NURS 356-FINAL EXAM (ALL
PRACTICE QUESTIONS) WITH
CORRECT ANSWERS
Which hematological conditions might be treated w/ hematopoietic stem
cell transplant? SATA
a. leukemia
b. autoimmune idiopathic thrombocytopenia (ITP)
c. sickle cell disease
d. multiple myeloma
e. lymphoma - CORRECT ANSWER- a. leukemia
c. sickle cell disease
d. multiple myeloma
A pt's scheduled for a bone marrow biopsy w/ minimal sedation. What
info would the nurse share prior to the procedure?
a. the procedure is painless
b. the provider will cut out a piece of your lymph node
c. a bulky dressing may be on the procedure site afterward
d. no anesthesia will be used - CORRECT ANSWER- c. a bulky
dressing may be on the procedure site afterward
Leukemia, multiple myeloma, polycythemia vera, and lymphoma all use
chemotherapy in their treatment regimens.
a. true
b. false - CORRECT ANSWER- b. false
The pts suspected to have leukemia. Place the steps in the correct order
from diagnosis to treatment end. - CORRECT ANSWER- 1. bone
marrow biopsy
,2. harvest cells from donor
3. high doses of chemotherapy
4. infuse stem cells
Hodgkins lymphoma has an unpredictable spread throughout the lymph
nodes.
a. true
b. false - CORRECT ANSWER- b. false
The nurse would expect that a pt w/ multiple myeloma is experiencing a
common complication if they report...
a. new arm pain
b. fever and chills
c. blood in the urine
d. shortness of breath - CORRECT ANSWER- a. new arm pain
Which lab value would the nurse closely monitor for a pt w/ multiple
myeloma?
a. potassium
b. sodium
c. calcium
d. albumin - CORRECT ANSWER- c. calcium
Match the lab results with the best intervention.
a. Hemoglobin 7
b. WBC count 2K
c. Platelet count 30K
1. transfuse packed RBCs
2. restrict visitors
3. limit venipunctures - CORRECT ANSWER- a. and 1.
b. and 2.
c. and 3.
In which disorder are the RBCs abnormally stiff and elongated?
a. multiple myeloma
b. leukemia
c. sickle cell disease
d. ITP - CORRECT ANSWER- c. sickle cell disease
, The nurse notes this finding when assessing the pts skin (small multiple
red dots). The nurse is concerned that the pt have a deficiency of...
a. platelets
b. WBC
c. RED - CORRECT ANSWER- a. platelets
The nurse hears in report that the pt has a history of transfusion
associated circulatory overload. The pt is to receive 2 units of packed
RBC today. Which med does the nurse anticipate to administer
alongside the transfusion?
a. acetaminophen
b. diphenhydramine
c. furosemide
d. metoprolol - CORRECT ANSWER- c. furosemide
A 21 yr old black woman presents to the ED after a ski trip to Colorado.
She's in excruciating pain in the chest and abdomen. She is short of
breath and her O2 sat id 86%. Vital signs show her HR is 110 and RR is
28. She has crackles in the lungs. You note 6 previous ED admissions
for sickle cell crisis. the nurse has the following orders, which would the
nurse perform FIRST?
a. Morphine 4 mg IV now
b. apply oxygen to keep O2 sat > 92%
c. obtain CBC count lab specimen
d. call radiology for STAT chest x-ray - CORRECT ANSWER- b.
apply oxygen to keep O2 sat > 92%
The nurse is working on an oncology unit caring for a pt post HSCT. The
nurse would provide education to the pt and family if they witnessed...
a. adult family members bring the pt coffee
b. delivery of balloons and artificial flowers to the pt's room
c. the pt's 3 yr old niece visiting after daycare
d. the pt wearing a surgical mask to walk in the hallway - CORRECT
ANSWER- c. the pt's 3 yr old niece visiting after daycare
A person w/ BPH would have which symptom?
a. weak urine stream
PRACTICE QUESTIONS) WITH
CORRECT ANSWERS
Which hematological conditions might be treated w/ hematopoietic stem
cell transplant? SATA
a. leukemia
b. autoimmune idiopathic thrombocytopenia (ITP)
c. sickle cell disease
d. multiple myeloma
e. lymphoma - CORRECT ANSWER- a. leukemia
c. sickle cell disease
d. multiple myeloma
A pt's scheduled for a bone marrow biopsy w/ minimal sedation. What
info would the nurse share prior to the procedure?
a. the procedure is painless
b. the provider will cut out a piece of your lymph node
c. a bulky dressing may be on the procedure site afterward
d. no anesthesia will be used - CORRECT ANSWER- c. a bulky
dressing may be on the procedure site afterward
Leukemia, multiple myeloma, polycythemia vera, and lymphoma all use
chemotherapy in their treatment regimens.
a. true
b. false - CORRECT ANSWER- b. false
The pts suspected to have leukemia. Place the steps in the correct order
from diagnosis to treatment end. - CORRECT ANSWER- 1. bone
marrow biopsy
,2. harvest cells from donor
3. high doses of chemotherapy
4. infuse stem cells
Hodgkins lymphoma has an unpredictable spread throughout the lymph
nodes.
a. true
b. false - CORRECT ANSWER- b. false
The nurse would expect that a pt w/ multiple myeloma is experiencing a
common complication if they report...
a. new arm pain
b. fever and chills
c. blood in the urine
d. shortness of breath - CORRECT ANSWER- a. new arm pain
Which lab value would the nurse closely monitor for a pt w/ multiple
myeloma?
a. potassium
b. sodium
c. calcium
d. albumin - CORRECT ANSWER- c. calcium
Match the lab results with the best intervention.
a. Hemoglobin 7
b. WBC count 2K
c. Platelet count 30K
1. transfuse packed RBCs
2. restrict visitors
3. limit venipunctures - CORRECT ANSWER- a. and 1.
b. and 2.
c. and 3.
In which disorder are the RBCs abnormally stiff and elongated?
a. multiple myeloma
b. leukemia
c. sickle cell disease
d. ITP - CORRECT ANSWER- c. sickle cell disease
, The nurse notes this finding when assessing the pts skin (small multiple
red dots). The nurse is concerned that the pt have a deficiency of...
a. platelets
b. WBC
c. RED - CORRECT ANSWER- a. platelets
The nurse hears in report that the pt has a history of transfusion
associated circulatory overload. The pt is to receive 2 units of packed
RBC today. Which med does the nurse anticipate to administer
alongside the transfusion?
a. acetaminophen
b. diphenhydramine
c. furosemide
d. metoprolol - CORRECT ANSWER- c. furosemide
A 21 yr old black woman presents to the ED after a ski trip to Colorado.
She's in excruciating pain in the chest and abdomen. She is short of
breath and her O2 sat id 86%. Vital signs show her HR is 110 and RR is
28. She has crackles in the lungs. You note 6 previous ED admissions
for sickle cell crisis. the nurse has the following orders, which would the
nurse perform FIRST?
a. Morphine 4 mg IV now
b. apply oxygen to keep O2 sat > 92%
c. obtain CBC count lab specimen
d. call radiology for STAT chest x-ray - CORRECT ANSWER- b.
apply oxygen to keep O2 sat > 92%
The nurse is working on an oncology unit caring for a pt post HSCT. The
nurse would provide education to the pt and family if they witnessed...
a. adult family members bring the pt coffee
b. delivery of balloons and artificial flowers to the pt's room
c. the pt's 3 yr old niece visiting after daycare
d. the pt wearing a surgical mask to walk in the hallway - CORRECT
ANSWER- c. the pt's 3 yr old niece visiting after daycare
A person w/ BPH would have which symptom?
a. weak urine stream
