NURS 405 MIDTERM QUIZZES |COMPLETE STUDY
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
The nurse is reviewing the lab results of a patient diagnosed with multiple
myeloma. Which would the nurse expect to note specifically in this disorder?
A. increased white blood cells
B. increased calcium levels
C. decreased BUN level
D. decreased number of plasma cells in the bone marrow Answer: B. increased
calcium levels
A patient is admitted to the hospital with a suspected diagnosis of Hodgkin's
disease. Which assessment finding would the nurse expect to note specifically in the
patient?
A. weakness
B. fatigue
C. weight gain
D. enlarged lymph nodes Answer: D. enlarged lymph nodes
A patient is diagnosed with multiple myeloma and asks the nurse about it. The
nurse bases the response on which description of this disorder?
A. malignant proliferation of plasma cells within the bone
B. altered red blood cell production
C. Malignant exacerbation in the number of leukocytes
1
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,D. altered production of lymph cells from lymph nodes Answer: A. malignant
proliferation of plasma cells within the bone
The nurse is aware that a major difference between Hodgkin's lymphoma and non-
Hodgkin's lymphoma is that:
A. Hodgkin's lymphoma is considered potentially curable Hodgkin's lymphoma
only occurs in young adults
B. Hodgkin's lymphoma is considered potentially curable
C. Non-Hodgkin's lymphoma can manifest in multiple areas
D. Non-Hodgkin's lymphoma is treated only with radiation therapy Answer: C.
Non-Hodgkin's lymphoma can manifest in multiple areas
Multiple drugs are often used in combinations to treat leukemia and lymphoma
because
a. there are fewer toxic and side effects.
b. the chance that one drug will be effective is increased.
c. the drugs are more effective without causing side effects.
d. the drugs work by different mechanisms to maximize killing of malignant cells.
Answer: D. the drugs work by different mechanisms to maximize killing of cancer
cells
According to a staging classification of Hodgkin's disease, which of the following
criteria reflects Stage III?
A. involvement of single lymph node region or structure
B. involvement of lymph node regions or structures on both sides of the diaphragm
2
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,C. involvement of two or more lymph node regions or structures
D. involvement of extra lymphatic organs or tissues Answer: B. involvement of
lymph node regions or structures on both sides of the diaphragm
A nurse is admitting a patient who has leukemia and a critically low platelet count.
Which of the following precautions should the nurse initiate?
A. neutropenic precautions
B. chemotherapy precautions
C. seizure precautions
D. bleeding precautions Answer: D. bleeding precautions
A nurse is reviewing the laboratory results of a client who has acute leukemia and
received an aggressive chemotherapy 10 days ago. Which of the following
hematologic laboratory values should the nurse expect? Select all that apply.
A. increased platelets
B. increased hemoglobin
C. decreased erythrocytes
D. decreased leukocytes
E. decreased platelets Answer: C. decreased erythrocytes
D. decreased leukocytes
E. decreased platelets
3
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, A nurse is caring for a client who is scheduled for a bone marrow aspiration. The
client asks the nurse about the sites the provider might use for the procedure. Which
of the following locations should the nurse identify as one of the sites used for this
procedure? Select all that apply.
A. humerus
B. ribs
C. femur
D. iliac crest
E. sternum Answer: D. iliac crest
E. sternum
A patient is considering treatments for their leukemia and is comparing an
autologous vs. allogenic bone marrow transplant. The nurse knows the following is
true:
A. allogenic transplant poses the risk of transplanting leukemic cells
B. autologous transplants require HLA matching
C. autologous transplant cuts out the risk for graft-versus host disease
D. both treatment options have high relapse rates Answer: C. autologous transplant
cuts out the risk for graft-versus-host disease
Which of the following data points is most concerning in a patient undergoing
treatment for chronic myelogenous leukemia (CML)?
A. white blood cell count of 6,000/L
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
The nurse is reviewing the lab results of a patient diagnosed with multiple
myeloma. Which would the nurse expect to note specifically in this disorder?
A. increased white blood cells
B. increased calcium levels
C. decreased BUN level
D. decreased number of plasma cells in the bone marrow Answer: B. increased
calcium levels
A patient is admitted to the hospital with a suspected diagnosis of Hodgkin's
disease. Which assessment finding would the nurse expect to note specifically in the
patient?
A. weakness
B. fatigue
C. weight gain
D. enlarged lymph nodes Answer: D. enlarged lymph nodes
A patient is diagnosed with multiple myeloma and asks the nurse about it. The
nurse bases the response on which description of this disorder?
A. malignant proliferation of plasma cells within the bone
B. altered red blood cell production
C. Malignant exacerbation in the number of leukocytes
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,D. altered production of lymph cells from lymph nodes Answer: A. malignant
proliferation of plasma cells within the bone
The nurse is aware that a major difference between Hodgkin's lymphoma and non-
Hodgkin's lymphoma is that:
A. Hodgkin's lymphoma is considered potentially curable Hodgkin's lymphoma
only occurs in young adults
B. Hodgkin's lymphoma is considered potentially curable
C. Non-Hodgkin's lymphoma can manifest in multiple areas
D. Non-Hodgkin's lymphoma is treated only with radiation therapy Answer: C.
Non-Hodgkin's lymphoma can manifest in multiple areas
Multiple drugs are often used in combinations to treat leukemia and lymphoma
because
a. there are fewer toxic and side effects.
b. the chance that one drug will be effective is increased.
c. the drugs are more effective without causing side effects.
d. the drugs work by different mechanisms to maximize killing of malignant cells.
Answer: D. the drugs work by different mechanisms to maximize killing of cancer
cells
According to a staging classification of Hodgkin's disease, which of the following
criteria reflects Stage III?
A. involvement of single lymph node region or structure
B. involvement of lymph node regions or structures on both sides of the diaphragm
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,C. involvement of two or more lymph node regions or structures
D. involvement of extra lymphatic organs or tissues Answer: B. involvement of
lymph node regions or structures on both sides of the diaphragm
A nurse is admitting a patient who has leukemia and a critically low platelet count.
Which of the following precautions should the nurse initiate?
A. neutropenic precautions
B. chemotherapy precautions
C. seizure precautions
D. bleeding precautions Answer: D. bleeding precautions
A nurse is reviewing the laboratory results of a client who has acute leukemia and
received an aggressive chemotherapy 10 days ago. Which of the following
hematologic laboratory values should the nurse expect? Select all that apply.
A. increased platelets
B. increased hemoglobin
C. decreased erythrocytes
D. decreased leukocytes
E. decreased platelets Answer: C. decreased erythrocytes
D. decreased leukocytes
E. decreased platelets
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, A nurse is caring for a client who is scheduled for a bone marrow aspiration. The
client asks the nurse about the sites the provider might use for the procedure. Which
of the following locations should the nurse identify as one of the sites used for this
procedure? Select all that apply.
A. humerus
B. ribs
C. femur
D. iliac crest
E. sternum Answer: D. iliac crest
E. sternum
A patient is considering treatments for their leukemia and is comparing an
autologous vs. allogenic bone marrow transplant. The nurse knows the following is
true:
A. allogenic transplant poses the risk of transplanting leukemic cells
B. autologous transplants require HLA matching
C. autologous transplant cuts out the risk for graft-versus host disease
D. both treatment options have high relapse rates Answer: C. autologous transplant
cuts out the risk for graft-versus-host disease
Which of the following data points is most concerning in a patient undergoing
treatment for chronic myelogenous leukemia (CML)?
A. white blood cell count of 6,000/L
4
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