Acute Leukemia

26 Questions | Total Attempts: 5680

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Leukemia Quizzes & Trivia

Choose the letter of the correct answers. Goodluck !:-)


Questions and Answers
  • 1. 
    A 33-year-old male is being evaluated for possible acute leukemia. Which of the following would the nurse inquire about as a part of the assessment? 
    • A. 

      The client collects stamps as a hobby.

    • B. 

      The client recently lost his job as a postal worker.

    • C. 

      The client had radiation for treatment of Hodgkin’s disease as a teenager.

    • D. 

      The client’s brother had leukemia as a child.

  • 2. 
    An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae? 
    • A. 

      The abdomen

    • B. 

      The thorax

    • C. 

      The earlobes

    • D. 

      The soles of the feet

  • 3. 
    A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire? 
    • A. 

      "Have you noticed a change in sleeping habits recently?"

    • B. 

      "Have you had a respiratory infection in the last 6 months?"

    • C. 

      "Have you lost weight recently?"

    • D. 

      "Have you noticed changes in your alertness?"

  • 4. 
    Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?   
    • A. 

      Oral mucous membrane, altered related to chemotherapy

    • B. 

      Risk for injury related to thrombocytopenia

    • C. 

      Fatigue related to the disease process

    • D. 

      Interrupted family processes related to life-threatening illness of a family member

  • 5. 
    A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:  
    • A. 

      Abdominal pain and anorexia

    • B. 

      Fatigue and bruising

    • C. 

      Bleeding and pallor

    • D. 

      Petechiae and mucosal ulcers

  • 6. 
    What is the peak age range in acquiring acute lymphocytic leukemia (ALL)?  
    • A. 

      4 to 12 years.

    • B. 

      20 to 30 years

    • C. 

      40 to 50 years

    • D. 

      60 to 70 years

  • 7. 
    Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical manifestations may indicate all of the following except  
    • A. 

      Effects of radiation

    • B. 

      Chemotherapy side effects

    • C. 

      Meningeal irritation

    • D. 

      Gastric distension

  • 8. 
     The nurse is reviewing the laboratory report of a client who underwent a bone marrow biopsy. The finding that would most strongly support a diagnosis of acute leukemia is the existence of a large number of immature:  
    • A. 

      Lymphocytes

    • B. 

      Thrombocytes

    • C. 

      Reticulocytes

    • D. 

      Leukocytes

  • 9. 
    Francis with leukemia has neutropenia. Which of the following functions must frequently assessed?  
    • A. 

      Blood pressure

    • B. 

      Bowel sounds

    • C. 

      Heart sounds

    • D. 

      Breath sounds

  • 10. 
    Situation: Stacy is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy.   Stacy is discharged from the hospital following her chemotherapy treatments. Which statement of Stacy’s mother indicated that she understands when she will contact the physician?
    • A. 

      “I should contact the physician if Stacy has difficulty in sleeping”.

    • B. 

      “I will call my doctor if Stacy has persistent vomiting and diarrhea”.

    • C. 

      “My physician should be called if Stacy is irritable and unhappy”.

    • D. 

      “Should Stacy have continued hair loss, I need to call the doctor”.

  • 11. 
    The laboratory results of the client with leukemia indicate bone marrow depression. The nurse should encourage the client to:   
    • A. 

      Increase his activity level and ambulate frequently

    • B. 

      Sleep with the head of his bed slightly elevated

    • C. 

      Drink citrus juices frequently for nourishment

    • D. 

      Use a soft toothbrush and electric razor

  • 12. 
    A client jokes about his leukemia even though he is becoming sicker and weaker. The nurse’s most therapeutic response would be:   
    • A. 

      “Your laugher is a cover for your fear.”

    • B. 

      “He who laughs on the outside, cries on the inside.”

    • C. 

      “Why are you always laughing?”

    • D. 

      “Does it help you to joke about your illness?”

  • 13. 
    A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? 
    • A. 

      A history of hepatitis C five years previously.

    • B. 

      Cholecystitis requiring cholecystectomy one year previously.

    • C. 

      Asymptomatic diverticulosis.

    • D. 

      Crohn's disease in remission.

  • 14. 
    A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan? 
    • A. 

      Monitor for fever every 4 hours.

    • B. 

      Require visitors to wear respiratory masks and protective clothing.

    • C. 

      Consider transfusion of packed red blood cells.

    • D. 

      Check for signs of bleeding, including examination of urine and stool for blood.

  • 15. 
    A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education? 
    • A. 

      We will bring in books and magazines for entertainment.

    • B. 

      We will bring in personal care items for comfort.

    • C. 

      We will bring in fresh flowers to brighten the room.

    • D. 

      We will bring in family pictures and get well cards.

  • 16. 
    A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient? 
    • A. 

      3-10 years.

    • B. 

      25-35 years.

    • C. 

      45-55 years.

    • D. 

      Over 60 years.

  • 17. 
    The client with leukemia is receiving busulfan (Myleran) and allopurinol (Zyloprim). The nurse tells the client that the purpose if the allopurinol is to prevent:   
    • A. 

      Nausea

    • B. 

      Alopecia

    • C. 

      Vomiting

    • D. 

      Hyperuricemia

  • 18. 
    The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to:   
    • A. 

      Decrease the secretion of pancreatic enzymes

    • B. 

      Enhance the effectiveness of methotrexate

    • C. 

      Promote peristalsis

    • D. 

      Prevent a common side effect of prednisone

  • 19. 
    A child with leukemia is being discharged after beginning chemotherapy. What instructions will the nurse include in the teaching plan for the parents of this child?
    • A. 

      Provide a diet low in protein and high in carbohydrates

    • B. 

      Avoid fresh vegetables that are not cooked or peeled

    • C. 

      Notify the M.D. if the child’s temperature exceeds 101F (39C)

    • D. 

      Increase the use of humidifiers throughout the house

  • 20. 
    A 68-year-old woman is diagnosed with thrombocytopenia due to acute lymphocytic leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient   
    • A. 

      To a private room so she will not infect other patients and health care workers.

    • B. 

      To a private room so she will not be infected by other patients and health care workers.

    • C. 

      to a semiprivate room so she will have stimulation during her hospitalization.

    • D. 

      To a semiprivate room so she will have the opportunity to express her feelings about her illness.

  • 21. 
    A 22-year-old man is admitted to the hospital with complaints of fatigue and weight loss. Physical examination reveals pallor and multiple bruises on his arms and legs. The results of the patients tests reveal acute lymphocytic leukemia and thrombocytopenia. Which of the following nursing diagnoses MOST accurately reflects his condition? 
    • A. 

      Potential for injury.

    • B. 

      Self-care deficit

    • C. 

      Potential for self-harm.

    • D. 

      Alteration in comfort.

  • 22. 
    Which of the following would the nurse identify as the initial priority for a child with acute lymphocytic leukemia?   
    • A. 

      Instituting infection control precautions

    • B. 

      Encouraging adequate intake of iron-rich foods

    • C. 

      Assisting with coping with chronic illness

    • D. 

      Administering medications via IM injections

  • 23. 
     A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:   
    • A. 

      Prevent metabolic breakdown of xanthine to uric acid

    • B. 

      Prevent uric acid from precipitating in the ureters

    • C. 

      Enhance the production of uric acid to ensure adequate excretion of urine

    • D. 

      Ensure that the chemotherapy doesn’t adversely affect the bone marrow

  • 24. 
    The patient receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS) is closely monitored for
    • A. 

      leukopenia and cardiac toxicity.

    • B. 

      Mood changes and fluid and electrolyte alterations.

    • C. 

      Renal insufficiency.

    • D. 

      Hypoxia.

  • 25. 
    The treatment for patients with leukemia is bone marrow transplantation. Which statement about bone marrow transplantation is not correct?    
    • A. 

      The patient is under local anesthesia during the procedure

    • B. 

      The aspirated bone marrow is mixed with heparin.

    • C. 

      The aspiration site is the posterior or anterior iliac crest.

    • D. 

      The recipient receives cyclophosphamide (Cytoxan) for 4 consecutive days before the procedure.

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