NURSING NEW ZEALAND EXAM 5
QUESTIONS WITH CORRECT ANSWERS
1. John is admitted with neutropenia, what does the nurse assess in determining his risk
for infection
a) Length of time neutropenia has existed
b) Health status before neutropenia
c) Body build and weight
d) Resistance to infection in childhood - Correct Answers -b) Health status before
neutropenia
- it is characterized by low neutrophil count which makes individuals more susceptible to
infection
2. What nursing action would be important in preventing cross contamination
a) Change gloves immediately after use
b) Stand two feet from the patient
c) Speak minimally when in the room
d) Wear long sleeved shirts - Correct Answers -a) Change gloves immediately after us
3. What would you teach john and his family to avoid
a) Using suppositories or enemas
b) Using a high efficiency particulate air filter mask
c) Performing perineal care after every bowel movement
d) Performing oral care after every meal - Correct Answers -a) Using suppositories or
enemas
4. 24 hours after john has a bone marrow aspiration, the nurse evaluates which of the
following as an appropriate client outcome
a) The client maintains bed rest
b) There is redness and swelling at the aspiration site
c) The client requests morphine sulphate 2mg IM every 2 hours
d) There is no bleeding at aspiration site - Correct Answers -d) There is no bleeding at
aspiration site
5. During the induction stage for treatment of leukaemia, the nurse should remove
which
items that the family has brought into the room
a) A bible
b) A picture
c) A sachet of lavender
d) A hairbrush - Correct Answers -c) A sachet of lavender
scented items may introduce potential contaminants into the environment
, 6. The goal of nursing care for a client with acute myeloid leukaemia is to prevent
a) Cardiac arrhythmias
b) Liver failure
c) Renal failure
d) Haemorrhage - Correct Answers -d) Haemorrhage
17. A client is diagnosed with metastatic bone cancer. Which of the following abnormal
laboratory values would the nurse expect to see
a) Hypocalcaemia
b) Elevated serum alkaline phosphatase
c) Hypokalemia
d) Hypoglycaemia - Correct Answers -b) Elevated serum alkaline phosphatase
increased bone breakdown which results in release of alkaline phosphate into the blood
stream
18. Mrs Johnson has had a recurrence of breast cancer and has been managed at
home
with support from the palliative care nurse specialist. This morning when visiting her,
the nurse noted she was experiencing severe low back pain especially when lying
down. Which of the following assessments would be the priority
a) Bowel and bladder
b) Respiratory
c) Neurological
d) Skin and pressure sore risk - Correct Answers -d) Skin and pressure sore risk
19. The nurse would teach the client that a normal local tissue response to radiation is
a) Atrophy of the skin
b) Scattered pustule formation
c) Redness of the surface tissue
d) Sloughing of two layers of skin - Correct Answers -c) Redness of the surface tissue
- redness of the skin known as erythema is a common local tissue response to radiation
therapy
AML can lead to bleeding tendencies due to low pallet counts
7. The nurse is evaluating the clients learning about combination chemotherapy. Which
of the following statements about reasons for using combination chemotherapy
indicates the need for further explanation
a) Combination chemotherapy is used to interrupt cell growth cycle at different points
b) Combination chemo is used to destroy cancer cells and treat side effects
simultaneously
c) Combination chemo is used to decrease resistance - Correct Answers -a)
Combination chemotherapy is used to interrupt cell growth cycle at different points
QUESTIONS WITH CORRECT ANSWERS
1. John is admitted with neutropenia, what does the nurse assess in determining his risk
for infection
a) Length of time neutropenia has existed
b) Health status before neutropenia
c) Body build and weight
d) Resistance to infection in childhood - Correct Answers -b) Health status before
neutropenia
- it is characterized by low neutrophil count which makes individuals more susceptible to
infection
2. What nursing action would be important in preventing cross contamination
a) Change gloves immediately after use
b) Stand two feet from the patient
c) Speak minimally when in the room
d) Wear long sleeved shirts - Correct Answers -a) Change gloves immediately after us
3. What would you teach john and his family to avoid
a) Using suppositories or enemas
b) Using a high efficiency particulate air filter mask
c) Performing perineal care after every bowel movement
d) Performing oral care after every meal - Correct Answers -a) Using suppositories or
enemas
4. 24 hours after john has a bone marrow aspiration, the nurse evaluates which of the
following as an appropriate client outcome
a) The client maintains bed rest
b) There is redness and swelling at the aspiration site
c) The client requests morphine sulphate 2mg IM every 2 hours
d) There is no bleeding at aspiration site - Correct Answers -d) There is no bleeding at
aspiration site
5. During the induction stage for treatment of leukaemia, the nurse should remove
which
items that the family has brought into the room
a) A bible
b) A picture
c) A sachet of lavender
d) A hairbrush - Correct Answers -c) A sachet of lavender
scented items may introduce potential contaminants into the environment
, 6. The goal of nursing care for a client with acute myeloid leukaemia is to prevent
a) Cardiac arrhythmias
b) Liver failure
c) Renal failure
d) Haemorrhage - Correct Answers -d) Haemorrhage
17. A client is diagnosed with metastatic bone cancer. Which of the following abnormal
laboratory values would the nurse expect to see
a) Hypocalcaemia
b) Elevated serum alkaline phosphatase
c) Hypokalemia
d) Hypoglycaemia - Correct Answers -b) Elevated serum alkaline phosphatase
increased bone breakdown which results in release of alkaline phosphate into the blood
stream
18. Mrs Johnson has had a recurrence of breast cancer and has been managed at
home
with support from the palliative care nurse specialist. This morning when visiting her,
the nurse noted she was experiencing severe low back pain especially when lying
down. Which of the following assessments would be the priority
a) Bowel and bladder
b) Respiratory
c) Neurological
d) Skin and pressure sore risk - Correct Answers -d) Skin and pressure sore risk
19. The nurse would teach the client that a normal local tissue response to radiation is
a) Atrophy of the skin
b) Scattered pustule formation
c) Redness of the surface tissue
d) Sloughing of two layers of skin - Correct Answers -c) Redness of the surface tissue
- redness of the skin known as erythema is a common local tissue response to radiation
therapy
AML can lead to bleeding tendencies due to low pallet counts
7. The nurse is evaluating the clients learning about combination chemotherapy. Which
of the following statements about reasons for using combination chemotherapy
indicates the need for further explanation
a) Combination chemotherapy is used to interrupt cell growth cycle at different points
b) Combination chemo is used to destroy cancer cells and treat side effects
simultaneously
c) Combination chemo is used to decrease resistance - Correct Answers -a)
Combination chemotherapy is used to interrupt cell growth cycle at different points
