Leukemia NCLEX Exam Questions and
Answers 100% Pass
Which of the following manifestations would be directly associated with Hodgkin's
disease?
"a. bone pain
b. generalized edema
c. petechiae and purpura
d. painless, enlarged lymph nodes" - ✔✔"Correct answer: D
Rationale: Hodgkin's disease usually presents as painless enlarged lymph nodes. The
diagnosis is made by lymph node biopsy."
A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is
engaged to be married and is to begin a new job upon graduation. Which of the
following diagnoses would be a priority for this client?
"a. Sexual dysfunction related to radiation therapy
b. Anticipatory grieving related to terminal illness
Brittie Donald, All Rights Reserved © 2025 1
,c. Tissue integrity related to prolonged bed rest
d. Fatigue related to chemotherapy" - ✔✔Answer A is correct. Radiation therapy often
causes sterility in male clients and would be of primary importance to this client. The
psychosocial needs of the client are important to address in light of the age and life
choices. Hodgkin's disease, however, has a good prognosis when diagnosed early.
Answers B, C, and D are incorrect because they are of lesser priority
"The client asks the nurse to explain what it means that his Hodgkin's disease is
diagnosed at stage 1A. Which of the following describes the involvement of the disease?
"1. Involvement of a single lymph node.
2. Involvement of two or more lymph nodes on the same side of the diaphragm.
3. Involvement of lymph node regions on both sides of the diaphragm.
4. Diffuse disease of one or more extralymphatic organs." - ✔✔Correct: 1. In the staging
process, the designations A and B signify, respectively, that symptoms were or were not
present when Hodgkin's disease was found. The Roman numerals I through IV indicate
the extent and location of involvement of the disease. Stage I indicates involvement of a
single lymph node; stage II, two or more lymph nodes on the same side of the
diaphragm; stage III, lymph node regions on both sides of the diaphragm; and stage IV,
diffuse disease of one or more extralymphatic organs.
Brittie Donald, All Rights Reserved © 2025 2
,"The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about
her prognosis. Which is the nurse's best response?
"1.Survival for Hodgkin's disease is relatively good with standard therapy.
2.Survival depends on becoming involved in an investigational therapy program.
3.Survival is poor, with more than 50% of clients dying within six (6) months.
4.Survival is fine for primary Hodgkin's, but secondary cancers occur within a year." -
✔✔"Correct Answer: 1.
1.Up to 90% of clients responds well to standard treatment with chemotherapy and
radiation therapy, and those that relapse usually respond to a change of chemotherapy
medications. Survival depends on the individual client and the stage of disease at
diagnosis.
2.Investigational therapy regimens would not be recommended for clients initially
diagnosed with Hodgkin's because of the expected prognosis with standard therapy.
3.Clients usually achieve a significantly longer survival rate than six (6) months. Many
clients survive to develop long-term secondary complications.
4.Secondary cancers can occur as long as 20 years after a remission of the Hodgkin's
disease has occurred."
"The client asks the nurse, "They say I have cancer. How can they tell if
Brittie Donald, All Rights Reserved © 2025 3
, I have Hodgkin'sdisease from a biopsy?" The nurse's answer is based on
which scientific rationale?
"A.Biopsies are nuclear medicine scans that can detect cancer.
B.A biopsy is a laboratory test that detects cancer cells.
C.It determines which kind of cancer the client has.
D.The HCP takes a small piece out of the tumor and looks at the cells." - ✔✔"D-COrrect:
A biopsy is the removal of cells from a massand examination of the
tissue under amicroscope to determine if the cells arecancerous.
Reed-Sternberg cells are diag-nostic for Hodgkin's disease. If these
cellsare not found in the biopsy, the HCP can rebiopsy to make sure the
specimen pro- vided the needed sample or, depending on involvement of
the tissue, diagnose a non-Hodgkin's lymphoma"
"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
Brittie Donald, All Rights Reserved © 2025 4
Answers 100% Pass
Which of the following manifestations would be directly associated with Hodgkin's
disease?
"a. bone pain
b. generalized edema
c. petechiae and purpura
d. painless, enlarged lymph nodes" - ✔✔"Correct answer: D
Rationale: Hodgkin's disease usually presents as painless enlarged lymph nodes. The
diagnosis is made by lymph node biopsy."
A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is
engaged to be married and is to begin a new job upon graduation. Which of the
following diagnoses would be a priority for this client?
"a. Sexual dysfunction related to radiation therapy
b. Anticipatory grieving related to terminal illness
Brittie Donald, All Rights Reserved © 2025 1
,c. Tissue integrity related to prolonged bed rest
d. Fatigue related to chemotherapy" - ✔✔Answer A is correct. Radiation therapy often
causes sterility in male clients and would be of primary importance to this client. The
psychosocial needs of the client are important to address in light of the age and life
choices. Hodgkin's disease, however, has a good prognosis when diagnosed early.
Answers B, C, and D are incorrect because they are of lesser priority
"The client asks the nurse to explain what it means that his Hodgkin's disease is
diagnosed at stage 1A. Which of the following describes the involvement of the disease?
"1. Involvement of a single lymph node.
2. Involvement of two or more lymph nodes on the same side of the diaphragm.
3. Involvement of lymph node regions on both sides of the diaphragm.
4. Diffuse disease of one or more extralymphatic organs." - ✔✔Correct: 1. In the staging
process, the designations A and B signify, respectively, that symptoms were or were not
present when Hodgkin's disease was found. The Roman numerals I through IV indicate
the extent and location of involvement of the disease. Stage I indicates involvement of a
single lymph node; stage II, two or more lymph nodes on the same side of the
diaphragm; stage III, lymph node regions on both sides of the diaphragm; and stage IV,
diffuse disease of one or more extralymphatic organs.
Brittie Donald, All Rights Reserved © 2025 2
,"The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about
her prognosis. Which is the nurse's best response?
"1.Survival for Hodgkin's disease is relatively good with standard therapy.
2.Survival depends on becoming involved in an investigational therapy program.
3.Survival is poor, with more than 50% of clients dying within six (6) months.
4.Survival is fine for primary Hodgkin's, but secondary cancers occur within a year." -
✔✔"Correct Answer: 1.
1.Up to 90% of clients responds well to standard treatment with chemotherapy and
radiation therapy, and those that relapse usually respond to a change of chemotherapy
medications. Survival depends on the individual client and the stage of disease at
diagnosis.
2.Investigational therapy regimens would not be recommended for clients initially
diagnosed with Hodgkin's because of the expected prognosis with standard therapy.
3.Clients usually achieve a significantly longer survival rate than six (6) months. Many
clients survive to develop long-term secondary complications.
4.Secondary cancers can occur as long as 20 years after a remission of the Hodgkin's
disease has occurred."
"The client asks the nurse, "They say I have cancer. How can they tell if
Brittie Donald, All Rights Reserved © 2025 3
, I have Hodgkin'sdisease from a biopsy?" The nurse's answer is based on
which scientific rationale?
"A.Biopsies are nuclear medicine scans that can detect cancer.
B.A biopsy is a laboratory test that detects cancer cells.
C.It determines which kind of cancer the client has.
D.The HCP takes a small piece out of the tumor and looks at the cells." - ✔✔"D-COrrect:
A biopsy is the removal of cells from a massand examination of the
tissue under amicroscope to determine if the cells arecancerous.
Reed-Sternberg cells are diag-nostic for Hodgkin's disease. If these
cellsare not found in the biopsy, the HCP can rebiopsy to make sure the
specimen pro- vided the needed sample or, depending on involvement of
the tissue, diagnose a non-Hodgkin's lymphoma"
"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
Brittie Donald, All Rights Reserved © 2025 4
