore the client’s feelings about his facial disfigurement. |
Question 30 |
A 73-year-old client is about to receive a blood transfusion to treat severe anemia and asks the nurse how long the procedure will take. What is the most appropriate response?
A | 8 hours |
B | At least 12 hours |
C | At least 24 hours |
D | No longer than 4 hours |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Musculoskeletal Disorders Part 2
- Nclex-Rn Practice Questions-Care Of Adult – Genitourinary Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Adult – Respiratory Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 1
- Nclex-Rn Practice Questions-Care of Adults-Adult and Older Adult Development