Hematologic Problems (exam Mode) By Rnpedia.com

25 Questions  I  By Rnpedia
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1.  You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin’s lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?  
A.
B.
C.
D.
2.  A group of clients is assigned to an RN-LPN/LVN team. The LPN/LVN is most likely to be assigned to provide client care and administer medications to which of these clients?  
A.
B.
C.
D.
3.  A client who has been receiving cyclosporine following an organ transplant is experiencing these symptoms. Which one is of most concern?  
A.
B.
C.
D.
4.  A long-term-care client with chronic lymphocytic leukemia has a nursing diagnosis of Activity Intolerance related to weakness and anemia. Which of these nursing activities is most appropriate for you, as the charge nurse, to delegate to a nursing assistant?  
A.
B.
C.
D.
5.  A 22-year-old with stage I Hodgkin’s disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, “Sometimes I am afraid of dying.” Which response is most appropriate at this time? 
A.
B.
C.
D.
6.  A 32-year-old client with a history of sickle cell anemia is admitted to the hospital during a sickle cell crisis. The physician orders all of these interventions. Which order will you implement first?  
A.
B.
C.
D.
7.  As charge nurse, you are making the daily assignments on the medical-surgical unit. Which client is best assigned to a nurse who has floated from the post-anesthesia care unit (PACU)?  
A.
B.
C.
D.
8.  After receiving change-of-shift report about all of these clients, which one will you assess first?
A.
B.
C.
D.
9.  A 78-year-old client admitted to the hospital with chronic anemia caused by possible gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best delegated to an experienced nursing assistant (NA)?  
A.
B.
C.
D.
10.  A client admitted to the hospital with a sickle cell crisis complains of severe abdominal, hip, and knee pain. You observe an LPN accomplishing these client care tasks. Which one requires that you, as charge nurse, intervene immediately? 
A.
B.
C.
D.
11.  You are reviewing the complete blood count (CBC) for a client who has been admitted for knee arthroscopy. Which value is most important to report to the physician prior to surgery?   
A.
B.
C.
D.
12.  You are making a room assignment for a newly arrived client whose laboratory testing indicates pancytopenia. All of these clients are already on the nursing unit. Which one will be the best roommate for the new client? 
A.
B.
C.
D.
13.  You are the charge nurse in an oncology unit. A client with an absolute neutrophil count (ANC) of 300/mm3 is placed in protective isolation. Which staff member should you assign to provide care for this client, under the supervision of an experienced  oncology RN?  
A.
B.
C.
D.
14.  Following a car accident, a client with a Medic-Alert bracelet indicating hemophilia A is admitted to the emergency department (ED). Which physician order should you implement first?
A.
B.
C.
D.
15.  You obtain the following data about a client admitted with multiple myeloma. Which information has the most immediate implications for the client’s care? 
A.
B.
C.
D.
16.  After receiving the change-of-shift report, which client will you assess first?
A.
B.
C.
D.
17.  As home health nurse, you are taking an admission history for a client who has a deep vein thrombosis and is taking warfarin (Coumadin) 2 mg daily. Which statement by the client is the best indicator that additional teaching about warfarin may be needed?  
A.
B.
C.
D.
18.  A 67-year-old client who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. While you are taking the admission history, the client makes these statements. Which statement is of most concern?  
A.
B.
C.
D.
19.  A client with graft-versus-host disease (GVHD) after a bone marrow transplant is being cared for on the medical unit. Which of these nursing activities is best delegated to a newly graduated RN who has had a 6-week orientation to the unit? 
A.
B.
C.
D.
20.  A client is admitted to the intensive car unit (ICU) with disseminated intravascular coagulation (DIC) associated with a gram-negative infection. Which assessment information has the most immediate implications for the client’s care
A.
B.
C.
D.
21.  You are transferring a client with newly diagnosed chronic myeloid leukemia to a long-term-care (LTC) facility. Which information is most important to the LTC charge nurse prior to transferring the client? 
A.
B.
C.
D.
22.  A transfusion of PRBCs has been infusing for 5 minutes when the client becomes flushed and tachypneic and says, “I am having chills. Please get me a blanket.” Which action should you take first? 
A.
B.
C.
D.
23.  A new RN is preparing to administer packed red blood cells (PRBCs) to a client whose anemia was caused by blood loss after surgery. Which action by the new RN requires that you, as charge nurse, intervene immediately? 
A.
B.
C.
D.
24.  The nurse in the outpatient clinic is assessing a 22-year-old with a history of a recent splenectomy after a motor vehicle accident. Which information obtained during the assessment will be of most immediate concern to the nurse?
A.
B.
C.
D.
25.  A client with acute myelogenous leukemia is receiving induction phase chemotherapy. Which assessment information is of most concern?  
A.
B.
C.
D.
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