Chemotherapy, Neutropenia, Cancer Care & Priority Nursing
Management | HESI ATI Exit Exam Study Guide
(Nursing Exit Exam Topics (HESI / NCLEX) 7).
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Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 7
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,1 Question 1
A client receiving chemotherapy has hemoglobin 7.5 g/dL. Which symptom is
most expected?
☑ A. Fatigue and shortness of breath
☐ B. Increased energy
☐ C. Severe itching only
☐ D. Excessive hunger
RATIONALE
Low hemoglobin means anemia, which reduces oxygen delivery to tissues. Common symptoms
include fatigue, weakness, pallor, and shortness of breath.
KEY TERMS EXPLAINED
Hemoglobin = protein in red blood cells carrying oxygen
Anemia = low red blood cell level
Shortness of breath = difficulty getting enough oxygen
Fatigue = common symptom of reduced oxygen delivery
,2 Question 2
A client with thrombocytopenia should be taught to use which shaving method?
☑ A. Electric razor
☐ B. Straight razor blade
☐ C. Dry shaving with sharp blade
☐ D. Frequent waxing
RATIONALE
An electric razor reduces the chance of cuts and bleeding, which is especially important in
clients with low platelet counts.
KEY TERMS EXPLAINED
Electric razor = safer shaving method with less skin injury
Thrombocytopenia = low platelet count
Bleeding prevention = reducing injury risk
Skin protection = preventing cuts and bruises
, 3 Question 3
A client with thrombocytopenia develops nosebleeds and bleeding gums. Which
action is priority?
☑ A. Assess for additional bleeding and notify the provider
☐ B. Encourage flossing harder
☐ C. Start contact sports for circulation
☐ D. Give aspirin for discomfort
RATIONALE
Bleeding signs in thrombocytopenia may indicate worsening platelet deficiency and possible
hemorrhage. Immediate assessment and provider notification are needed.
KEY TERMS EXPLAINED
Thrombocytopenia = low platelet count
Nosebleed = sign of bleeding risk
Hemorrhage = serious blood loss
Provider notification = urgent medical reporting