NSG 212 UNIT 5 EXAM QUESTIONS
COMPLETE QUESTIONS AND
OUTLINED ANSWERS
\Q\.A client has a platelet count of 18,000. What intervention does the nurse include in the plan
of care?
a. Institute reverse isolation (neutropenic precautions)
b. Obtain temperature axillary
c. Change IM infections to sub-Q
d. Monitor closely for altered mental status - ANSWER-✔d. Monitor closely for altered mental
status
\Q\.The nurse is caring for a client with acute myelocytic leukemia who is in week 3 of induction
chemotherapy. Which is the priority diagnosis?
a. Activity intolerance
b. Ineffective coping
c. Risk for infection
d. Altered skin integrity- oral - ANSWER-✔c. Risk for infection
\Q\.A client with polycythemia vera is admitted to the hematology unit with chest pain and
SOB. Based on provided orders, the nurse should prepare to perform which task first?
a. Administer Allopurinol
b. Assess lung sounds
,c. Schedule for phlebotomy with apheresis
d. Administer hydroxyurea - ANSWER-✔c. Schedule for phlebotomy with apheresis
\Q\.Which of the following tasks would the RN on an oncology unit delegate to the LPN?
a. Reinforce teaching to a client about non-pharm pain relief
b. Admission assessment of a client admitted with a sickle cell crisis
c. Pre-procedure teaching to a client about to have a bone marrow biopsy.
d. Administration of 1 unit of PRBC's - ANSWER-✔a. Reinforce teaching to a client about non-
pharm pain relief
\Q\.The nurse is caring for a client immediately after a bone marrow biopsy. What is the nurse's
priorityintervention?
a. Instruct the client to keep site dry for 24 hours
b. Apply pressure to the site
c. Assess the client's temperature
d. Apply a Vaseline gauze dressing - ANSWER-✔b. Apply pressure to the site
\Q\.The nurse determines that a client is experiencing a left shift with which of the following lab
trends?
a. Increased bands
b. Increased reticulocytes
c. Increased eosinophils
d. Increased basophils - ANSWER-✔a. Increased bands
\Q\.A community health nurse is teaching health promotion to a group of new retirees. Which
fact indicates a warning sign of cancer?
a. Changes in hair color and texture
,b. Occasional constipation
c. A sore or lesion that does not heal
d. A decrease in thirst sensation - ANSWER-✔c. A sore or lesion that does not heal
\Q\.A client is diagnosed with high grade lung cancer. How does the nurse describe this to the
client?
a. The cancer has a high chance for cure
b. The cancer tumor size is small
c. The cancer tumor size is large
d. This cancer is resistant to treatment - ANSWER-✔d. This cancer is resistant to treatment
\Q\.The nurse provides teaching regarding home radiation safety precautions to the client who:
a. Wears a mold during outpatient radiation treatment
b. Takes an oral dose of I-131 for thyroid cancer
c. Receives a radiation implant for 15 minutes during outpatient radiation treatments
d. Receives an IV infusion of anti-neoplastics daily for 5 days. - ANSWER-✔b. Takes an oral dose
of I-131 for thyroid cancer
\Q\.Interventions that the nurse utilizes to prevent extravasation during chemotherapy infusion
include:
a. Frequently checking the IV site for swelling and tenderness
b. A 2 RN check of medication "rights" prior to infusion
c. Observing for cloudiness in the IV tubing
d. Assuring that the proper antidote has been ordered - ANSWER-✔a. Frequently checking the
IV site for swelling and tenderness
, \Q\.The client is taking his 5th cycle of chemotherapy and complains of progressive numbness
and tingling in lower extremities. Of the following orders, which would the nurse question?
a. A daily dose of metoclopramide
b. Using assistive devices as needed for ambulation
c. Teaching regarding daily inspection of feet and ankles
d. A daily dose of duloxetine - ANSWER-✔a. A daily dose of metoclopramide
\Q\.An elderly patient presents to her GYN provider with c/o a strong urge to void and "can't
make it to the bathroom before I start going." The nurse anticipates which medication to be
most effective for the client?
A. Oxybutynin
B. Enoxaparin
C. Bethanechol
D. Tamulosin - ANSWER-✔A. Oxybutynin
\Q\.A patient comes into the clinic complaining of small amounts of urinary leakage and states
"my bladder feels full." Which of the following diagnostic tests would the nurse anticipate being
done first?
A. Intravenous pyelogram
B. Post Void Residual Scan
C. Voiding Cysto-urethrogram
D. Xray of the kidney, ureter, and bladder - ANSWER-✔B. Post Void Residual Scan
\Q\.What should the nurse teach the client to do prevent stress incontinence?
A. Carry an extra incontinence pad when away from home
B. Refrain from coughing or sneezing
C. How to perform pelvic floor muscle exercises
COMPLETE QUESTIONS AND
OUTLINED ANSWERS
\Q\.A client has a platelet count of 18,000. What intervention does the nurse include in the plan
of care?
a. Institute reverse isolation (neutropenic precautions)
b. Obtain temperature axillary
c. Change IM infections to sub-Q
d. Monitor closely for altered mental status - ANSWER-✔d. Monitor closely for altered mental
status
\Q\.The nurse is caring for a client with acute myelocytic leukemia who is in week 3 of induction
chemotherapy. Which is the priority diagnosis?
a. Activity intolerance
b. Ineffective coping
c. Risk for infection
d. Altered skin integrity- oral - ANSWER-✔c. Risk for infection
\Q\.A client with polycythemia vera is admitted to the hematology unit with chest pain and
SOB. Based on provided orders, the nurse should prepare to perform which task first?
a. Administer Allopurinol
b. Assess lung sounds
,c. Schedule for phlebotomy with apheresis
d. Administer hydroxyurea - ANSWER-✔c. Schedule for phlebotomy with apheresis
\Q\.Which of the following tasks would the RN on an oncology unit delegate to the LPN?
a. Reinforce teaching to a client about non-pharm pain relief
b. Admission assessment of a client admitted with a sickle cell crisis
c. Pre-procedure teaching to a client about to have a bone marrow biopsy.
d. Administration of 1 unit of PRBC's - ANSWER-✔a. Reinforce teaching to a client about non-
pharm pain relief
\Q\.The nurse is caring for a client immediately after a bone marrow biopsy. What is the nurse's
priorityintervention?
a. Instruct the client to keep site dry for 24 hours
b. Apply pressure to the site
c. Assess the client's temperature
d. Apply a Vaseline gauze dressing - ANSWER-✔b. Apply pressure to the site
\Q\.The nurse determines that a client is experiencing a left shift with which of the following lab
trends?
a. Increased bands
b. Increased reticulocytes
c. Increased eosinophils
d. Increased basophils - ANSWER-✔a. Increased bands
\Q\.A community health nurse is teaching health promotion to a group of new retirees. Which
fact indicates a warning sign of cancer?
a. Changes in hair color and texture
,b. Occasional constipation
c. A sore or lesion that does not heal
d. A decrease in thirst sensation - ANSWER-✔c. A sore or lesion that does not heal
\Q\.A client is diagnosed with high grade lung cancer. How does the nurse describe this to the
client?
a. The cancer has a high chance for cure
b. The cancer tumor size is small
c. The cancer tumor size is large
d. This cancer is resistant to treatment - ANSWER-✔d. This cancer is resistant to treatment
\Q\.The nurse provides teaching regarding home radiation safety precautions to the client who:
a. Wears a mold during outpatient radiation treatment
b. Takes an oral dose of I-131 for thyroid cancer
c. Receives a radiation implant for 15 minutes during outpatient radiation treatments
d. Receives an IV infusion of anti-neoplastics daily for 5 days. - ANSWER-✔b. Takes an oral dose
of I-131 for thyroid cancer
\Q\.Interventions that the nurse utilizes to prevent extravasation during chemotherapy infusion
include:
a. Frequently checking the IV site for swelling and tenderness
b. A 2 RN check of medication "rights" prior to infusion
c. Observing for cloudiness in the IV tubing
d. Assuring that the proper antidote has been ordered - ANSWER-✔a. Frequently checking the
IV site for swelling and tenderness
, \Q\.The client is taking his 5th cycle of chemotherapy and complains of progressive numbness
and tingling in lower extremities. Of the following orders, which would the nurse question?
a. A daily dose of metoclopramide
b. Using assistive devices as needed for ambulation
c. Teaching regarding daily inspection of feet and ankles
d. A daily dose of duloxetine - ANSWER-✔a. A daily dose of metoclopramide
\Q\.An elderly patient presents to her GYN provider with c/o a strong urge to void and "can't
make it to the bathroom before I start going." The nurse anticipates which medication to be
most effective for the client?
A. Oxybutynin
B. Enoxaparin
C. Bethanechol
D. Tamulosin - ANSWER-✔A. Oxybutynin
\Q\.A patient comes into the clinic complaining of small amounts of urinary leakage and states
"my bladder feels full." Which of the following diagnostic tests would the nurse anticipate being
done first?
A. Intravenous pyelogram
B. Post Void Residual Scan
C. Voiding Cysto-urethrogram
D. Xray of the kidney, ureter, and bladder - ANSWER-✔B. Post Void Residual Scan
\Q\.What should the nurse teach the client to do prevent stress incontinence?
A. Carry an extra incontinence pad when away from home
B. Refrain from coughing or sneezing
C. How to perform pelvic floor muscle exercises
