Leukemia & Hodgkins NCLEX Test Questions and Answers
Graded A+
"In formulating a nursing diagnosis of risk for
infection for a client with chronic lymphoid
leukemia (CLL), nursing measures should
include: (Select all that apply.) The nurse analyzes the laboratory values of a
"A. Maintaining a clean technique for all invasive child with leukemia who is receiving
procedures. chemotherapy . The nurse notes that the platelet
B. Placing the client in protective isolation. count is 20,000/ul. Based on the laboratry result,
C. Limiting visitors who have colds and which intervention will the nurse document in the
infections. plan of care?
D. Ensuring meticulous handwashing by all 1 Mointor closely for signs of infection 2. Mointor
persons coming in contact with the client." - the temperature every 4hours 3. Initate prptective
-"Correct Answers: B, C, D isolation precautions 4. Use soft small toothbrush
Rationale: Chronic lymphoid leukemia (CLL) is for mouth care - -Correct Ans 4 If a child is
characterized by a proliferation and accumulation severely thrombocytopenic and has a platelet
of small, abnormal mature lymphocytes in bone count less than 20,000/ul, bleeding precautions
marrow, peripheral blood, and body tissues. need to be initated because of increased risk of
Infections and fever are frequent complications of bleeding or hemorrhage. Options 1,2,3 are
CLL." related to the prevention of infection rather than
bleeding
"The client diagnosed with leukemia has central
nervous system involvement. Whichinstructions "A client with acute leukemia is admitted to the
should the nurse teach? oncology unit. Which
"1.Sleep with the head of the bed elevated to of the following would be most important for the
prevent increased intracranial pressure. nurse to inquire?
2.Take an analgesic medication for pain only "a. ""Have you noticed a change in sleeping
when the pain becomes severe. habits recently?""
3.Explain that radiation therapy to the head may b. ""Have you had a respiratory infection in the
result in permanent hair loss. last 6 months?""
4.Discuss end-of-life decisions prior to cognitive c. ""Have you lost weight recently?""
deterioration" - -"Correct: 3 d. ""Have you noticed changes in your
1.Sleeping with the head of the bed alertness?""" - -Answer B is correct. The
elevatedmight relieve some intracranial pressure, client with leukemia is at risk for infection and has
but it will not prevent intracranial pressure from often had recurrent respiratory infections during
occurring.2.Analgesic medications for clients with the previous 6 months. Insomnolence, weight
cancer are given on a scheduled basis with a loss, and a decrease in alertness also occur in
fast-acting analgesic administered PRN for leukemia, but bleeding tendencies and infections
break-through pain.3.Radiation therapy to the are the primary clinical manifestations; therefore,
head and scalp area is the treatment of choice answers A, C, and D are incorrect.
for central nervous system involvement of any
cancer. If the radiation therapy destroys the hair
follicle, the hair will not grow back.4.Cognitive
deterioration does not usually occur" "What nursing diagnosis is seen with acute
, Leukemia & Hodgkins NCLEX Test Questions and Answers
Graded A+
lymphocytic leukemia and thromocytopenia? brittle toothbrushes should be avoided.
"A. potential for injury Temperature is not the most important vital to
B. self-care deficit track in this patient"
C. potential for self harm
D. alteration in comfort" - -"Answer: A
potential for injury
Low platelet increases risk of bleeding from even "Which statement is correct about the rate of cell
minor injuries. Safety measures: shave with an growth in relation to chemotherapy?
electric razor, use soft tooth brush, avoid SQ or "1. Faster growing cells are less susceptible to
IM meds and invasive procedures (urinary chemotherapy.
drainage catheter or a nasogastric tube), side- 2. Nondividing cells are more susceptible to
rails up, remove sharp objects, frequently assess chemotherapy.
for signs of bleeding, bruising, hemorrhage. " 3. Faster growing cells are more susceptible to
chemotherapy.
4. Slower growing cells are more susceptible to
chemotherapy." - -"Answer 3
Which of the following manifestations would be The faster the cell grows, the more susceptible it
directly associated with Hodgkin's disease? is to chemotherapy and radiation therapy. Slow-
"a. bone pain growing and nondividing cells are less
b. generalized edema susceptible to chemotherapy. Repeated cycles of
c. petechiae and purpura chemotherapy are used to destroy nondividing
d. painless, enlarged lymph nodes" - - cells as the begin active cell division."
"Correct answer: D
Rationale: Hodgkin's disease usually presents as
painless enlarged lymph nodes. The diagnosis is
made by lymph node biopsy." The client 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 client? "a) fatigue
"When caring for a client with a diagnosis of b) weakness
thrombocytopenia, the nurse should plan to: c) weight gain
"a.Discourage the use of stool softeners d) enlarged lymph nodes" - -"D
b.Assess temperature readings every six hours
c.Avoid invasive procedures - Hodgkin's disease is a chronic progressive
d.Encourage the use of a hard, brittle toothbrush neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of
"- -"Answer: C lymph nodes with progression to extralymphatic
Rationale: sites, such as the spleen and liver. Weight loss is
most likely to be noted. Fatigue and weakness
Thrombocytopenia is a deficiency of platelets, may occur but are not related significantly to the
and leaves the patient more prone to disease."
hemmorrhage. For this reason, avoiding invasive
procedures will limit the risk of hemorrhage. Stool
softeners should be encouraged, while hard
Graded A+
"In formulating a nursing diagnosis of risk for
infection for a client with chronic lymphoid
leukemia (CLL), nursing measures should
include: (Select all that apply.) The nurse analyzes the laboratory values of a
"A. Maintaining a clean technique for all invasive child with leukemia who is receiving
procedures. chemotherapy . The nurse notes that the platelet
B. Placing the client in protective isolation. count is 20,000/ul. Based on the laboratry result,
C. Limiting visitors who have colds and which intervention will the nurse document in the
infections. plan of care?
D. Ensuring meticulous handwashing by all 1 Mointor closely for signs of infection 2. Mointor
persons coming in contact with the client." - the temperature every 4hours 3. Initate prptective
-"Correct Answers: B, C, D isolation precautions 4. Use soft small toothbrush
Rationale: Chronic lymphoid leukemia (CLL) is for mouth care - -Correct Ans 4 If a child is
characterized by a proliferation and accumulation severely thrombocytopenic and has a platelet
of small, abnormal mature lymphocytes in bone count less than 20,000/ul, bleeding precautions
marrow, peripheral blood, and body tissues. need to be initated because of increased risk of
Infections and fever are frequent complications of bleeding or hemorrhage. Options 1,2,3 are
CLL." related to the prevention of infection rather than
bleeding
"The client diagnosed with leukemia has central
nervous system involvement. Whichinstructions "A client with acute leukemia is admitted to the
should the nurse teach? oncology unit. Which
"1.Sleep with the head of the bed elevated to of the following would be most important for the
prevent increased intracranial pressure. nurse to inquire?
2.Take an analgesic medication for pain only "a. ""Have you noticed a change in sleeping
when the pain becomes severe. habits recently?""
3.Explain that radiation therapy to the head may b. ""Have you had a respiratory infection in the
result in permanent hair loss. last 6 months?""
4.Discuss end-of-life decisions prior to cognitive c. ""Have you lost weight recently?""
deterioration" - -"Correct: 3 d. ""Have you noticed changes in your
1.Sleeping with the head of the bed alertness?""" - -Answer B is correct. The
elevatedmight relieve some intracranial pressure, client with leukemia is at risk for infection and has
but it will not prevent intracranial pressure from often had recurrent respiratory infections during
occurring.2.Analgesic medications for clients with the previous 6 months. Insomnolence, weight
cancer are given on a scheduled basis with a loss, and a decrease in alertness also occur in
fast-acting analgesic administered PRN for leukemia, but bleeding tendencies and infections
break-through pain.3.Radiation therapy to the are the primary clinical manifestations; therefore,
head and scalp area is the treatment of choice answers A, C, and D are incorrect.
for central nervous system involvement of any
cancer. If the radiation therapy destroys the hair
follicle, the hair will not grow back.4.Cognitive
deterioration does not usually occur" "What nursing diagnosis is seen with acute
, Leukemia & Hodgkins NCLEX Test Questions and Answers
Graded A+
lymphocytic leukemia and thromocytopenia? brittle toothbrushes should be avoided.
"A. potential for injury Temperature is not the most important vital to
B. self-care deficit track in this patient"
C. potential for self harm
D. alteration in comfort" - -"Answer: A
potential for injury
Low platelet increases risk of bleeding from even "Which statement is correct about the rate of cell
minor injuries. Safety measures: shave with an growth in relation to chemotherapy?
electric razor, use soft tooth brush, avoid SQ or "1. Faster growing cells are less susceptible to
IM meds and invasive procedures (urinary chemotherapy.
drainage catheter or a nasogastric tube), side- 2. Nondividing cells are more susceptible to
rails up, remove sharp objects, frequently assess chemotherapy.
for signs of bleeding, bruising, hemorrhage. " 3. Faster growing cells are more susceptible to
chemotherapy.
4. Slower growing cells are more susceptible to
chemotherapy." - -"Answer 3
Which of the following manifestations would be The faster the cell grows, the more susceptible it
directly associated with Hodgkin's disease? is to chemotherapy and radiation therapy. Slow-
"a. bone pain growing and nondividing cells are less
b. generalized edema susceptible to chemotherapy. Repeated cycles of
c. petechiae and purpura chemotherapy are used to destroy nondividing
d. painless, enlarged lymph nodes" - - cells as the begin active cell division."
"Correct answer: D
Rationale: Hodgkin's disease usually presents as
painless enlarged lymph nodes. The diagnosis is
made by lymph node biopsy." The client 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 client? "a) fatigue
"When caring for a client with a diagnosis of b) weakness
thrombocytopenia, the nurse should plan to: c) weight gain
"a.Discourage the use of stool softeners d) enlarged lymph nodes" - -"D
b.Assess temperature readings every six hours
c.Avoid invasive procedures - Hodgkin's disease is a chronic progressive
d.Encourage the use of a hard, brittle toothbrush neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of
"- -"Answer: C lymph nodes with progression to extralymphatic
Rationale: sites, such as the spleen and liver. Weight loss is
most likely to be noted. Fatigue and weakness
Thrombocytopenia is a deficiency of platelets, may occur but are not related significantly to the
and leaves the patient more prone to disease."
hemmorrhage. For this reason, avoiding invasive
procedures will limit the risk of hemorrhage. Stool
softeners should be encouraged, while hard
