MedSurg | Hematology / Oncology / Immunology

A client with hemolytic anemia has jaundice. What advice does the nurse give?

A nurse is caring for a client in the emergency department. The nurse suspects that this client is experiencing pernicious anemia. What sign or symptom would suggest this?

A 25-year-old client is being treated for chronic anemia with iron, but it is not bringing up the client’s red blood cell count. Which of the following medications is most likely the next line of treatment for this client?

A client with anemia is having blood drawn to assess her levels of blood cells. Which best describes a normal level of hematocrit for a female client?

A nurse working in the ER is assessing a 15-year-old client with a history of sickle cell anemia. The client is complaining of extreme pain in the left knee. The nurse knows which of the following interventions should be the top priority?

Providing client education to the parents of a three-year-old with sickle cell anemia how to prevent an acute crisis includes which of the following in the teaching? Select all that apply.

A 14-year-old client has just been prescribed hydroxyurea to help treat sickle cell anemia. The client asks the nurse about the purpose of this new medication. Which of the following explanations by the nurse is correct?

The nurse is caring for a seven-year-old child with sickle cell anemia, admitted for IV fluids and pain management. During the night shift the child wakes up at three a.m. complaining of chest pain and difficulty breathing. The nurse’s primary concern is which of the following?

The nurse is caring for a client who requires treatment for sickle cell disease. Which of the following are treatments for this condition? Select all that apply.

The nurse is admitting an adolescent client for sickle cell crisis. The nurse notes upon reviewing the chart that the client has been admitted several times in the last 6 months. While speaking to the client, which of the following statements by the nurse is appropriate?

The nurse is caring for a child who has sickle cell anemia. The child’s family asks the nurse about a cure for the disease. The nurse explains to the family that the cure for sickle cell anemia is which of the following?

The nurse is caring for a client admitted for sickle cell crisis. What type of transfusion will the nurse expect to give if the client is anemic?

A physician has ordered a blood product transfusion for a client with a hemoglobin level of 6 mg/dL. What other conditions would most likely be indications of the need for blood products? Select all that apply.

A client reports to the nurse that she is having a sickle cell crisis. The nurse knows that the client will have which abnormal lab?

A nurse is caring for a 6-year-old child who has severe vitamin C deficiency. The nurse notes that the child’s skin has areas of purpura. This condition of most likely described as which of the following?

After shift change, a nurse takes over care for a postpartum client who had been bleeding moderately and is staying on the labor unit for closer watching. What assessment finding should the nurse be the most concerned about?

The nurse is caring for a client who is 32 weeks pregnant and diagnosed with disseminated intravascular coagulation. Which of the following lab values does not support the client’s diagnosis?

A client with difficulty breathing gets a CT scan that shows multiple clots in the lungs as well as in the heart and kidneys. Which blood clotting condition does this client most likely have?

A nurse is caring for a client that delivered a fetal demise 3 hours ago is bleeding heavily. The providers believe she has disseminated intravascular coagulation and has ordered labs to be drawn. What results would the nurse expect to see if DIC is occurring? Select all that apply.

A nurse is caring for a client with a gastric ulcer who begins to have active bleeding. Which of the following is the priority nursing intervention?

A nurse is caring for a postpartum client with disseminated intravascular coagulation. The client’s family wants to understand what this means. What is the best response by the nurse?

A nurse is preparing to give blood products to a client who is experiencing excess bleeding after surgery. Prior to administration, which action should the nurse perform first?

A client has an order to receive one unit of fresh-frozen plasma (FFP). Based on the nurse’s understanding of this blood product, the nurse knows that which of the following are true regarding FFP? Select all that apply.

A nurse is assessing a postpartum client who has a platelet count of 47,000 uL, D-dimer of 0.59 and a PT of 3 seconds. What findings would the nurse expect to assess?

A nurse is caring for a client with essential thrombocythemia. What diagnostic finding will the nurse expect to see?

The nurse is caring for a client with thrombocytopenia. Which of the following substances would the nurse expect to administer for this client?

A client presents to the emergency department with thrombocytopenia. Likely nursing interventions include which of the following? Select all that apply.

A nurse has an order to administer heparin to a client. Which steps would the nurse take to minimize the risk of the client developing heparin-induced thrombocytopenia (HIT)? Select all that apply.

The nurse is caring for a client with immune thrombocytopenic purpura. Which of the following interventions would the nurse expect to employ?

A client who is receiving heparin for a history of blood clots has developed heparin-induced thrombocytopenia. His platelet count is 90,000/mcL. Which of the following nursing interventions is most appropriate in this situation?

A nurse is caring for four clients on a medical surgical floor. The nurse is reviewing each client’s diagnosis and history and knows that which of the following would not put a client at a heightened risk for blood transfusion reaction?

A client who is recovering from a hip replacement is receiving a blood transfusion in the recovery room. Following the start of the infusion, the client develops a hemolytic reaction. During a hemolytic reaction, the client would most likely experience which of the following?

The blood bank has sent a unit of whole blood for a client to receive while he is staying in the hospital. Which of the following describes a type of serologic testing that the blood bank has most likely performed on this unit of blood? Select all that apply.

A nurse is reviewing the consent form for a blood transfusion for a client. Which of the following risks would the nurse need to explain as part of receiving a blood transfusion? Select all that apply.

The following CBC lab results are delivered on a client. Which of the following values represents an indication for a transfusion of packed red blood cells (PBRCs)?

Five minutes after the nurse initiates a platelet transfusion for a thrombocytopenic client, another client starts to experience respiratory distress. Which of the following are appropriate responses by the nurse? Select all that apply.

A client needs a blood transfusion and has type A+ blood. Which of the following blood types is it safe for this client to receive?

A nurse has received a unit of blood products from the hospital blood bank. Which of the following items would the nurse check when preparing to administer this product? Select all that apply.

A client with severe blood loss is undergoing a transfusion under the massive transfusion protocol (MTP). The nurse knows that which of the following blood products are not administered during a MTP?

A client has developed a reaction after receiving a blood transfusion. The nurse suspects that it is a bacterial reaction due to a contaminated blood product. Which of the following signs or symptoms would the nurse see with this type of reaction? Select all that apply.

A client has been admitted to the hospital for surgery. The client has a history of leukemia and has developed septicemia. Which of the following situations is this client most likely at risk for?

The oncology nurse is caring for a client with leukemia. The nurse knows that the purpose of chemotherapy in this client is for which reason?

A client with leukemia will go home with a Groshong catheter placed in the right subclavian vein to use for long-term administration of chemotherapy. Which information would the nurse provide to the client regarding care of the Groshong catheter at home? Select all that apply.

A nurse is performing the initial assessment of a child with a history of acute leukemia who was brought into the emergency department. The nurse discovers the child has a temperature of 38.5C. Which action is the first priority in this situation?

A client with leukemia is being discharged from the hospital and is going home with an infection. Which precautions would the nurse teach the client to implement at home that would best prevent him from transmitting the infection?

A nurse is administering platelets to a client with leukemia. After completing the transfusion, the nurse should document which information?

A nurse is caring for a client with leukemia who is undergoing chemotherapy. The nurse is educating the client’s family on what to expect throughout treatment. Which statement by the family would demonstrate understanding of education?

A nurse has an order to administer IVIG to a client with leukemia. Which of the following is a true statement regarding this type of blood product? Select all that apply.

A 68-year-old client is being treated for leukemia, but his prognosis is very grim. The client asks the nurse about how he is doing. Which statement from the nurse is most appropriate?

A nurse is caring for a client who has a history of leukemia. The client’s body is demonstrating systemic inflammatory response syndrome (SIRS). Which of the following signs or symptoms would the nurse see with SIRS? Select all that apply.

A client with lymphoma is preparing to undergo a bone marrow transplant. The client will be using bone marrow taken from their own body. Which type of transplant is this referred to?

A client who has recovered from cancer surgery requires lymphedema therapy. Which best describes an activity that would occur with this type of therapy?

A nurse is working with a family whose mother is dying of lymphoma. Which information would the nurse give to the family about respite care that is accurate?

A 78-year-old client is being admitted to the hospital for surgery. The client has a history of lymphoma that has returned twice after undergoing chemotherapy treatments, and has a DNR order in place in case of cardiac arrest. What is a true statement regarding a DNR order? Select all that apply.

The nurse is teaching a female client about breast self examination (BSE). The client asks where a lump is most likely to be found. Which location would be the most accurate response by the nurse?

The nurse is caring for a client with breast cancer who underwent radiation therapy four weeks ago. The nurse should tell the client to look for what potential late effects of radiation therapy following the treatment? Select all that apply.

A client with a spinal tumor has been having a difficult time sleeping. Which best explains how a tumor can make sleep more difficult for a client with cancer?

A 48-year-old client has been diagnosed with pancreatic cancer. The client asks the nurse, “How could this have happened to me?!” Which of the following has been shown to be a risk factor for development of pancreatic cancer? Select all that apply.

A client with cancer has just had a Portacath placed by outpatient surgery. The nurse is discharging this client to go home. Which of the following instructions would the nurse give to this client about care of a Portacath? Select all that apply.

The nurse is caring for a client who has recently finished chemotherapy. The client asks if it is appropriate to begin exercising. Under which conditions would exercise be contraindicated for this client? Select all that apply.

The nurse is working on an oncology unit with a client who is currently receiving chemotherapy, and is finishing a bed bath. What is the priority?

A 63-year-old female client complains of urinary retention and an inability to empty her bladder. The nurse understands that the client is likely experiencing which of the following conditions? Select all that apply.

A client is preparing to undergo a radical prostatectomy. During the pre-operative visit, the client asks the nurse, “When do I get to eat again?” Which response from the nurse is accurate?

A 37-year-old client with pancreatic cancer is experiencing chemotherapy-induced nausea and vomiting (CINV) after his latest round of medication. Which drug would most likely be prescribed for the control of CINV?

A nurse caring for a client diagnosed with lung cancer knows that which of the following treatment modalities is not recommended for a client with late-stage small cell lung cancer?

Which of the following statements by a client who smokes and is at high risk for lung cancer represents an understanding of primary prevention measures?

A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?

A nurse is working with a client who wants to quit smoking. Which of the following information should the nurse advise for the client that may be more likely to help with smoking cessation?

A provider suspects that the 67-year-old client in the nurse’s care may have lung cancer. Which type of diagnostic test would most likely be used to diagnose this condition?

A 48-year-old client has been diagnosed with advanced lung cancer. The client complains of pain in the chest wall from the primary tumor. Which of the following adjuvant medications has been shown to be beneficial in the management of this type of cancer pain?

Which of the following statements by a client undergoing treatment for lung cancer represents an understanding of the plan of care?

A client is being treated for advanced lung cancer. Which of the following dietary considerations is the most appropriate for this diagnosis?

While at a routine clinic appointment, the nurse notes a client with lung cancer is breathing heavily, wearing dirty clothes, and looking disheveled. The client has lost 15 pounds since the last visit. Which of the following statements by the nurse therapeutically assesses the client’s functional capacity? Select all that apply.

A nurse is educating a client with a history of lung cancer who is preparing to undergo a pneumonectomy. Which information should the nurse provide this client about post-op care after this surgery?

The clinic nurse is discussing recommended screenings with a 55-year-old male client. The client mentions that his father had prostate cancer and asks what he can do to minimize the risk of getting this type of cancer. Which response by the nurse is correct?

The nurse is caring for a client who is newly diagnosed with prostate cancer. The nurse educates the client about the following targeted therapy and interventions for prostate cancer? Select all that apply.

A 92-year-old client with a history of smoking and COPD is found to have developed prostate cancer. The cancer is localized. The nurse knows that prostate cancer in this type of client will most likely be treated in which of the following ways?

The community health nurse is teaching a class on early detection of testicular cancer. The nurse accurately teaches the class all of the following points except which?

The nurse is caring for a client who was recently diagnosed with testicular cancer. The client appears anxious and asks the nurse questions about his condition. Which of the following statements by the nurse is correct?

The nurse is caring for a postoperative client who just underwent an orchiectomy. The nurse understands that which of the following is a risk factor for this client’s condition?

The clinic nurse is performing an assessment on a 35-year-old male client who presents to the clinic with a painless testicular lump and pain in the pelvis. The nurse carefully assesses the client’s lungs and asks if the client has had any trouble breathing. Which of the following explains the actions of the nurse?

The perioperative nurse is reviewing the operating room schedule for the day. Which of the following clients is the most likely candidate for an orchiectomy?

During an admission assessment of a client with rectal cancer, the nurse recognizes which of the following as a symptom directly related to this type of cancer?

A nurse is counseling a client who has abdominal pain. The client says to the nurse, “My father died of colon cancer and now that I’m over 50, I’m sure that I have it, too!” Which of the following responses from the nurse is most appropriate?

The clinic nurse is reviewing the plan of care for a 50-year-old client. The nurse recognizes that which of the following is the diagnostic tool of choice for colorectal cancer screening?

The nurse is discussing colon cancer risks with a 40-year-old client. Which of the following are modifiable factors that contribute to an increased risk for colon cancer? Select all that apply.

A 50-year-old client has arrived for a colonoscopy, and states she is worried that the gastroenterologist will find cancer. Which assessment finding would the nurse expect for a client who is in the early stages of colon cancer?

The nurse is caring for a client who will undergo surgery for a right-sided colectomy due to colon cancer. The client asks about what changes to expect after surgery. Which is the accurate response?

The infusion nurse is reviewing the schedule of chemotherapy clients for the day. The nurse knows that chemotherapy is given for which of the following scenarios? Select all that apply.

The charge nurse is making assignments for the next shift. Which of the following clients can be assigned to the same nurse as the client with a neutrophil count of 490? Select all that apply.

The nurse is caring for a client who has been placed on neutropenic precautions. The nurse knows that this includes which of the following? Select all that apply.

A client who has to start chemotherapy for a new diagnosis of cancer becomes very anxious and upset about the thought of the new treatment. Which type of referral could the nurse make in this situation? Select all that apply.

Which is the most common reason a client cannot receive chemotherapy?

The nurse is caring for a chemotherapy client who has reached his nadir. Which of the following behaviors will the nurse ensure are followed by the client?

The nurse is educating a client on post chemotherapy care. Which of the following teaching points is the priority?

The oncology nurse is discussing the concept of survivorship with a client with cancer. Which of the following correctly describes when survivorship begins?

A nurse is teaching a client with cancer about safety when receiving chemotherapy drugs. The nurse wants the client to understand about how chemotherapy can be harmful to healthy people who live with the client. Which action should the nurse counsel the client to perform after receiving chemotherapy that would most likely protect those who live with the client?

Following diagnostic imaging, an adolescent patient is scheduled for a biopsy with possible oophorectomy. Which of the following topics should the nurse discuss with the patient prior to the procedure?

A 56-year-old client with ovarian cancer is undergoing external radiation therapy for treatment. Which of the following is appropriate for the nurse to teach the client about irradiated skin? Select all that apply.

A client with ovarian cancer is getting ready to undergo external radiation therapy. What information should the nurse give to this client about receiving external radiation therapy? Select all that apply.

A patient diagnosed with advanced ovarian cancer states, “I’m not going to do treatment.” Which response by the nurse is most appropriate?

A nurse is working with a client who has been diagnosed with ovarian cancer. The nurse gives the client information materials about her treatment options. Which best describes plain language as used in teaching materials?

A nurse is educating a group of women on breast cancer prevention. When should the nurse teach the clients is the best time to perform a monthly self breast exam (SBE)?

A nurse is caring for a client who just underwent a left mastectomy with lymph node removal. Which of the following precautions need to be implemented? Select all that apply.

The nurse is caring for a client diagnosed with early-stage cervical cancer who wants to maintain fertility. Which treatment option would be preferred?

The nurse is providing education about cervical cancer to a community group. Which of the following symptoms are signs and symptoms of cervical cancer? Select all that apply.

A client with cervical cancer is scheduled for brachytherapy treatment. What education should the nurse provide to explain this procedure?

A client with an abnormal annual pap smear asks if that means she has cervical cancer. How should the nurse respond?

Which best describes the recommendations from the American Cancer Society regarding initial screening for cervical cancer?

A nurse is caring for a client that just had a paracentesis for ascites. Which of the following is a priority nursing intervention at this time?

The nurse is caring for a client in liver failure with ascites. The nurse correctly understands that the ascites is due to which of the following?

A nurse is caring for a client just admitted with esophageal varices. Which of the following nursing interventions is the highest priority?

A client presents to the emergency department with active bleeding from esophageal varices. Which of the following actions by the nurse is appropriate?

A nurse is preparing to administer chemotherapy to a client who has liver cancer. Which of the following elements should the nurse uphold when preparing and administering chemotherapy?

A client has undergone a gastrectomy. What would be a top priority for this client after this procedure?

A client is post op day 2 after a gastrectomy due to stomach cancer. The client had a nasogastric tube placed during surgery. After walking with physical therapy, the nasogastric tube has become dislodged. What is the priority nursing intervention at this time?

A nurse is performing pre-operative teaching with a client set to undergo the sleeve gastrectomy procedure. Which of the following statements by the client suggests they need further teaching?

A client is scheduled for a pre-operative CT scan to better visualize gastric cancer. Which of the following is a priority nursing assessment prior to this exam?

A client just returned from the OR after a gastrectomy. What position would be most appropriate for the client after this particular surgery?

The nurse is caring for a client with suspected multiple myeloma. Which of the following tests does the nurse anticipate will be ordered to confirm the diagnosis? Select all that apply.

The nurse is reviewing lab values on a client with multiple myeloma. The client is experiencing serum calcium levels outside of the normal range. Which of the following correctly describes what is occurring?

The nurse is caring for a client with multiple myeloma with bone involvement. Which of the following signs would require immediate intervention?

A client suspected of multiple myeloma is scheduled for an MRI. The client asks why this test was ordered. What is the best response by the nurse?

The nurse is preparing to administer corticosteroids to a client with multiple myeloma in the acute care setting. What is the purpose of this course of treatment?

A client has multiple moles with irregular edges that vary in color located on their legs, the nurse knows that this description is associated with what type of skin cancer?

A client who has been diagnosed with skin cancer has asked the nurse if it is appropriate to go to the beach with family. Which information would be most appropriate for the nurse to teach to protect this client?

The nurse is educating a group of middle school students on skin cancer prevention. Which of the following statements by a student shows an understanding of learning?

A client has developed cancer of the cells that provide pigment in the skin. What is the proper term for these cells?

A nurse is working with a client who has been diagnosed with melanoma and is undergoing treatment. Which information should the nurse give to the client about how to be proactive regarding a future occurrence of melanoma?

The nurse is discussing treatment for a patient recently diagnosed with kidney cancer. Which of the following treatments is not likely to be used?

What is the priority intervention when caring for a patient following a radical nephrectomy?

Following an ultrasound, what aftercare is the responsibility of the nurse?

A 48-year-old client is undergoing internal radiation for the treatment of kidney cancer. The nurse caring for this client would best protect the client, others, and himself or herself from contamination by which of the following actions? Select all that apply.

The nurse understands that which of the following are the classic triad of symptoms seen in later stages of renal cell carcinoma (RCC)? Select all that apply.

The healthcare provider notifies the nurse that they are testing for hyperparathyroidism. Which of the following tests should the nurse expect to see in the client’s orders?

A client is scheduled to receive a fine needle aspiration of the thyroid gland for a biopsy. Which best describes how the nurse would teach the client about this procedure?

A nurse is caring for a client who has just returned from a thyroidectomy. What would be the most appropriate position for this client?

A client with a diagnosis of thyroid cancer has recently had internal radiation through brachytherapy. What should the nurse tell the client about visitors when this type of therapy is in place?

A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates the thyroid gland. What is an appropriate term for this hormone?

A client with hyperparathyroidism from a tumor is told that the healthcare provider wants to remove the parathyroid glands. The client asks the nurse what will happen if the parathyroid glands are removed. Which of the following is an appropriate answer by the nurse?

A 40-year-old female client with recent thyroid surgery has been admitted to the hospital with a fever, tremors, profuse sweating, and anxiety. Based on this client’s symptoms, which drug class would be a priority to give to this client?

A client is undergoing a biopsy to check for thyroid cancer. The client tells the nurse that he is very nervous about the procedure. The nurse can tell him that which of the following complications are associated with a biopsy procedure?

A nurse is reviewing discharge education with a client. Which of the following should the nurse provide to the client diagnosed with hyperparathyroidism?

A 36-year-old client must undergo a total thyroidectomy for treatment of thyroid cancer. Which of the following has been shown as a complication of this type of surgery?

The nurse is explaining a radical cystectomy to a male client with bladder cancer. Which statement by the patient would require further education?

A client with bladder cancer is undergoing reconstructive surgery. The client will have a stoma on the abdomen with constant urine release into an ostomy bag. The nurse understands that this type of diversion is called:

The nurse is working on an oncology unit specializing in genitourinary cancers. The nurse understands that which of the following is the first sign of bladder cancer?

An 88-year-old client from a local nursing home is having surgery for a bladder tumor. The nurse knows that which of the following are ways to assess the cognitive abilities of the client? Select all that apply

A client suspected of bladder cancer is to undergo a retrograde pyelogram. How will the nurse explain the testing to the client?

A client who has to start chemotherapy for a new diagnosis of cancer becomes very anxious and upset about the thought of the new treatment. Which type of referral could the nurse make in this situation? Select all that apply.

The nurse is educating the family members of a client with brain damage about how it will effect the client. The nurse states the client will have vision and perception deficits. Which area of the brain has been affected?

The nurse is caring for a client with a brain tumor which is beginning to cause increased intracranial pressure. Which of the following medications is contraindicated?

A nurse is teaching a client with cancer about safety when receiving chemotherapy drugs. The nurse wants the client to understand about how chemotherapy can be harmful to healthy people who live with the client. Which action should the nurse counsel the client to perform after receiving chemotherapy that would most likely protect those who live with the client?

A client on chemotherapy has arrived for an appointment. Upon assessment, the nurse notes that the client has lost 20 pounds. The client denies nausea and vomiting, and says she is following the same diet as before. Which of the following dietary recommendations should the nurse give this client?

A patient has brain damage to the cerebellum. Which of the following deficits is consistent with damage to this part of the brain?

The nurse is educating the family members of a client who has experienced brain damage. The nurse states the client will have movement, personality, and speech control deficits. Which area of the brain has been affected?

The nurse is caring for a client who has left-sided brain damage. The nurse knows that the client may have deficits in which of the following areas?

The nurse is educating a client on post chemotherapy care. Which of the following teaching points is the priority?

The nurse is caring for a client with cancer. The client has discussed treatment options with the provider and agreed upon a plan that involves chemotherapy. The client tells the nurse that he is nervous about the side effects of the chemotherapy. Which of the following responses from the nurse is most appropriate?

The nurse understands that stereotactic radiosurgery for pituitary adenoma is likely effective if the patient:

A client is suffering from excess cortisol excretion as a result of an adenoma on the pituitary gland. Which of the following changes is an expected finding in a client with this condition? Select all that apply.

A nurse is caring for a client receiving vasopressin for diabetes inspidus after pituitary tumor resection. Which of the following does NOT demonstrate that this medication is achieving its desired effect?

When planning care for a patient with a newly diagnosed pituitary adenoma, the nurse prioritizes which of the following?

The nurse is caring for a client with a pituitary tumor. The nurse assesses the urine (see image) and reviews the lab results. The urine specific gravity is 1.075 and urine output is minimal. What other lab value would the nurse expect to find in this client?

A client who has been receiving external radiation therapy for cancer complains to the nurse that his skin is sore and irritated after treatment. Which response from the nurse is most appropriate?

A client who is receiving radiation treatments in the head and neck complains of a dry mouth after treatment. Which of the following pieces of advice would be best for the nurse to give to this client?

A 47-year-old client is preparing to undergo external beam radiation therapy for treatment of uterine cancer. The client says to the nurse, “I’m scared of doing this. Will it hurt?” Which response from the nurse is accurate?

A client with a diagnosis of thyroid cancer has recently had internal radiation through brachytherapy. What should the nurse tell the client about visitors when this type of therapy is in place?

A nurse is caring for a client the morning after internal radiation therapy for treatment of uterine cancer in which an implant was placed. Which of the following actions demonstrate safe practice by the nurse? Select all that apply.

A 35-year-old client is undergoing external beam radiation to the pelvis for treatment of uterine cancer. Choose which best describes the difference between routine side effects of radiation and radiation syndrome.

The nurse is caring for a client who underwent external beam radiation for breast cancer. The client complains of skin irritation at the site. Which of the following recommendations is appropriate for the nurse to make?

The nurse is caring for a client who is receiving internal radiation therapy. The client’s implant was placed two days ago and is active. Which of the following actions is appropriate for the nurse to limit exposure to the implant?

A 56-year-old client with ovarian cancer is undergoing external radiation therapy for treatment. Which of the following is appropriate for the nurse to teach the client about irradiated skin? Select all that apply.

A nurse is educating a client who is receiving external beam radiation to the chest while in the hospital. Which statement made by the client indicates proper understanding about care of the treatment site?

A 25-year-old client has been diagnosed with HIV. Which of the following manifestations of endocrine dysfunction have been associated with this type of infection?

The nurse caring for a client with advanced HIV progressing to AIDS. Which of the following conditions would not be associated with AIDS?

An HIV-infected client is in the hospital after developing an opportunistic infection. The client’s spouse will provide care to the client at home. What information should the nurse provide to the caregiver about providing home care for the client? Select all that apply.

Which best describes the viral load of HIV in the body?

The nurse is assessing a client with advanced AIDS. Which of the following are expected findings? Select all that apply.

A nurse is administering human immunodeficiency virus testing at a community screening event. When providing education, which of the following will the nurse use to classify the disease?

A nurse is caring for a 34-year-old client who has been infected with HIV for 11 years. The client presents with diarrhea, weight loss and a fungal infection in the mouth. Which of the following are appropriate interventions for this client? Select all that apply.

A client has been infected with HIV for 5 years. Which of the following would require a change in the client’s diagnosis from being HIV-positive to having AIDS?

A nurse is caring for a client in the hospital with advanced HIV infection. The client is suffering from malnutrition and has been losing weight. Which of the following interventions are appropriate to manage this client’s nutrition? Select all that apply.

The nurse is caring for a client with AIDS. While checking routine vital signs, the nurse notes a temperature of 37.8 C. The nurse understands that which of the following is true?

A 9-year old child is brought to the emergency room in anaphylactic shock. Which of the following medication orders would be the most appropriate for this child?

The nurse is caring for a client who was started on lisinopril at the beginning of the shift. The nurse notes that the client’s tongue seems a bit swollen and their speech sounds “thick”. What is the nurse’s priority?

A nurse is caring for a client whose friend brings cupcakes to the hospital. After taking a bite, the client’s face and neck begin to turn red and the client’s lips start to swell. The client begins grabbing their throat as the client’s mother reports a nut allergy. The nurse quickly retrieves Epinephrine 1:1,000. Which route is the appropriate route to administer this medication?

The emergency nurse is managing care for an assigned group of clients. The nurse receives a new admission that is becomes the priority. Which of the following is the priority?

While eating dinner in a restaurant, a customer develops an anaphylactic reaction. A nurse nearby notices the problem and stops to help. The first action of the nurse should be which of the following?

The nurse is caring for a client who is having an anaphylactic reaction. The provider has placed orders. Which of the following orders is the priority?

45 minutes after receiving a transfusion of whole blood, a client develops an anaphylactic transfusion reaction. During this reaction, the nurse would most likely expect to see:

A client is rushed to the emergency department after a peanut exposure and subsequent anaphylactic reaction. The nurse prepares to administer epinephrine. Which concentration and route should the nurse utilize?

A pregnant client suffers from a pollen allergy and is being seen for management of symptoms. The nurse is teaching the client about how best to prevent an allergic reaction. Which of the following statements by the nurse is most appropriate?

A client who has been diagnosed with Lyme disease is being seen for care and the provider has ordered a Western Blot test. Which of the following statements by the nurse accurately describes a Western Blot test?

The community health nurse is conducting a class to educate the public on Lyme disease. What is the most important information to convey to these clients?

A nurse is planning education about Lyme disease prevention for a patient who is at high risk for tick bites. What education topics should the nurse include? Select all that apply

The nurse is developing a plan of care for a patient with acute confusion related to Lyme disease. Which intervention best supports this nursing diagnosis?

The nurse is initiating a plan of care. When collecting data, which finding would be most indicative of Lyme disease?

A patient with lupus needs to take corticosteroids for control of symptoms but has developed an electrolyte deficit as a side effect of the drug. Which nutrition strategy should the nurse recommend for the patient that would help to combat this side effect?

A 71-year-old client presents for care of exacerbation of lupus symptoms. Which of the following cardiac abnormalities should the nurse assess for that are most closely associated with lupus?

A client is hospitalized for complications of lupus. Which of the following principles are associated with promoting this client’s level of self-care? Select all that apply.

A client with lupus has been using corticosteroids. Which of the following must the nurse consider if this client must undergo surgery? Select all that apply.

The nurse is assessing a client and observes a butterfly rash. The nurse knows that this is a sign of which of the following conditions?