AMSN Hematological and Oncological Nursing

Question 1

A patient receiving chemotherapy develops a neutrophil count of 400 cells/mm³. Which intervention is the HIGHEST priority?

Accepted Answer

Initiate neutropenic precautions and reverse isolation

Answer

A neutrophil count below 500 cells/mm³ indicates severe neutropenia, and reverse isolation (protective precautions) is the priority to prevent life-threatening infection.

Question 2

Which assessment finding is MOST consistent with a patient experiencing sickle cell crisis?

Accepted Answer

Severe localized bone pain and fever

Answer

Vaso-occlusive (painful) sickle cell crisis causes severe bone and joint pain due to microvascular obstruction, often accompanied by fever.

Question 3

A nurse is caring for a patient with thrombocytopenia (platelet count 18,000/mm³). Which action should the nurse AVOID?

Accepted Answer

Administering aspirin for headache

Answer

Aspirin inhibits platelet aggregation and is contraindicated in thrombocytopenia because it further increases the risk of serious bleeding.

Question 4

A patient is receiving a blood transfusion and develops chills, fever, and back pain 15 minutes after initiation. What is the FIRST nursing action?

Accepted Answer

Stop the transfusion and keep the IV line open with normal saline

Answer

Stopping the transfusion immediately while maintaining IV access with normal saline is the priority to prevent further exposure to incompatible blood products.

Question 5

Which laboratory value requires IMMEDIATE intervention in a patient with multiple myeloma?

Accepted Answer

Serum calcium 13.8 mg/dL

Answer

A serum calcium of 13.8 mg/dL indicates hypercalcemia, a serious complication of multiple myeloma that can cause cardiac dysrhythmias, altered mental status, and renal failure.

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN Hematological and Oncological Nursing