RN ONCOLOGY A RELIAS A EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
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A nurse is caring for a patient with Hodgkin lymphoma at the oncology clinic. The nurse should
be aware of what main goal of care?
A)Cure of the disease
B)Enhancing quality of life
C)Controlling symptoms
D)Palliation
A - The goal in the treatment of Hodgkin lymphoma is cure. Palliation is thus not normally
necessary. Quality of life and symptom control are vital, but the overarching goal is the cure
the disease.
A patient with non-Hodgkins lymphoma is receiving information from the oncology nurse. The
patient asks the nurse why she should stop drinking and smoking and stay out of the sun. What
would be the nurses best response?
A)Everyone should do these things because theyre health promotion activities that apply to
everyone.
B)You dont want to develop a second cancer, do you?
C)You need to do this just to be on the safe side.
D)Its important to reduce other factors that increase the risk of second cancers.
D - The nurse should encourage patients to reduce other factors that increase the risk of
developing second cancers, such as use of tobacco and alcohol and exposure to
environmental carcinogens and excessive sunlight. The other options do not answer the
patients question, and also make light of the patients question.
Diagnostic testing has resulted in a diagnosis of acute myeloid leukemia (AML) in an adult
patient who is otherwise healthy. The patient and the care team have collaborated and the
patient will soon begin induction therapy. The nurse should prepare the patient for which of the
1|Page
,following?
A)Daily treatment with targeted therapy medications
B)Radiation therapy on a daily basis
C)Hematopoietic stem cell transplantation
D)An aggressive course of chemotherapy
D - Attempts are made to achieve remission of AML by the aggressive administration of
chemotherapy, called induction therapy, which usually requires hospitalization for several
weeks. Induction therapy is not synonymous with radiation, stem cell transplantation, or
targeted therapies.
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated with induction
therapy on the oncology unit. What nursing action should be prioritized in the patients care
plan?
A)Protective isolation and vigilant use of standard precautions
B)Provision of a high-calorie, low-texture diet and appropriate oral hygiene
C)Including the family in planning the patients activities of daily living
D)Monitoring and treating the patients pain
A - Induction therapy causes neutropenia and a severe risk of infection. This risk must be
addressed directly in order to ensure the patients survival. For this reason, infection control
would be prioritized over nutritional interventions, family care, and pain, even though each of
these are important aspects of nursing care.
A nurse is caring for a patient who has been diagnosed with leukemia. The nurses most recent
assessment reveals the presence of ecchymoseson the patients sacral area and petechiae in her
forearms. In addition to informing the patients primary care provider, the nurse should perform
what action?
A)Initiate measures to prevent venous thromboembolism (VTE).
B)Check the patients most recent platelet level.
C)Place the patient on protective isolation.
D)Ambulate the patient to promote circulatory function.
B - The patients signs are suggestive of thrombocytopenia, thus the nurse should check the
patients most recent platelet level. VTE is not a risk and this does not constitute a need for
isolation. Ambulation and activity may be contraindicated due to the risk of bleeding.
An older adult patient is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL).
What assessment finding is certain to be present if the patient has CLL?
A)Increased numbers of blast cells
B)Increased lymphocyte levels
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,C)Intractable bone pain
D)Thrombocytopenia with no evidence of bleeding
B - An increased lymphocyte count (lymphocytosis) is always present in patients with CLL.
Each of the other listed symptoms may or may not be present, and none is definitive for CLL.
A patient who is undergoing consolidation therapy for the treatment of leukemia has been
experiencing debilitating fatigue. How can the nurse best meet this patients needs for physical
activity?
A)Teach the patient about the risks of immobility and the benefits of exercise.
B)Assist the patient to a chair during awake times, as tolerated.
C)Collaborate with the physical therapist to arrange for stair exercises.
D)Teach the patient to perform deep breathing and coughing exercises.
B
An oncology nurse recognizes a patients risk for fluid imbalance while the patient is undergoing
treatment for leukemia. What relevant assessments should the nurse include in the patients
plan of care? Select all that apply.
A)Monitoring the patients electrolyte levels
B)Monitoring the patients hepatic function
C)Measuring the patients weight on a daily basis
D)Measuring and recording the patients intake and output
E)Auscultating the patients lungs frequently
A, C, D, E - Assessments that relate to fluid balance include monitoring the patients
electrolytes, auscultating the patients chest for adventitious sounds, weighing the patient
daily, and closely monitoring intake and output. Liver function is not directly relevant to the
patients fluid status in most cases.
An adult patients abnormal complete blood count (CBC) and physical assessment have
prompted the primary care provider to order a diagnostic workup for Hodgkin lymphoma. The
presence of what assessment finding is considered diagnostic of the disease?
A)Schwann cells
B)Reed-Sternberg cells
C)Lewy bodies
D)Loops of Henle
B - The malignant cell of Hodgkin lymphoma is the Reed-Sternberg cell, a gigantic tumor cell
that is morphologically unique and thought to be of immature lymphoid origin. It is the
pathologic hallmark and essential diagnostic criterion. Schwann cells exist in the peripheral
3|Page
, nervous system and Lewy bodies are markers of Parkinson disease. Loops of Henle exist in
nephrons.
A young adult patient has received the news that her treatment for Hodgkin lymphoma has
been deemed successful and that no further treatment is necessary at this time. The care team
should ensure that the patient receives regular health assessments in the future due to the risk
of what complication?
A)Iron-deficiency anemia
B)Hemophilia
C)Hematologic cancers
D)Genitourinary cancers
C - Survivors of Hodgkin lymphoma have a high risk of second cancers, with hematologic
cancers being the most common. There is no consequent risk of anemia or hemophilia, and
hematologic cancers are much more common than GU cancers.
The clinical nurse educator is presenting health promotion education to a patient who will be
treated for non-Hodgkin lymphoma on an outpatient basis. The nurse should recommend which
of the following actions?
A)Avoiding direct sun exposure in excess of 15 minutes daily
B)Avoiding grapefruit juice and fresh grapefruit
C)Avoiding highly crowded public places
D)Using an electric shaver rather than a razor
C - The risk of infection is significant for these patients, not only from treatment-related
myelosuppression but also from the defective immune response that results from the disease
itself. Limiting infection exposure is thus necessary. The need to avoid grapefruit is dependent
on the patients medication regimen. Sun exposure and the use of razors are not necessarily
contraindicated.
A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in
preparation for discharge from the hospital. What action should the nurse promote?
A)Daily performance of weight-bearing exercise to prevent muscle atrophy
B)Close monitoring of urine output and kidney function
C)Daily administration of warfarin (Coumadin) as ordered
D)Safe use of supplementary oxygen in the home setting
B - Renal function must be monitored closely in the patient with multiple myeloma. Excessive
weight-bearing can cause pathologic fractures. There is no direct indication for
anticoagulation or supplementary oxygen.
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|JUST RELEASED!!|GUARANTEED PASS
A nurse is caring for a patient with Hodgkin lymphoma at the oncology clinic. The nurse should
be aware of what main goal of care?
A)Cure of the disease
B)Enhancing quality of life
C)Controlling symptoms
D)Palliation
A - The goal in the treatment of Hodgkin lymphoma is cure. Palliation is thus not normally
necessary. Quality of life and symptom control are vital, but the overarching goal is the cure
the disease.
A patient with non-Hodgkins lymphoma is receiving information from the oncology nurse. The
patient asks the nurse why she should stop drinking and smoking and stay out of the sun. What
would be the nurses best response?
A)Everyone should do these things because theyre health promotion activities that apply to
everyone.
B)You dont want to develop a second cancer, do you?
C)You need to do this just to be on the safe side.
D)Its important to reduce other factors that increase the risk of second cancers.
D - The nurse should encourage patients to reduce other factors that increase the risk of
developing second cancers, such as use of tobacco and alcohol and exposure to
environmental carcinogens and excessive sunlight. The other options do not answer the
patients question, and also make light of the patients question.
Diagnostic testing has resulted in a diagnosis of acute myeloid leukemia (AML) in an adult
patient who is otherwise healthy. The patient and the care team have collaborated and the
patient will soon begin induction therapy. The nurse should prepare the patient for which of the
1|Page
,following?
A)Daily treatment with targeted therapy medications
B)Radiation therapy on a daily basis
C)Hematopoietic stem cell transplantation
D)An aggressive course of chemotherapy
D - Attempts are made to achieve remission of AML by the aggressive administration of
chemotherapy, called induction therapy, which usually requires hospitalization for several
weeks. Induction therapy is not synonymous with radiation, stem cell transplantation, or
targeted therapies.
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated with induction
therapy on the oncology unit. What nursing action should be prioritized in the patients care
plan?
A)Protective isolation and vigilant use of standard precautions
B)Provision of a high-calorie, low-texture diet and appropriate oral hygiene
C)Including the family in planning the patients activities of daily living
D)Monitoring and treating the patients pain
A - Induction therapy causes neutropenia and a severe risk of infection. This risk must be
addressed directly in order to ensure the patients survival. For this reason, infection control
would be prioritized over nutritional interventions, family care, and pain, even though each of
these are important aspects of nursing care.
A nurse is caring for a patient who has been diagnosed with leukemia. The nurses most recent
assessment reveals the presence of ecchymoseson the patients sacral area and petechiae in her
forearms. In addition to informing the patients primary care provider, the nurse should perform
what action?
A)Initiate measures to prevent venous thromboembolism (VTE).
B)Check the patients most recent platelet level.
C)Place the patient on protective isolation.
D)Ambulate the patient to promote circulatory function.
B - The patients signs are suggestive of thrombocytopenia, thus the nurse should check the
patients most recent platelet level. VTE is not a risk and this does not constitute a need for
isolation. Ambulation and activity may be contraindicated due to the risk of bleeding.
An older adult patient is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL).
What assessment finding is certain to be present if the patient has CLL?
A)Increased numbers of blast cells
B)Increased lymphocyte levels
2|Page
,C)Intractable bone pain
D)Thrombocytopenia with no evidence of bleeding
B - An increased lymphocyte count (lymphocytosis) is always present in patients with CLL.
Each of the other listed symptoms may or may not be present, and none is definitive for CLL.
A patient who is undergoing consolidation therapy for the treatment of leukemia has been
experiencing debilitating fatigue. How can the nurse best meet this patients needs for physical
activity?
A)Teach the patient about the risks of immobility and the benefits of exercise.
B)Assist the patient to a chair during awake times, as tolerated.
C)Collaborate with the physical therapist to arrange for stair exercises.
D)Teach the patient to perform deep breathing and coughing exercises.
B
An oncology nurse recognizes a patients risk for fluid imbalance while the patient is undergoing
treatment for leukemia. What relevant assessments should the nurse include in the patients
plan of care? Select all that apply.
A)Monitoring the patients electrolyte levels
B)Monitoring the patients hepatic function
C)Measuring the patients weight on a daily basis
D)Measuring and recording the patients intake and output
E)Auscultating the patients lungs frequently
A, C, D, E - Assessments that relate to fluid balance include monitoring the patients
electrolytes, auscultating the patients chest for adventitious sounds, weighing the patient
daily, and closely monitoring intake and output. Liver function is not directly relevant to the
patients fluid status in most cases.
An adult patients abnormal complete blood count (CBC) and physical assessment have
prompted the primary care provider to order a diagnostic workup for Hodgkin lymphoma. The
presence of what assessment finding is considered diagnostic of the disease?
A)Schwann cells
B)Reed-Sternberg cells
C)Lewy bodies
D)Loops of Henle
B - The malignant cell of Hodgkin lymphoma is the Reed-Sternberg cell, a gigantic tumor cell
that is morphologically unique and thought to be of immature lymphoid origin. It is the
pathologic hallmark and essential diagnostic criterion. Schwann cells exist in the peripheral
3|Page
, nervous system and Lewy bodies are markers of Parkinson disease. Loops of Henle exist in
nephrons.
A young adult patient has received the news that her treatment for Hodgkin lymphoma has
been deemed successful and that no further treatment is necessary at this time. The care team
should ensure that the patient receives regular health assessments in the future due to the risk
of what complication?
A)Iron-deficiency anemia
B)Hemophilia
C)Hematologic cancers
D)Genitourinary cancers
C - Survivors of Hodgkin lymphoma have a high risk of second cancers, with hematologic
cancers being the most common. There is no consequent risk of anemia or hemophilia, and
hematologic cancers are much more common than GU cancers.
The clinical nurse educator is presenting health promotion education to a patient who will be
treated for non-Hodgkin lymphoma on an outpatient basis. The nurse should recommend which
of the following actions?
A)Avoiding direct sun exposure in excess of 15 minutes daily
B)Avoiding grapefruit juice and fresh grapefruit
C)Avoiding highly crowded public places
D)Using an electric shaver rather than a razor
C - The risk of infection is significant for these patients, not only from treatment-related
myelosuppression but also from the defective immune response that results from the disease
itself. Limiting infection exposure is thus necessary. The need to avoid grapefruit is dependent
on the patients medication regimen. Sun exposure and the use of razors are not necessarily
contraindicated.
A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in
preparation for discharge from the hospital. What action should the nurse promote?
A)Daily performance of weight-bearing exercise to prevent muscle atrophy
B)Close monitoring of urine output and kidney function
C)Daily administration of warfarin (Coumadin) as ordered
D)Safe use of supplementary oxygen in the home setting
B - Renal function must be monitored closely in the patient with multiple myeloma. Excessive
weight-bearing can cause pathologic fractures. There is no direct indication for
anticoagulation or supplementary oxygen.
4|Page
