___________________________________________________________________
Nursing 354 Lymphoma Nursing
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
Pdf
___________________________________________________________________
1. A nurse is assessing a client with suspected lymphoma. Which finding is
most characteristic of lymphoma?
A. Severe hypertension
B. Painless enlargement of lymph nodes
C. Persistent hyperglycemia
D. Bilateral lower-extremity edema
Answer: Painless enlargement of lymph nodes
Rationale: Lymphoma commonly presents with painless, persistent
lymphadenopathy, particularly involving cervical, axillary, or inguinal lymph
nodes.
2. Which two major categories of lymphoma should the nurse recognize?
A. Acute and chronic lymphoma
B. Primary and secondary lymphoma
,C. Hodgkin lymphoma and non-Hodgkin lymphoma
D. Benign and malignant lymphoma
Answer: Hodgkin lymphoma and non-Hodgkin lymphoma
Rationale: Lymphomas are broadly classified as Hodgkin lymphoma and non-
Hodgkin lymphoma, each containing multiple subtypes.
3. Which symptom is considered a classic "B symptom" of lymphoma?
A. Headache
B. Constipation
C. Bradycardia
D. Night sweats
Answer: Night sweats
Rationale: B symptoms include unexplained fever, drenching night sweats, and
unintentional weight loss and can indicate more active lymphoma.
4. A client with lymphoma reports repeated episodes of fever, night sweats,
and unexplained weight loss. How should the nurse interpret these
findings?
A. They indicate normal immune function.
B. They are unrelated to lymphoma.
C. They are systemic symptoms associated with lymphoma.
D. They indicate medication toxicity only.
Answer: They are systemic symptoms associated with lymphoma.
Rationale: Fever, night sweats, and unexplained weight loss are important
systemic manifestations of lymphoma and should be documented and
evaluated.
5. Which diagnostic procedure provides the most definitive diagnosis of
lymphoma?
A. Chest radiograph
B. Complete blood count
,C. Serum electrolyte analysis
D. Lymph node biopsy
Answer: Lymph node biopsy
Rationale: Examination of lymphatic tissue obtained through biopsy allows
pathological identification and classification of lymphoma.
6. Which laboratory abnormality may occur in a client with lymphoma?
A. Elevated lactate dehydrogenase level
B. Persistently decreased sodium from every lymphoma subtype
C. Increased hemoglobin in advanced disease
D. Decreased inflammatory markers in all cases
Answer: Elevated lactate dehydrogenase level
Rationale: Lactate dehydrogenase may be elevated in lymphoma and can
provide information about disease activity and prognosis.
7. A nurse is caring for a client receiving chemotherapy for lymphoma. Which
assessment is the priority?
A. Hair texture
B. Appetite preference
C. Temperature
D. Sleep position
Answer: Temperature
Rationale: Chemotherapy can cause neutropenia, increasing the risk of serious
infection. Fever may be an early sign of infection and requires prompt
evaluation.
8. A client receiving chemotherapy has a temperature of 38.3°C (100.9°F).
What is the nurse's priority action?
A. Encourage the client to exercise.
B. Recheck the temperature the following day.
, C. Give an antidiarrheal medication.
D. Notify the healthcare provider promptly.
Answer: Notify the healthcare provider promptly.
Rationale: Fever in a potentially neutropenic client may indicate a serious
infection requiring urgent evaluation and treatment.
9. Which nursing intervention is appropriate for a client with neutropenia?
A. Encourage contact with sick visitors.
B. Avoid hand hygiene to protect skin integrity.
C. Monitor for signs of infection and reinforce hand hygiene.
D. Encourage raw foods from outside sources.
Answer: Monitor for signs of infection and reinforce hand hygiene.
Rationale: Neutropenic clients have impaired defenses against infection. Careful
infection surveillance and hand hygiene are essential.
10.Which blood cell count is particularly important when assessing
chemotherapy-induced myelosuppression?
A. Serum calcium
B. Absolute neutrophil count
C. Serum cholesterol
D. Hemoglobin A1c
Answer: Absolute neutrophil count
Rationale: The absolute neutrophil count helps determine the degree of
neutropenia and the client's risk for infection.
11.A client with lymphoma develops thrombocytopenia following
chemotherapy. Which finding should the nurse report?
A. Increased appetite
B. Dry skin
C. Bleeding gums
D. Mild fatigue
Nursing 354 Lymphoma Nursing
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
___________________________________________________________________
1. A nurse is assessing a client with suspected lymphoma. Which finding is
most characteristic of lymphoma?
A. Severe hypertension
B. Painless enlargement of lymph nodes
C. Persistent hyperglycemia
D. Bilateral lower-extremity edema
Answer: Painless enlargement of lymph nodes
Rationale: Lymphoma commonly presents with painless, persistent
lymphadenopathy, particularly involving cervical, axillary, or inguinal lymph
nodes.
2. Which two major categories of lymphoma should the nurse recognize?
A. Acute and chronic lymphoma
B. Primary and secondary lymphoma
,C. Hodgkin lymphoma and non-Hodgkin lymphoma
D. Benign and malignant lymphoma
Answer: Hodgkin lymphoma and non-Hodgkin lymphoma
Rationale: Lymphomas are broadly classified as Hodgkin lymphoma and non-
Hodgkin lymphoma, each containing multiple subtypes.
3. Which symptom is considered a classic "B symptom" of lymphoma?
A. Headache
B. Constipation
C. Bradycardia
D. Night sweats
Answer: Night sweats
Rationale: B symptoms include unexplained fever, drenching night sweats, and
unintentional weight loss and can indicate more active lymphoma.
4. A client with lymphoma reports repeated episodes of fever, night sweats,
and unexplained weight loss. How should the nurse interpret these
findings?
A. They indicate normal immune function.
B. They are unrelated to lymphoma.
C. They are systemic symptoms associated with lymphoma.
D. They indicate medication toxicity only.
Answer: They are systemic symptoms associated with lymphoma.
Rationale: Fever, night sweats, and unexplained weight loss are important
systemic manifestations of lymphoma and should be documented and
evaluated.
5. Which diagnostic procedure provides the most definitive diagnosis of
lymphoma?
A. Chest radiograph
B. Complete blood count
,C. Serum electrolyte analysis
D. Lymph node biopsy
Answer: Lymph node biopsy
Rationale: Examination of lymphatic tissue obtained through biopsy allows
pathological identification and classification of lymphoma.
6. Which laboratory abnormality may occur in a client with lymphoma?
A. Elevated lactate dehydrogenase level
B. Persistently decreased sodium from every lymphoma subtype
C. Increased hemoglobin in advanced disease
D. Decreased inflammatory markers in all cases
Answer: Elevated lactate dehydrogenase level
Rationale: Lactate dehydrogenase may be elevated in lymphoma and can
provide information about disease activity and prognosis.
7. A nurse is caring for a client receiving chemotherapy for lymphoma. Which
assessment is the priority?
A. Hair texture
B. Appetite preference
C. Temperature
D. Sleep position
Answer: Temperature
Rationale: Chemotherapy can cause neutropenia, increasing the risk of serious
infection. Fever may be an early sign of infection and requires prompt
evaluation.
8. A client receiving chemotherapy has a temperature of 38.3°C (100.9°F).
What is the nurse's priority action?
A. Encourage the client to exercise.
B. Recheck the temperature the following day.
, C. Give an antidiarrheal medication.
D. Notify the healthcare provider promptly.
Answer: Notify the healthcare provider promptly.
Rationale: Fever in a potentially neutropenic client may indicate a serious
infection requiring urgent evaluation and treatment.
9. Which nursing intervention is appropriate for a client with neutropenia?
A. Encourage contact with sick visitors.
B. Avoid hand hygiene to protect skin integrity.
C. Monitor for signs of infection and reinforce hand hygiene.
D. Encourage raw foods from outside sources.
Answer: Monitor for signs of infection and reinforce hand hygiene.
Rationale: Neutropenic clients have impaired defenses against infection. Careful
infection surveillance and hand hygiene are essential.
10.Which blood cell count is particularly important when assessing
chemotherapy-induced myelosuppression?
A. Serum calcium
B. Absolute neutrophil count
C. Serum cholesterol
D. Hemoglobin A1c
Answer: Absolute neutrophil count
Rationale: The absolute neutrophil count helps determine the degree of
neutropenia and the client's risk for infection.
11.A client with lymphoma develops thrombocytopenia following
chemotherapy. Which finding should the nurse report?
A. Increased appetite
B. Dry skin
C. Bleeding gums
D. Mild fatigue
