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LEUKEMIA NCLEX QUESTIONS
NCLEX LEUKEMIA QUESTIONS &
ANSWERS HEMATOLOGIC
MALIGNANCY
NURSING REVIEW
"Which medication is contraindicated for a client diagnosed with
leukemia?
1. Bactrim, a sulfa antibiotic
2. Morphine, a narcotic analgesic
3. Epogen, a biologic response modifier
4. Gleevec, a genetic blocking agent" - --Correct-
Answer✅✅✅......."Correct: C
1. Because of the ineffective or nonexistent WBCs characteristic of
leukemia, the body cannot fight infections, and antibiotics are given to
treat infections.
2. Leukemic infiltrations into the organs or the CNS cause pain.
Morphine is the drug of choice for most clients with cancer.
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3. Epogen is a biologic response modifier that stimulates the bone
marrow to produce RBCs. The bone marrow is the area of malignancy in
leukemia. Stimulating the bone marrow would be generally ineffective
for the desired results and would have the potential to stimulate
malignant growth.
4. Gleevec is a drug that specifically works in leukemic cells to block
the expression of the BCR-ABL protein, preventing the cells from
growing and dividing."
"A 68-year-old woman is diagnosed with thrombocytopenia due to acute
lymphocytic leukemia. She is admitted to the hospital for treatment. The
nurse should assign the patient:
"A. To a private room so she will not infect other patients and healthcare
workers
B. To a private room so she will not be infected by other patients and
healthcare workers
C. To a semiprivate room so she will have stimulation during her
hospitalization
D. To a semiprivate room so she will have the opportunity to express
her feelings about her illness" - --Correct-
Answer✅✅✅......."Correct
Answer: B
A. To a private room so she will not infect other patients and health
care workers — poses little or no threat
B. To a private room so she will not be infected by other patients and
health care workers — CORRECT: protects patient from exogenous
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bacteria, risk for developing infection from others due to depressed
WBC count, alters ability to fight infection
C. To a semiprivate room so she will have stimulation during her
hospitalization — should be placed in a room alone
D. To a semiprivate room so she will have the opportunity to express
her feelings about her illness — ensure that patient is provided with
opportunities to express feelings about illness"
"A 33-year-old male is being evaluated for possible acute leukemia.
Which of the following would the nurse inquire about as a part of the
assessment?
"a. The client collects stamps as a hobby.
b. The client recently lost his job as a postal worker.
c. The client had radiation for treatment of Hodgkin's disease as a
teenager.
d. The client's brother had leukemia as a child." - --
CorrectAnswer✅✅✅.......Answer C is correct. Radiation
treatment for other types of cancer can result in leukemia. Some
hobbies and occupations involving chemicals are linked to leukemia,
but not the ones in these answers; therefore, answers A and B are
incorrect. Answer D is incorrect because the incidence of leukemia is
higher in twins than in siblings.
"A child with leukemia is complaining of nausea. A nurse suspects that
the nausea is related to the chemotherapy regimen. The nurse, concerned
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LEUKEMIA NCLEX QUESTIONS
NCLEX LEUKEMIA QUESTIONS &
ANSWERS HEMATOLOGIC
MALIGNANCY
NURSING REVIEW
"Which medication is contraindicated for a client diagnosed with
leukemia?
1. Bactrim, a sulfa antibiotic
2. Morphine, a narcotic analgesic
3. Epogen, a biologic response modifier
4. Gleevec, a genetic blocking agent" - --Correct-
Answer✅✅✅......."Correct: C
1. Because of the ineffective or nonexistent WBCs characteristic of
leukemia, the body cannot fight infections, and antibiotics are given to
treat infections.
2. Leukemic infiltrations into the organs or the CNS cause pain.
Morphine is the drug of choice for most clients with cancer.
Page 1 of 27
,2 | Page
3. Epogen is a biologic response modifier that stimulates the bone
marrow to produce RBCs. The bone marrow is the area of malignancy in
leukemia. Stimulating the bone marrow would be generally ineffective
for the desired results and would have the potential to stimulate
malignant growth.
4. Gleevec is a drug that specifically works in leukemic cells to block
the expression of the BCR-ABL protein, preventing the cells from
growing and dividing."
"A 68-year-old woman is diagnosed with thrombocytopenia due to acute
lymphocytic leukemia. She is admitted to the hospital for treatment. The
nurse should assign the patient:
"A. To a private room so she will not infect other patients and healthcare
workers
B. To a private room so she will not be infected by other patients and
healthcare workers
C. To a semiprivate room so she will have stimulation during her
hospitalization
D. To a semiprivate room so she will have the opportunity to express
her feelings about her illness" - --Correct-
Answer✅✅✅......."Correct
Answer: B
A. To a private room so she will not infect other patients and health
care workers — poses little or no threat
B. To a private room so she will not be infected by other patients and
health care workers — CORRECT: protects patient from exogenous
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bacteria, risk for developing infection from others due to depressed
WBC count, alters ability to fight infection
C. To a semiprivate room so she will have stimulation during her
hospitalization — should be placed in a room alone
D. To a semiprivate room so she will have the opportunity to express
her feelings about her illness — ensure that patient is provided with
opportunities to express feelings about illness"
"A 33-year-old male is being evaluated for possible acute leukemia.
Which of the following would the nurse inquire about as a part of the
assessment?
"a. The client collects stamps as a hobby.
b. The client recently lost his job as a postal worker.
c. The client had radiation for treatment of Hodgkin's disease as a
teenager.
d. The client's brother had leukemia as a child." - --
CorrectAnswer✅✅✅.......Answer C is correct. Radiation
treatment for other types of cancer can result in leukemia. Some
hobbies and occupations involving chemicals are linked to leukemia,
but not the ones in these answers; therefore, answers A and B are
incorrect. Answer D is incorrect because the incidence of leukemia is
higher in twins than in siblings.
"A child with leukemia is complaining of nausea. A nurse suspects that
the nausea is related to the chemotherapy regimen. The nurse, concerned
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