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NCLEX-RN Oncology Exam | 75 Hard Questions with Rationales | Chemotherapy, Neutropenia, Cancer Care & Priority Nursing Management | HESI ATI Exit Exam Study Guide 2026

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NCLEX-RN Oncology Exam | 75 Hard Questions with Rationales | Chemotherapy, Neutropenia, Cancer Care & Priority Nursing Management | HESI ATI Exit Exam Study Guide | 2026

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NCLEX-RN Oncology Exam | 75 Hard Questions with Rationales |
Chemotherapy, Neutropenia, Cancer Care & Priority Nursing
Management | HESI ATI Exit Exam Study Guide
(Nursing Exit Exam Topics (HESI / NCLEX) 7).
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 7
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.

,1 Question 1



A client receiving chemotherapy has hemoglobin 7.5 g/dL. Which symptom is
most expected?

☑ A. Fatigue and shortness of breath


☐ B. Increased energy


☐ C. Severe itching only


☐ D. Excessive hunger



RATIONALE
Low hemoglobin means anemia, which reduces oxygen delivery to tissues. Common symptoms
include fatigue, weakness, pallor, and shortness of breath.
KEY TERMS EXPLAINED
Hemoglobin = protein in red blood cells carrying oxygen
Anemia = low red blood cell level
Shortness of breath = difficulty getting enough oxygen
Fatigue = common symptom of reduced oxygen delivery

,2 Question 2



A client with thrombocytopenia should be taught to use which shaving method?

☑ A. Electric razor


☐ B. Straight razor blade


☐ C. Dry shaving with sharp blade


☐ D. Frequent waxing



RATIONALE
An electric razor reduces the chance of cuts and bleeding, which is especially important in
clients with low platelet counts.
KEY TERMS EXPLAINED
Electric razor = safer shaving method with less skin injury
Thrombocytopenia = low platelet count
Bleeding prevention = reducing injury risk
Skin protection = preventing cuts and bruises

, 3 Question 3



A client with thrombocytopenia develops nosebleeds and bleeding gums. Which
action is priority?

☑ A. Assess for additional bleeding and notify the provider


☐ B. Encourage flossing harder


☐ C. Start contact sports for circulation


☐ D. Give aspirin for discomfort



RATIONALE
Bleeding signs in thrombocytopenia may indicate worsening platelet deficiency and possible
hemorrhage. Immediate assessment and provider notification are needed.
KEY TERMS EXPLAINED
Thrombocytopenia = low platelet count
Nosebleed = sign of bleeding risk
Hemorrhage = serious blood loss
Provider notification = urgent medical reporting

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