NURS 405 prep questions with correct answers
A nurse is caring for a client with multiple myeloma. Which nursing
intervention is most appropriate for this client?
Monitoring respiratory status
Preventing bone injury
Restricting fluid intake
Balancing rest and activity Correct Answer-Preventing bone injury
A client presents with peripheral neuropathy and hypoesthesia of the
feet. What is the best nursing intervention?
Keep the feet cool.
Assess for signs of injury.
Encourage ambulation.
Elevate the client's legs. Correct Answer-Assess for signs of injury
Which term refers to a form of white blood cell involved in immune
response?
Lymphocyte
Granulocyte
Spherocyte
Thrombocyte Correct Answer-Lymphocyte
,The nurse cares for an older adult client with unprovoked back pain and
increased serum protein. Which hematologic neoplasm does the nurse
suspect the client has?
Chronic myeloid leukemia
Hodgkin lymphoma
Non-Hodgkin lymphoma
Multiple myeloma Correct Answer-Multiple myeloma
An elderly client is hospitalized for induction of chemotherapy to treat
leukemia. The client reports fatigue to the nurse. What nursing
intervention would best address the client's fatigue?
Talk to the family about not visiting so the client can obtain rest.
Have the client maintain complete bedrest.
Provide sedentary activities only, such as watching television.
Assist the client to sit in a chair for meals. Correct Answer-Assist the
client to sit in a chair for meals
A client with acute myeloid leukemia has a fever. What
pathophysiological process does the nurse recognize is the cause of the
client's fever?
Neutropenia
,Pancytopenia
Anemia
Thrombocytopenia Correct Answer-Neutropenia
Which patient assessed by the nurse is most likely to develop
myelodysplastic syndrome (MDS)?
A 52-year-old patient with acute kidney injury
A 40-year-old patient with a history of hypertension
A 24-year-old female taking oral contraceptives
A 72-year-old patient with a history of cancer Correct Answer-A 72-
year-old patient with a history of cancer
The hospitalized client is experiencing gastrointestinal bleeding with a
platelets at 9,000/mm³. The client is receiving prednisone and
azathioprine. What action will the nurse take?
Perform a neurologic assessment with vital signs.
Use contact precautions with this client.
Teach the client to vigorously floss the teeth to prevent infections.
Request a prescription of diphenoxylate and atropine for loose stools.
Correct Answer-Perform a neurological assessment with VS
, The nurse is discussing disorders of the hematopoietic system when a
client asked about erythrocytosis. What disease will the nurse mention
with a primary characteristic of erythrocytosis?
polycythemia vera
sickle cell disease
aplastic anemia
pernicious anemia Correct Answer-Polycythemia vera
A client with polycythemia vera has a basophil count of greater than 2.
Which assessment finding will the nurse expect to assess in this client?
Dizziness
Early satiety
Pruritis
Ruddy complexion Correct Answer-Pruritis
A client is awaiting test results to diagnose Hodgkin lymphoma. The
nurse knows that which result is the hallmark for the diagnosis of this
condition?
Reed-Sternberg cells
Elevated platelet count
Increased basophils
Misshaped red blood cells Correct Answer-Reed-Sternberg cells
A nurse is caring for a client with multiple myeloma. Which nursing
intervention is most appropriate for this client?
Monitoring respiratory status
Preventing bone injury
Restricting fluid intake
Balancing rest and activity Correct Answer-Preventing bone injury
A client presents with peripheral neuropathy and hypoesthesia of the
feet. What is the best nursing intervention?
Keep the feet cool.
Assess for signs of injury.
Encourage ambulation.
Elevate the client's legs. Correct Answer-Assess for signs of injury
Which term refers to a form of white blood cell involved in immune
response?
Lymphocyte
Granulocyte
Spherocyte
Thrombocyte Correct Answer-Lymphocyte
,The nurse cares for an older adult client with unprovoked back pain and
increased serum protein. Which hematologic neoplasm does the nurse
suspect the client has?
Chronic myeloid leukemia
Hodgkin lymphoma
Non-Hodgkin lymphoma
Multiple myeloma Correct Answer-Multiple myeloma
An elderly client is hospitalized for induction of chemotherapy to treat
leukemia. The client reports fatigue to the nurse. What nursing
intervention would best address the client's fatigue?
Talk to the family about not visiting so the client can obtain rest.
Have the client maintain complete bedrest.
Provide sedentary activities only, such as watching television.
Assist the client to sit in a chair for meals. Correct Answer-Assist the
client to sit in a chair for meals
A client with acute myeloid leukemia has a fever. What
pathophysiological process does the nurse recognize is the cause of the
client's fever?
Neutropenia
,Pancytopenia
Anemia
Thrombocytopenia Correct Answer-Neutropenia
Which patient assessed by the nurse is most likely to develop
myelodysplastic syndrome (MDS)?
A 52-year-old patient with acute kidney injury
A 40-year-old patient with a history of hypertension
A 24-year-old female taking oral contraceptives
A 72-year-old patient with a history of cancer Correct Answer-A 72-
year-old patient with a history of cancer
The hospitalized client is experiencing gastrointestinal bleeding with a
platelets at 9,000/mm³. The client is receiving prednisone and
azathioprine. What action will the nurse take?
Perform a neurologic assessment with vital signs.
Use contact precautions with this client.
Teach the client to vigorously floss the teeth to prevent infections.
Request a prescription of diphenoxylate and atropine for loose stools.
Correct Answer-Perform a neurological assessment with VS
, The nurse is discussing disorders of the hematopoietic system when a
client asked about erythrocytosis. What disease will the nurse mention
with a primary characteristic of erythrocytosis?
polycythemia vera
sickle cell disease
aplastic anemia
pernicious anemia Correct Answer-Polycythemia vera
A client with polycythemia vera has a basophil count of greater than 2.
Which assessment finding will the nurse expect to assess in this client?
Dizziness
Early satiety
Pruritis
Ruddy complexion Correct Answer-Pruritis
A client is awaiting test results to diagnose Hodgkin lymphoma. The
nurse knows that which result is the hallmark for the diagnosis of this
condition?
Reed-Sternberg cells
Elevated platelet count
Increased basophils
Misshaped red blood cells Correct Answer-Reed-Sternberg cells
