EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS BANK AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
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1. Leukemia is classified as: - ANSWER ✓ acute or chronic
2. A patient has a thrombosis. While reviewing the history, the nurse found the
patient has atherosclerosis. To which component of the Virchow triad does
the atherosclerosis correlate? - ANSWER ✓ Endothelial injury. Endothelial
injury to blood vessels can result from atherosclerosis (plaque deposits on
arterial walls).
3. Hypersplenism occurs when: - ANSWER ✓ the spleen is overactive
4. The best treatment for multiple myeloma: - ANSWER ✓ chemotherapy
5. What type of cell is most affected by acute leukemia? - ANSWER ✓ blast
cell
6. You observe a platelet count of 9,000/mm3, which condition must you
monitor for in this patient? - ANSWER ✓ spontaneous bleeding
7. Which symptoms should you assess for in a patient with Hodgkin's
lymphoma? - ANSWER ✓ Night sweats, low-grade fevers, and weight loss
8. A patient has
lymphoblastic lymphoma.
Which organ is most affected? - ANSWER ✓ Thymus
,9. The disease arises from a clone of relatively immature T cells that becomes
malignant in the thymus.
10.A patient has multiple myeloma. Which area in the body does the nurse
closely monitor for the tumor masses? - ANSWER ✓ bones
11.A patient has acquired immunodeficiency syndrome
(AIDS). Which laboratory report should the nurse monitor closely in this
patient? - ANSWER ✓ Lymphocyte counts
12.Lymphocytopenia is a major problem in acquired immunodeficiency
syndrome (AIDS).
13.Pathophysiology - ANSWER ✓ The study of the underlying changes in
body physiology (molecular, cellular, and organ systems) that result from
disease or injury.
14.Pathology - ANSWER ✓ The investigation of structural alterations in cells,
tissues, and organs, which can help identify the cause of a particular disease.
15.Diagnosis - ANSWER ✓ The naming or identification of a disease - is made
from an evaluation of the evidence accumulated from the presenting signs
and symptoms, health and medical history, physical examination, laboratory
tests, and imaging.
16.Etiology - ANSWER ✓ The study of the CAUSE of disease
17.Epidemiology - ANSWER ✓ The study of tracking patterns or disease
occurrence and transmission among populations and by geographic areas
18.Nucleus - ANSWER ✓ Controls and regulates the activities of the cell (e.g.,
growth and metabolism) and carries the genes, structures that contain the
hereditary information
19.Cytoplasm - ANSWER ✓ An aqueous solution. The medium for chemical
reaction. It provides a platform upon which other organelles can operate
within the cell. All of the functions for cell expansion, growth and
replication are carried out in the cytoplasm of a cell.
,20.Ribosomes - ANSWER ✓ Provide sites for cellular protein synthesis.
21.Endoplasmic Reticulum - ANSWER ✓ Specializes in synthesis, folding, and
transport of protein and lipid components of most organelles. A new role is
sensing cellular stress.
22.Golgi apparatus - ANSWER ✓ Responsible for processing and packaging
proteins onto secretory vesicles that break away from the complex and
migrate to various intracellular and extracellular destinations, including
plasma membrane.
23.Lysosomes - ANSWER ✓ Contain enzymes for digesting most cellular
substances to their basic form, such as amino acids, fatty acids, and
carbohydrates (sugars).
24.Peroxisomes - ANSWER ✓ Contain oxidase enzymes that detoxify alcohol,
hydrogen peroxide, and other harmful chemicals
25.Mitochondria - ANSWER ✓ Powerhouse of the cell, organelle that is the
site of ATP (energy) production
26.A patient with type 1 diabetes asks the nurse what causes polyuria. What is
the nurse's best response? The symptom of polyuria in diabetes mellitus
(DM) is caused by - ANSWER ✓ Increase glucose in Urine
27.If a patient with diabetes has advanced glycosylation end products (AGEs),
what does the nurse suspect is happening in the patient's body? - ANSWER
✓ Tissue/ cellular injury
28.Which information should the nurse include in a lecture on syndrome of
inappropriate antidiuretic hormone (SIADH)? SIADH results in excessive -
ANSWER ✓ renal retention of water without sodium retention.
29.A patient with Graves disease has subcutaneous swelling of the anterior leg.
Which term should the nurse document on the chart? - ANSWER ✓ Pretibial
myxedema
, 30.A student nurse asks the nurse what causes acromegaly. The nurse should
explain that acromegaly is caused by abnormal increases of: - ANSWER ✓
Growth hormone
31.The pathophysiology of type 1 diabetes mellitus (DM) involves: - ANSWER
✓ autoimmune destruction of pancreatic beta cells
32.A patient has thyroid carcinoma. Which of the following will the nurse find
on assessment? - ANSWER ✓ Small thyroid nodule
33.Which is the appropriate method for diagnosis of type 1 diabetes? -
ANSWER ✓ Evaluating fasting plasma glucose levels
34.Which of the following statements indicates that the nurse needs more
teaching? Hyperglycemia can lead to chronic complications of diabetes
through: - ANSWER ✓ suppression of oxidative stress.
35.Graves disease is an example of a: - ANSWER ✓ Type II hypersensitivity
36.A patient asks the nurse about the best treatment for multiple myeloma?
How should the nurse respond? - ANSWER ✓ Chemotherapy
37.A patient has acute leukemia. A nurse recalls the cell most affected by this
disease is a: - ANSWER ✓ blast cell.
38.Which laboratory result will be elevated in a patient with disseminated
intravascular coagulation (DIC)? - ANSWER ✓ Fibrin degradation products
39.A nurse suspects that the patient is experiencing disseminated intravascular
coagulation (DIC). Which laboratory test should the nurse ask the primary
care provider to order? - ANSWER ✓ D-dimer
40.A patient has heparin-induced thrombocytopenia (HIT). Which condition is
a priority to assess? - ANSWER ✓ Pulmonary embolism
41.A patient has non-Hodgkin's lymphoma (NHL). When the nurse is
reviewing the history, which finding is a risk factor for NHL - ANSWER ✓
Organ transplant 2 years ago