NSG 223 Mod 4 - Hematologic Cancer
Practice Exam Questions and Answers with
Verified Solutions | Latest Updated 2026
The nurse is caring for an Ans: B Feedback: The priority would be
8-year-old educating
girl who has been diagnosed with the child and family about the testing
leukemia and will have a variety of procedures,
tests, including a lumbar puncture, so they know what to expect and
before understand why
beginning chemotherapy. What the tests are being performed. Applying
action would be the priority? EMLA to
A) Applying EMLA to the lumbar the lumbar puncture site will be done prior
puncture site to the
B) Educating the child and family procedure. The family will be educated
about the testing procedures about
C) Administering promethazine as chemotherapy and its side effects prior to
ordered for nausea the
D) Educating the family about therapy beginning, and promethazine or
chemotherapy and its side effects other
antiemetics will be administered once
chemotherapy has begun.
,The nurse is caring for a Ans: A Feedback: Involving the boy in the
13-year-old decision-
boy with acute myelogenous making process will best help his sense of
leukemia control.
who is experiencing feelings of Whether he is included in important
powerlessness due to the effects decisions
of about therapy or minor decisions like
chemotherapy. menus or
What intervention will best help the dress, it will give him a sense of control
teen's sense of control? over his
A) Involving the boy in decisions situation. Acknowledging feelings of anger,
whenever possible recognizing his abilities, and providing
B) Acknowledging the boy's realistic
feelings expectations will reduce body image
of anger with the disease disturbance
C) Providing realistic expectations and build self-esteem.
of
treatments and outcomes
D) Recognizing abilities that are
unaffected by the disease
,The nurse is caring for a Ans: D Feedback: In the posttransplant
7-year-old phase,
girl who is undergoing a stem cell monitor closely for symptoms of
transplant. What information would graft-versus-host
the nurse include in the child's disease (GVHD) such as severe diarrhea
postoperative and
plan of care? maculopapular rash progressing to
A) Assessing for petechiae, redness or
purpura, desquamation of the skin (especially on
bruising, or bleeding the palms
B) Limiting blood draws to the of the hands or soles of the feet). During
minimum volume required chemotherapy in the pretransplant phase,
C) Administering antiemetics assess
around for petechiae, purpura, bruising, or
the clock as ordered bleeding to
D) Monitoring for severe diarrhea prevent hemorrhage; administer
and maculopapular rash antiemetics
around the clock as ordered to prevent the
cycle
of nausea, vomiting, and anorexia; and
limit blood
draws to the minimum volume required to
prevent
anemia.
, The nurse is describing the Ans: B Feedback: Induction is done to
phases of rapidly
treatment to a child who was produce a complete remission.
diagnosed Consolidation or
with leukemia and his parents. intensification is the stage when remission
How is
would the nurse describe the strengthened, and leukemic cell burden is
induction stage? reduced.
A) Intense therapy to strengthen Maintenance attempts to eliminate all
remission residual
B) Rapid promotion of complete leukemic cells, and CNS prophylaxis is the
remission stage
C) Elimination of all residual that attempts to reduce the development of
leukemic CNS
cells disease.
D) Reduction of risk for central
nervous system (CNS) disease
A 14-year-old boy is diagnosed Ans: A, C Feedback: Enlarged lymph
with nodes may
Hodgkin disease. When palpating feel rubbery and tend to occur in clusters.
for Although any lymph nodes may be
enlarged lymph nodes, the nurse involved, the
would expect to find which nodes lymph nodes most commonly affected are
as in the
most cervical and supraclavicular areas.
commonly enlarged? Select all
that
apply.
A) Cervical
B) Axillary
C) Supraclavicular
D) Occipital
E) Inguinal
Practice Exam Questions and Answers with
Verified Solutions | Latest Updated 2026
The nurse is caring for an Ans: B Feedback: The priority would be
8-year-old educating
girl who has been diagnosed with the child and family about the testing
leukemia and will have a variety of procedures,
tests, including a lumbar puncture, so they know what to expect and
before understand why
beginning chemotherapy. What the tests are being performed. Applying
action would be the priority? EMLA to
A) Applying EMLA to the lumbar the lumbar puncture site will be done prior
puncture site to the
B) Educating the child and family procedure. The family will be educated
about the testing procedures about
C) Administering promethazine as chemotherapy and its side effects prior to
ordered for nausea the
D) Educating the family about therapy beginning, and promethazine or
chemotherapy and its side effects other
antiemetics will be administered once
chemotherapy has begun.
,The nurse is caring for a Ans: A Feedback: Involving the boy in the
13-year-old decision-
boy with acute myelogenous making process will best help his sense of
leukemia control.
who is experiencing feelings of Whether he is included in important
powerlessness due to the effects decisions
of about therapy or minor decisions like
chemotherapy. menus or
What intervention will best help the dress, it will give him a sense of control
teen's sense of control? over his
A) Involving the boy in decisions situation. Acknowledging feelings of anger,
whenever possible recognizing his abilities, and providing
B) Acknowledging the boy's realistic
feelings expectations will reduce body image
of anger with the disease disturbance
C) Providing realistic expectations and build self-esteem.
of
treatments and outcomes
D) Recognizing abilities that are
unaffected by the disease
,The nurse is caring for a Ans: D Feedback: In the posttransplant
7-year-old phase,
girl who is undergoing a stem cell monitor closely for symptoms of
transplant. What information would graft-versus-host
the nurse include in the child's disease (GVHD) such as severe diarrhea
postoperative and
plan of care? maculopapular rash progressing to
A) Assessing for petechiae, redness or
purpura, desquamation of the skin (especially on
bruising, or bleeding the palms
B) Limiting blood draws to the of the hands or soles of the feet). During
minimum volume required chemotherapy in the pretransplant phase,
C) Administering antiemetics assess
around for petechiae, purpura, bruising, or
the clock as ordered bleeding to
D) Monitoring for severe diarrhea prevent hemorrhage; administer
and maculopapular rash antiemetics
around the clock as ordered to prevent the
cycle
of nausea, vomiting, and anorexia; and
limit blood
draws to the minimum volume required to
prevent
anemia.
, The nurse is describing the Ans: B Feedback: Induction is done to
phases of rapidly
treatment to a child who was produce a complete remission.
diagnosed Consolidation or
with leukemia and his parents. intensification is the stage when remission
How is
would the nurse describe the strengthened, and leukemic cell burden is
induction stage? reduced.
A) Intense therapy to strengthen Maintenance attempts to eliminate all
remission residual
B) Rapid promotion of complete leukemic cells, and CNS prophylaxis is the
remission stage
C) Elimination of all residual that attempts to reduce the development of
leukemic CNS
cells disease.
D) Reduction of risk for central
nervous system (CNS) disease
A 14-year-old boy is diagnosed Ans: A, C Feedback: Enlarged lymph
with nodes may
Hodgkin disease. When palpating feel rubbery and tend to occur in clusters.
for Although any lymph nodes may be
enlarged lymph nodes, the nurse involved, the
would expect to find which nodes lymph nodes most commonly affected are
as in the
most cervical and supraclavicular areas.
commonly enlarged? Select all
that
apply.
A) Cervical
B) Axillary
C) Supraclavicular
D) Occipital
E) Inguinal
