EXAM 9
Infection, Hematology, Oncology, and Patient Safety
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Teaching and care planning: A client with sickle cell disease has severe pain crisis. Which statement shows the best
understanding of care?
A. Apply ice directly to painful areas
B. Withhold analgesia until labs return
C. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
D. Encourage dehydration
Rationale: Pain crises need prompt symptom management and assessment for complications.
2. Safety check: A client with cirrhosis has new confusion and asterixis. Which action best promotes client safety?
A. Give sedatives routinely
B. Encourage alcohol use
C. Assume dementia without assessment
D. Assess for hepatic encephalopathy and notify the provider
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
3. At the bedside, a stable client needs routine vital signs. What should the nurse do next?
A. Delegate interpretation of new neurologic deficits
B. Delegate clinical judgment
C. Delegate to trained assistive personnel according to policy and follow up on abnormal results
D. Delegate initial assessment of unstable symptoms
Rationale: Routine tasks may be delegated; assessment and clinical judgment remain nursing responsibilities.
4. Client scenario: Four clients need care; one has new stridor. Which instruction should the nurse reinforce?
A. Assess the client with stridor first
B. A client with chronic pain unchanged from baseline
C. A client asking for routine hygiene
D. A stable client requesting discharge papers
Rationale: Stridor signals possible airway obstruction, which is an immediate threat.
5. A client with sickle cell disease has severe pain crisis. Which action is the nurse's priority?
A. Encourage dehydration
B. Apply ice directly to painful areas
C. Withhold analgesia until labs return
D. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
Rationale: Pain crises need prompt symptom management and assessment for complications.
, 6. Client scenario: A client with cirrhosis has new confusion and asterixis. Which instruction should the nurse reinforce?
A. Assume dementia without assessment
B. Assess for hepatic encephalopathy and notify the provider
C. Give sedatives routinely
D. Encourage alcohol use
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
7. Safety check: A client receiving chemotherapy has thrombocytopenia. Which action best promotes client safety?
A. Encourage contact sports
B. Use a firm-bristle toothbrush
C. Use bleeding precautions and avoid unnecessary invasive procedures
D. Give IM injections whenever possible
Rationale: Low platelets increase bleeding risk.
8. At the bedside, a client vomits blood and is dizzy. What should the nurse do next?
A. Offer a snack
B. Delay until the next shift
C. Activate urgent evaluation and assess airway, circulation, and vital signs
D. Encourage walking alone
Rationale: Hematemesis with dizziness may represent major gastrointestinal bleeding.
9. At the bedside, a client with cirrhosis has new confusion and asterixis. What should the nurse do next?
A. Encourage alcohol use
B. Assume dementia without assessment
C. Assess for hepatic encephalopathy and notify the provider
D. Give sedatives routinely
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
10. Teaching and care planning: A client receiving chemotherapy has thrombocytopenia. Which statement shows the best
understanding of care?
A. Encourage contact sports
B. Give IM injections whenever possible
C. Use a firm-bristle toothbrush
D. Use bleeding precautions and avoid unnecessary invasive procedures
Rationale: Low platelets increase bleeding risk.
11. At the bedside, a client with sickle cell disease has severe pain crisis. What should the nurse do next?
A. Withhold analgesia until labs return
B. Apply ice directly to painful areas
C. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
D. Encourage dehydration
Rationale: Pain crises need prompt symptom management and assessment for complications.
12. Complication prevention: A client receiving chemotherapy has thrombocytopenia. Which complication or risk should the
nurse address first?
A. Use bleeding precautions and avoid unnecessary invasive procedures
B. Encourage contact sports
C. Use a firm-bristle toothbrush
D. Give IM injections whenever possible
Rationale: Low platelets increase bleeding risk.
Infection, Hematology, Oncology, and Patient Safety
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Teaching and care planning: A client with sickle cell disease has severe pain crisis. Which statement shows the best
understanding of care?
A. Apply ice directly to painful areas
B. Withhold analgesia until labs return
C. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
D. Encourage dehydration
Rationale: Pain crises need prompt symptom management and assessment for complications.
2. Safety check: A client with cirrhosis has new confusion and asterixis. Which action best promotes client safety?
A. Give sedatives routinely
B. Encourage alcohol use
C. Assume dementia without assessment
D. Assess for hepatic encephalopathy and notify the provider
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
3. At the bedside, a stable client needs routine vital signs. What should the nurse do next?
A. Delegate interpretation of new neurologic deficits
B. Delegate clinical judgment
C. Delegate to trained assistive personnel according to policy and follow up on abnormal results
D. Delegate initial assessment of unstable symptoms
Rationale: Routine tasks may be delegated; assessment and clinical judgment remain nursing responsibilities.
4. Client scenario: Four clients need care; one has new stridor. Which instruction should the nurse reinforce?
A. Assess the client with stridor first
B. A client with chronic pain unchanged from baseline
C. A client asking for routine hygiene
D. A stable client requesting discharge papers
Rationale: Stridor signals possible airway obstruction, which is an immediate threat.
5. A client with sickle cell disease has severe pain crisis. Which action is the nurse's priority?
A. Encourage dehydration
B. Apply ice directly to painful areas
C. Withhold analgesia until labs return
D. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
Rationale: Pain crises need prompt symptom management and assessment for complications.
, 6. Client scenario: A client with cirrhosis has new confusion and asterixis. Which instruction should the nurse reinforce?
A. Assume dementia without assessment
B. Assess for hepatic encephalopathy and notify the provider
C. Give sedatives routinely
D. Encourage alcohol use
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
7. Safety check: A client receiving chemotherapy has thrombocytopenia. Which action best promotes client safety?
A. Encourage contact sports
B. Use a firm-bristle toothbrush
C. Use bleeding precautions and avoid unnecessary invasive procedures
D. Give IM injections whenever possible
Rationale: Low platelets increase bleeding risk.
8. At the bedside, a client vomits blood and is dizzy. What should the nurse do next?
A. Offer a snack
B. Delay until the next shift
C. Activate urgent evaluation and assess airway, circulation, and vital signs
D. Encourage walking alone
Rationale: Hematemesis with dizziness may represent major gastrointestinal bleeding.
9. At the bedside, a client with cirrhosis has new confusion and asterixis. What should the nurse do next?
A. Encourage alcohol use
B. Assume dementia without assessment
C. Assess for hepatic encephalopathy and notify the provider
D. Give sedatives routinely
Rationale: Ammonia-related encephalopathy can cause confusion and requires treatment.
10. Teaching and care planning: A client receiving chemotherapy has thrombocytopenia. Which statement shows the best
understanding of care?
A. Encourage contact sports
B. Give IM injections whenever possible
C. Use a firm-bristle toothbrush
D. Use bleeding precautions and avoid unnecessary invasive procedures
Rationale: Low platelets increase bleeding risk.
11. At the bedside, a client with sickle cell disease has severe pain crisis. What should the nurse do next?
A. Withhold analgesia until labs return
B. Apply ice directly to painful areas
C. Provide prescribed analgesia, hydration as ordered, and assess oxygenation
D. Encourage dehydration
Rationale: Pain crises need prompt symptom management and assessment for complications.
12. Complication prevention: A client receiving chemotherapy has thrombocytopenia. Which complication or risk should the
nurse address first?
A. Use bleeding precautions and avoid unnecessary invasive procedures
B. Encourage contact sports
C. Use a firm-bristle toothbrush
D. Give IM injections whenever possible
Rationale: Low platelets increase bleeding risk.
