The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?

The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be

A client with a stroke is being evaluated for fibrinolytic therapy. What information from the client or family is most important for the nurse to obtain?

A client had an embolectomy for an arteriovenous malformation (AVM). The client is now reporting a severe headache and has vomited. What action by the nurse takes priority?

A student nurse is preparing morning medications for a client who had a stroke. The student plans to hold the docusate sodium (Colace) because the client had a large stool earlier. What action by the supervising nurse is best?

A client experiences impaired swallowing after a stroke and has worked with speech-language pathology on eating. What nursing assessment best indicates that a priority goal for this problem has been met?

A nurse assesses a client with the National Institutes of Health (NIH) Stroke Scale and determines the client’s score to be 36. How should the nurse plan care for this client?

After a stroke, a client has ataxia. What intervention is most appropriate to include on the client’s plan of care?

The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer?

While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?

The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?

In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?

A female patient complains of a “scab that just won’t heal” under her left breast. During your conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to allergies. What are the nurse’s next steps?

A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. The client is afebrile. The health care provider orders a chest x-ray. The family member questions why this is needed since the manifestations seem so vague. What response by the nurse is best?

A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?

A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personnel (UAP)?

A nurse has educated a client on isoniazid (INH). What statement by the client indicates teaching has been effective?

A client has been hospitalized with tuberculosis (TB). The client’s spouse is fearful of entering the room where the client is in isolation and refuses to visit. What action by the nurse is best?

Skin testing for tuberculosis (the Mantoux test) is recommended:

A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin is:

Which statement most accurately describes the pathologic changes of sickle cell anemia?

Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?

A school-age child is admitted in vaso-occlusive sickle cell crisis. The child’s care should include:

The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse should explain that narcotic analgesics:

What is most descriptive of the pathophysiology of leukemia?

A boy with leukemia screams whenever he needs to be turned or moved. The most probable cause of this pain is:

Myelosuppression associated with chemotherapeutic agents or some malignancies such as leukemia can cause bleeding tendencies because of a/an:

A young boy will receive a bone marrow transplant (BMT). This is possible because one of his older siblings is a histocompatible donor. This type of BMT is termed:

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. The most appropriate nursing action to prevent or minimize these reactions with subsequent treatments is to:

The nurse is preparing a child for possible alopecia from chemotherapy. Which suggestion should be included in the teaching?

A common clinical manifestation of Hodgkin’s disease is:

Which immunization should not be given to a child receiving chemotherapy for cancer?

The nurse is administering an intravenous chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which is the most appropriate nursing action?

A young child with leukemia has anorexia and severe stomatitis. The nurse should suggest that the parents try which intervention?

A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?

A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?

The assigned nurse prepares a nursing home unit for a client diagnosed with a cerebrovascular accident resulting in right-sided paralysis. Which action by the nurse is MOST appropriate?

A woman brings her elderly husband to the outpatient clinic because he has become increasingly weak and confused. She states that he complains of headache and nausea. Which of the following statements by the nurse is BEST?

The nurse counsels a client diagnosed with hypertension about how best to reduce the client's risk for developing a cerebrovascular accident (CVA). It is MOST important for the nurse to includde which of the following statements?

The nurse receives a phone call from a client diagnosed with thrombocytopenia reporting, "I banged my elbow on the door." Which of the following instructions, if given by the nurse to the client is MOST important?

The nurse performs discharge teaching for a client diagnosed with small cell lung cancer (SCLC)with metastases to the thoracic vertebrae. Which of the following statements by the client indicates to the nurse further teaching is needed?

The nurse cares for a client receiving cisplatin (Platinol-AQ). It is MOST important for the nurse to follow up on which of the following client statements?

The nurse assesses a client receiving cyclophosphamide (Cytoxan). It is MOST ilmportant for the nurse to ask which of the following questions?

A client diagnosed with a bacterial infection has a know allergy to penicillin and sulfa. Which of the following medications, if ordered by the physician, should the nurse question?

A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?

A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?

A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most important?

A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client’s oral chemotherapy medications. What action by the nurse is most appropriate?

The nurse working with oncology clients understands that which age-related change increases the older client’s susceptibility to infection during chemotherapy?

After receiving the hand-off report, which client should the oncology nurse see first?

A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate?

A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the nurse prepare to administer?

A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?

A client is receiving rituximab (Rituxan) and asks how it works. What response by the nurse is best?

A nurse is assessing a female client who is taking progestins. What assessment finding requires the nurse to notify the provider immediately?

A client with a history of prostate cancer is in the clinic and reports new onset of severe low back pain. What action by the nurse is most important?

The nurse has taught a client with cancer ways to prevent infection. What statement by the client indicates that more teaching is needed?

A client has received a dose of ondansetron (Zofran) for nausea. What action by the nurse is most important?

A nurse works on an oncology unit and delegates personal hygiene to an unlicensed assistive personnel (UAP). What action by the UAP requires intervention from the nurse?

A client with cancer has anorexia and mucositis, and is losing weight. The client’s family members continually bring favorite foods to the client and are distressed when the client won’t eat them. What action by the nurse is best?

The nurse is preparing a 45-year-old client for discharge from a cancer center following ileostomy surgery for colon cancer. Which discharge goal should the nurse include in this client's discharge plan?

A client is being discharged following radioactive seed implantation for prostate cancer. What is the most important information that the nurse should provide to this client's family?

What statement indicates that the client understands teaching about neutropenia?

Which biologic characteristic is specific to normal differentiated adult cells but not to cancer cells?

A client states that his tumor is benign and does not need to be removed. What is the nurse’s best response?

Which comment made by a client with cancer indicates a need for clarification regarding cancer causes and prevention?

A client has known colon cancer and has been admitted for abdominal pain and jaundice. A computed tomography (CT) scan reveals tumors in the client’s liver. The client is distraught and says, “So now I have liver cancer too?” Which response by the nurse is most appropriate?

The nurse correlates “initiation” in cancer development with which action?

The middle-aged client with lung cancer asks whether his adult children are at increased risk for cancer. What is the nurse’s best response?

When caring for the patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes,

Components of the GCS the nurse would use to assess a patient after a head injury include

The nurse is working on a plan of care with her patient which includes turning and positioning and adequate nutrition to help the patient maintain intact skin integrity. The nurse helps the patient to realize that this breaks the chain of infection by eliminating a

An adult with lymphocytic leukemia is admitted to the hospital for treatment of hemolytic anemia. Which of the following measures, if incorporated into the nursing care plan, BEST addresses the patient's needs?

A woman with cervical cancer has an internal radiation implant in place. The nurse should intervene if the LVN/LPN is observed performing which of the following actions?

The nurse performs an assessment on a client admitted to the medical-surgical unit with a diagnosis of terminal cancer.The client relates to the nurse that he is short of breath, has no appetite, and "hurts everywhere". Which of the following statements by the nurse is BEST?

The nurse in the oncology clinic receives 4 phone messages. Which of the following clients should the nurse call FIRST?

A registered nurse from the postpartum unit is assigned to care for clients on the oncology unit for an absent nurse. Which of the following assignments is MOST appropriate for the postpartum unit nurse?