A patient with multiple myeloma is producing immunoglobulin fragments called Bence Jones proteins. Which organ should the nurse most closely monitor?
a) Liver
b) Kidneys
c) Pancreas
d) Spleen

b) Kidneys

Which concept should the nurse include when describing the pathophysiology of thrombotic thrombocytopenic purport?
a) Lytic lesions
b) Schizocytes/Schistocytes
c) Macrocytic
d) Hyperchromic

b) Schizocytes/Schistocytes

Which symptoms should the nurse assess for in a patient with Hodgkin lymphoma?
a) Headache, visual changes, and hearing loss
b) Night sweats, low-grade fevers, and weight loss
c) Hypertension, tachycardia, and chest pain
d) Hematuria, flank pain, and asci

b) Night sweats, low-grade fevers, and weight loss

A nurse is to describe the primary transmission route of the virus that causes infectious mononucleosis. What is the nurses best response?
a) Skin to skin contact
b) Transfer of saliva through close personal contact
c) Contamination of public drinking wat

b) Transfer of saliva through close personal contact

A primary care provider tells the nurse that a patient has a shift to the left or left shift. Which type of patient will the nurse be caring for? One with a:
a) fluid shift
b) heart disease
c) bacterial infection
d) liver condition

c) bacterial infection

A patient has lymphoblastic lymphoma. Which organ is most affected?
a) Thymus
b) Thyroid
c) Lungs
d) Liver

a) Thymus

Which assessment finding is typical in a patient with multiple myeloma (MM)?
a) Hypercalcemia
b) Heart failure
c) Mouth lesions
d) Jaundice

a) Hypercalcemia

A patient has acute leukemia. A nurse recalls the cell most affected by this disease is a:
a) mature cell
b) blast cell
c) differentiated cell
d) hypochromic cell

b) blast cell

A patient asks a nurse what a moving clot is called. How should the nurse respond? It is called:
a) an embolus
b) a thrombus
c) thrombophlebitis
d) pica

b) an embolus

A patient has mononucleosis and asks the nurse which virus causes this disease. How should the nurse respond?
a) Influenza virus
b) Human immunodeficiency virus
c) Epstein-Barr virus
d) Staphylococcus aureus

c) Epstein-Barr virus

What term should the nurse use to describe a leukocyte count that is higher than normal?
a) Leukocytosis
b) Leukemia
c) Leukopenia
d) Hemostasis

a) Leukocytosis

A nurse notices on the chart that the medical diagnosis is lymphoblastic lymphoma. The nurse will most likely provide care to:
a) an elderly male
b) a child
c) a middle-aged woman
d) a newborn

b) a child

A nurse recalls leukemia is classified as:
a) differentiated or undifferentiated
b) benign or malignant
c) proliferative or nonproliferative
d) acute or chronic

d) acute or chronic

A nurse is describing the pathophysiology of chronic myelogenous leukemia (CML). Which concept should the nurse include?
a) Reed-Sternberg cells
b) Philadelphia chromosome
c) Epstein-Barr virus
d) Bence-Jones protein

b) Philadelphia chromosome

A patient has hypersplenism. How should the nurse explain this to the patient?
a) The spleen is small
b) The spleen is encapsulated
c) The spleen is overacting
d) The spleen is removed

c) The spleen is overacting

Which information should the nurse include when describing the pathophysiology of disseminated intravascular coagulation (DIC)?
a) Clotting and hemorrhaging occur
b) Increased levels of protein C contribute to diffuse clotting
c) Excessive deletion of tis

a) Clotting and hemorrhaging occur

Which statement indicates the nurse needs more instruction regarding Virchow triad? One of the factors associated with Virchow triad is:
a) venous stasis
b) endothelial injury
c) increased heparin levels
d) hypercoagulability

c) increased heparin levels

A patient asks the nurse what is the treatment for multiple myeloma? How should the nurse respond?
a) anticoagulants
b) antibiotics
c) chemotherapy
d) chelation

c) chemotherapy

Which statement by the patient indicates more teaching is needed regarding leukemia?
a) Leukemic cells crowd out the other cells in the bone marrow
b) There is an inherited susceptibility to leukemia-causing mutagens
c) Several translocations are observed

d) Leukemic cells function as normal white blood cells

A nurse is describing characteristics of non-Hodgkin lymphoma (NHL). Which information should the nurse include?
a) NHL will often spread to the nasopharynx, gastrointestinal tract, and bone.
b) NHL remains localized in one set of lymph nodes.
c) NHL usua

a) NHL will often spread to the nasopharynx, gastrointestinal tract, and bone.

When reviewing the history of a patient with disseminated intravascular coagulation (DIC), which finding is significant?
a) overweight
b) smoked for 20 years
c) had migraine headaches
d) admitted with sepsis

d) admitted with sepsis

Which information should the nurse include when discussing vitamin K and hemostasis?
a) Oral vitamin K is the treatment of choice for impaired hemostasis.
b) Vitamin K is required for prothrombin synthesis.
c) Lack of vitamin K can lead to excessive clott

b) Vitamin K is required for prothrombin synthesis.

Which assessment finding is typical in a patient with essential thrombocythemia (ET)?
a) facial mass around the jaw
b) bone pain
c) enlarged lymph nodes in the neck
d) decreased perfusion to the extremities

d) decreased perfusion to the extremities

A nurse recalls consumptive thrombohemorrhagic disorder is commonly called _______________ in the clinical area.

Disseminated intravascular coagulation (DIC)

When a nurse observes a platelet count of 9,000/mm3, which condition must the nurse monitor for in this patient?

Spontaneous bleeding

Which of the following group of symptoms would lead the nurse to suspect a pediatric patient has idiopathic thrombocytopenic purpura (ITP)?

Epitaxis, gum bleeding, and petechiae

A patient has a thrombosis. While reviewing the history, the nurse found the patient has atherosclerosis. Which component of Virchow triad does the atherosclerosis correlate?

Endothelial injury

Which of the following assessment findings are typical in a patient with infectious mononucleosis?

Fatigue and enlarged cervical lymph nodes

A patient has acute leukemia and develops anemia. Which assessment findings are supportive of the diagnosis for anemia?

Fatigue, dizziness, pallor

A patient has Hodgkin lymphoma. Which initial clinical manifestation should the nurse assess for in this patient?

Lymphadenopathy

Which statement indicates an adolescent patient understands the discharge teaching for infectious mononucleosis?

I will avoid strenuous activity

Which information indicates the nurse has a good understanding of the important difference between acute and chronic leukemias?

In chronic leukemia the cancerous cells are more differentiated than in acute leukemia.

Which statement indicates the nurse has a good understanding of hemophilia? Hemophilia is caused by:

an inherited clotting factor deficiency

A patient develops heparin-induced thrombocytopenia (HIT). Which principle should the nurse use to provide care? In these types of patients, the administration of heparin induces:

platelet aggregation and thrombus formation

A patient has an increase in the production of neutrophils in response to an infection. What term should the nurse use to describe this response?

Neutrophilia

Which vitamin deficiency will cause the patient to have decreased clotting capabilities and increased risk of bleeding?

K

While reviewing lab results a nurse finds a patient with a neutrophil count of 1900/mm3. What term will the nurse use to describe this finding?

Neutropenia

Which of the following terms can the nurse use to describe thrombocythemia?

Thrombocytosis

Symptoms that a nurse will typically observe in a patient with acute myelogenous leukemia (AML) include:

ecchymosis and petechiae

A nurse is discussing the pathophysiology of immune/idiopathic thrombocytopenic purpura. Which information should the nurse include?

The IgG autoantibody mediated complex attacks platelet glycoproteins

A nurse is asked why patients with liver disease have bleeding problems. What is the nurses best answer? The bleeding problems are caused from:

thrombocytopenia and abnormal platelet functioning.

A patient has basophilia. What does the nurse suspect the patient is experiencing?

An allergic response

Which lab result will be elevated in a patient with disseminated intravascular coagulation (DIC)?

Fibrin degradation products

A patient has non-Hodgkin lymphoma (NHL). When the nurse is reviewing the history, which finding is a risk factor for NHL?

Organ transplant 2 years ago

A patient has multiple myeloma. Which area in the body does the nurse closely monitor for the tumor masses?

Bones

A patient has acquired immunodeficiency syndrome (AIDS). Which lab report should the nurse monitor closely in this patient

Lymphocyte counts

A patient has lymphoblastic lymphoma. Which cell is most affected?

T cells

When the nurse is reviewing lab reports, which finding is typical of a patient experiencing thrombocythemia?

Increased platelet count

Which concept should the nurse include when describing the pathophysiology of multiple myeloma?

M protein

A nurse is checking lab results and notices that a relatively healthy patient has a platelet count of 610,000/mm3. Which diagnosis will the nurse observe documented on the chart?

Essential thrombocythemia

Which concept should the nurse include when describing the pathophysiology of Hodgkin lymphoma?

Reed-Sternberg cells

A patient has heparin induced thrombocytopenia (HIT). What should the nurse assess for in this patient?

Pulmonary embolism

A patient with multiple myeloma is in the end stages and has had a relapse after chemotherapy. Which drug should the nurse be prepared to administer?

Thalidomide

When the nurse is asked which type of impaired clotting problem is inherited, how should the nurse respond?

Hemophilia

A patient is admitted with acute lymphocytic leukemia (ALL). The nurse is most likely providing care to a:

Child

A patient has agranulocytosis. Which of the following conditions should the nurse monitor for in this patient?

Infection

A nurse is describing the pathophysiology of thrombotic thrombocytopenic purpura (TTP). Which information should the nurse include? ITP involves:

a microangiopathic condition with platelet aggregation.

A nurse suspects the patient is experiencing disseminated intravascular coagulation (DIC). Which lab should the nurse check?

D-dimer

A nurse is discussing the lymphoma that is associated with Epstein-Barr virus infection and most commonly occurs in Africa. Which lymphoma is the nurse describing?

Burkitt lymphoma

In addition to a reduced platelet count, what other problem should the nurse monitor for in a patient with thrombotic thrombocytopenic purpura (TTP)?

Tissue ischemia

A patient has heparin induced thrombocytopenia (HIT). Which drug should the nurse get ready to administer?

Lepirudin

A patient has hypersplenism. Which of the following lab results will the nurse observe that is typical for this disease?

Decreased platelets

A patient has infectious mononucleosis, which immune cell is most affected?

B lymphocytes

If a patient has lymphocytosis, which of the following types of infection does the nurse suspect the patient is experiencing?

Viral infection

A nurse is teaching the staff about granulocytes. Which type of cell is the nurse describing?

Basophils

The nurse discovers a patient has a low platelet count. Which term should the nurse use to describe this finding?

Thrombocytopenia

When a nurse is asked what causes idiopathic thrombocytopenic purpura (ITP), what is the nurse's best response? ITP is caused by:

antibody destruction of platelets in the spleen.

Following a splenectomy, the nurse must monitor this patient who has a higher risk of:

Acquiring infections

A patient has eosinophilia. Which of the following conditions does the nurse suspect the patient is experiencing?

Parasitic infections

A nurse is describing white blood cells. Which term should the nurse use when discussing white blood cells?

Leukocytes

Which of the following information should the nurse include when discussing white blood cells?

Leukopenia is never normal

Which patient should the nurse assess first? A patient with:

thrombotic thrombocytopenic purpura.