AMSN Hematological and Oncological Nursing 3

Question 1

A patient with chronic lymphocytic leukemia (CLL) is prescribed oral chlorambucil. What priority teaching should the nurse provide?

Accepted Answer

Monitor for signs of infection due to immunosuppression

Answer

Chlorambucil is an alkylating agent that suppresses bone marrow, causing leukopenia; patients must recognize infection signs promptly as they are immunocompromised.

Question 2

Which nursing intervention is MOST important for a patient receiving a packed red blood cell (PRBC) transfusion?

Accepted Answer

Verify the blood type and unit ID with another licensed nurse at the bedside before starting

Answer

Two-nurse verification of blood product identification, patient identity, and compatibility data at the bedside is the critical safety check that prevents hemolytic transfusion reactions.

Question 3

A patient with hemophilia A is scheduled for surgery. Which factor replacement therapy would the nurse anticipate administering?

Accepted Answer

Factor VIII concentrate

Answer

Hemophilia A is caused by a deficiency of Factor VIII; replacement therapy with Factor VIII concentrate is required before and after surgical procedures.

Question 4

A patient receiving radiation therapy to the abdomen reports severe diarrhea and rectal bleeding. Which nursing action is the PRIORITY?

Accepted Answer

Assess the frequency, character, and volume of stool and notify the provider

Answer

Rectal bleeding and severe diarrhea during abdominal radiation can indicate bowel injury requiring prompt provider notification and assessment before interventions are initiated.

Question 5

Which patient with anemia requires the MOST urgent assessment by the nurse?

Accepted Answer

A patient with hemoglobin of 7.2 g/dL who reports chest pain and dyspnea at rest

Answer

Chest pain and dyspnea at rest with a hemoglobin of 7.2 g/dL indicates severe anemia with cardiopulmonary compromise requiring immediate intervention.

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN Hematological and Oncological Nursing 3