Hematology Test Bank
EXAM GRADED A+ Pass 100% Solved
Questions And All Correct Answers 2025-
2026 New Update VERIFIED
A patient with advanced leukemia is responding poorly to treatment. The nurse
finds the patient tearful and trying to express his feelings, but he is clearly
having difficulty. What is the nurse's most appropriate action?
A) Tell him that you will give him privacy and leave the room.
B) Offer to call pastoral care.
C) Ask if he would like you to sit with him while he collects his thoughts.
D) Tell him that you can understand how he's feeling.
Ans: C
Feedback:
Providing emotional support and discussing the uncertain future are crucial. Leaving
is incorrect because leaving the patient doesn't show acceptance of his feelings.
,Offering to call pastoral care may be helpful for some patients but should be done
after the nurse has spent time with the patient. Telling the patient that you
understand how he's feeling is inappropriate because it doesn't help him express his
feelings.
A nursing student is caring for a patient with acute myeloid leukemia who is
preparing to undergo induction therapy. In preparing a plan of care for this
patient, the student should assign the highest priority to which nursing
diagnoses?
A) Activity Intolerance
B) Risk for Infection
C) Acute Confusion
D) Risk for Spiritual Distress
Ans: B
Feedback:
Induction therapy places the patient at risk for infection, thus this is the priority
nursing diagnosis. During the time of induction therapy, the patient is very ill, with
bacterial, fungal, and occasional viral infections; bleeding and severe mucositis,
which causes diarrhea; and marked decline in the ability to maintain adequate
nutrition. Supportive care consists of administering blood products and promptly
treating infections. Immobility, confusion, and spiritual distress are possible, but
infection is the patient's most acute physiologic threat.
A 77-year-old male is admitted to a unit with a suspected diagnosis of acute
myeloid leukemia (AML). When planning this patient's care, the nurse should
be aware of what epidemiologic fact?
A) Early diagnosis is associated with good outcomes.
B) Five-year survival for older adults is approximately 50%.
,C) Five-year survival for patients over 75 years old is less than 2%.
D) Survival rates are wholly dependent on the patient's pre-illness level of
health.
Ans: C
Feedback:
The 5-year survival rate for patients with AML who are 50 years of age or younger is
43%; it drops to 19% for those between 50 and 64 years, and drops to1.6% for those
older than 75 years. Early diagnosis is beneficial, but is nonetheless not associated
with good outcomes or high survival rates. Preillness health is significant, but not the
most important variable.
A 35-year-old male is admitted to the hospital complaining of severe
headaches, vomiting, and testicular pain. His blood work shows reduced
numbers of platelets, leukocytes, and erythrocytes, with a high proportion of
immature cells. The nurse caring for this patient suspects a diagnosis of
what?
A) AML
B) CML
C) MDS
D) ALL
Ans: D
Feedback:
In acute lymphocytic leukemia (ALL), manifestations of leukemic cell infiltration into
other organs are more common than with other forms of leukemia, and include pain
from an enlarged liver or spleen, as well as bone pain. The central nervous system is
, frequently a site for leukemic cells; thus, patients may exhibit headache and vomiting
because of meningeal involvement. Other extranodal sites include the testes and
breasts. This particular presentation is not closely associated with acute myeloid
leukemia (AML), chronic myeloid leukemia (CML), or myelodysplastic syndromes
(MDS).
A patient with leukemia has developed stomatitis and is experiencing a
nutritional deficit. An oral anesthetic has consequently been prescribed. What
health education should the nurse provide to the patient?
A) Chew with care to avoid inadvertently biting the tongue.
B) Use the oral anesthetic 1 hour prior to meal time.
C) Brush teeth before and after eating.
D) Swallow slowly and deliberately.
Ans: A
Feedback:
If oral anesthetics are used, the patient must be warned to chew with extreme care
to avoid inadvertently biting the tongue or buccal mucosa. An oral anesthetic would
be metabolized by the time the patient eats if it is used 1 hour prior to meals. There
is no specific need to warn the patient about brushing teeth or swallowing slowly
because an oral anesthetic has been used.
A patient diagnosed with acute myelogenous leukemia has just been admitted
to the oncology unit. When writing this patient's care plan, what potential
complication should the nurse address?
A) Pancreatitis
B) Hemorrhage
C) Arteritis
EXAM GRADED A+ Pass 100% Solved
Questions And All Correct Answers 2025-
2026 New Update VERIFIED
A patient with advanced leukemia is responding poorly to treatment. The nurse
finds the patient tearful and trying to express his feelings, but he is clearly
having difficulty. What is the nurse's most appropriate action?
A) Tell him that you will give him privacy and leave the room.
B) Offer to call pastoral care.
C) Ask if he would like you to sit with him while he collects his thoughts.
D) Tell him that you can understand how he's feeling.
Ans: C
Feedback:
Providing emotional support and discussing the uncertain future are crucial. Leaving
is incorrect because leaving the patient doesn't show acceptance of his feelings.
,Offering to call pastoral care may be helpful for some patients but should be done
after the nurse has spent time with the patient. Telling the patient that you
understand how he's feeling is inappropriate because it doesn't help him express his
feelings.
A nursing student is caring for a patient with acute myeloid leukemia who is
preparing to undergo induction therapy. In preparing a plan of care for this
patient, the student should assign the highest priority to which nursing
diagnoses?
A) Activity Intolerance
B) Risk for Infection
C) Acute Confusion
D) Risk for Spiritual Distress
Ans: B
Feedback:
Induction therapy places the patient at risk for infection, thus this is the priority
nursing diagnosis. During the time of induction therapy, the patient is very ill, with
bacterial, fungal, and occasional viral infections; bleeding and severe mucositis,
which causes diarrhea; and marked decline in the ability to maintain adequate
nutrition. Supportive care consists of administering blood products and promptly
treating infections. Immobility, confusion, and spiritual distress are possible, but
infection is the patient's most acute physiologic threat.
A 77-year-old male is admitted to a unit with a suspected diagnosis of acute
myeloid leukemia (AML). When planning this patient's care, the nurse should
be aware of what epidemiologic fact?
A) Early diagnosis is associated with good outcomes.
B) Five-year survival for older adults is approximately 50%.
,C) Five-year survival for patients over 75 years old is less than 2%.
D) Survival rates are wholly dependent on the patient's pre-illness level of
health.
Ans: C
Feedback:
The 5-year survival rate for patients with AML who are 50 years of age or younger is
43%; it drops to 19% for those between 50 and 64 years, and drops to1.6% for those
older than 75 years. Early diagnosis is beneficial, but is nonetheless not associated
with good outcomes or high survival rates. Preillness health is significant, but not the
most important variable.
A 35-year-old male is admitted to the hospital complaining of severe
headaches, vomiting, and testicular pain. His blood work shows reduced
numbers of platelets, leukocytes, and erythrocytes, with a high proportion of
immature cells. The nurse caring for this patient suspects a diagnosis of
what?
A) AML
B) CML
C) MDS
D) ALL
Ans: D
Feedback:
In acute lymphocytic leukemia (ALL), manifestations of leukemic cell infiltration into
other organs are more common than with other forms of leukemia, and include pain
from an enlarged liver or spleen, as well as bone pain. The central nervous system is
, frequently a site for leukemic cells; thus, patients may exhibit headache and vomiting
because of meningeal involvement. Other extranodal sites include the testes and
breasts. This particular presentation is not closely associated with acute myeloid
leukemia (AML), chronic myeloid leukemia (CML), or myelodysplastic syndromes
(MDS).
A patient with leukemia has developed stomatitis and is experiencing a
nutritional deficit. An oral anesthetic has consequently been prescribed. What
health education should the nurse provide to the patient?
A) Chew with care to avoid inadvertently biting the tongue.
B) Use the oral anesthetic 1 hour prior to meal time.
C) Brush teeth before and after eating.
D) Swallow slowly and deliberately.
Ans: A
Feedback:
If oral anesthetics are used, the patient must be warned to chew with extreme care
to avoid inadvertently biting the tongue or buccal mucosa. An oral anesthetic would
be metabolized by the time the patient eats if it is used 1 hour prior to meals. There
is no specific need to warn the patient about brushing teeth or swallowing slowly
because an oral anesthetic has been used.
A patient diagnosed with acute myelogenous leukemia has just been admitted
to the oncology unit. When writing this patient's care plan, what potential
complication should the nurse address?
A) Pancreatitis
B) Hemorrhage
C) Arteritis
