All NCLEX Resources
Example Questions
Example Question #841 : Nclex
Nathan received chemotherapy 24 hours ago. You instruct Nathan to __________.
clean soiled areas three or more times using bleach
wear gloves when preparing foods
only drink bottled water for 48 hours
Throw away soiled sheets for 48 hours
flush the toilet twice after going to the bathroom
flush the toilet twice after going to the bathroom
People receiving chemotherapy should flush the toilet twice after use for at least 48 hours to avoid exposing anybody else to the byproducts of the chemotherapy drugs. Wearing gloves when preparing foods, throwing away linens, using excessive bleach, and drinking bottled water are not necessary and do not significantly reduce risk to others.
Example Question #842 : Nclex
Identify the chemotherapeutic agent.
Gabapentin
Levofloxacin
Furosemide
Lamotrigine
Methotrexate
Methotrexate
Methotrexate is a chemotherapeutic agent. Levofloxacin is an antibiotic, lamotrigine is a mood stabilizer, gabapentin is an anti-epileptic agent, and furosemide is a diuretic.
Example Question #842 : Nclex
The oncology nurse cares for a patient receiving internal radiation treatment for cancer. Which of the following scenarios most concerns the nurse?
The physician performs a physical assessment for 10 minutes.
The charge nurse asks providers if they are pregnant before assigning them to this patient’s care.
The nursing student stands away from the patient while talking to him.
The nursing assistant provides care in the patient’s room for 2 hours during the 8-hour shift.
The patient complains about remaining on bedrest and asks to stand up.
The nursing assistant provides care in the patient’s room for 2 hours during the 8-hour shift.
When caring for a patient receiving internal radiation, the length of exposure to the radiation is a high priority for the nurse. It is important to rotate staff who care for the patient, limiting close contact to 30 minutes per 8 hour shift. Additionally, it is important to organize tasks so limited time is spent in the client’s room. Visitors must also be limited. Pregnant women should not be assigned to work with this client. The patient must be on bedrest while sealed sources of radiation are placed. It is also important not to stand close to the radioactive source.
Example Question #843 : Nclex
Which of the following is not a proven risk-factor for the development of oral cancer?
Tobacco product use.
Human Papillomavirus (HPV)
Regular use of alcohol-containing mouthwash.
A diet with inadequate amounts of fruits and vegetables.
Excessive alcohol consumption.
Regular use of alcohol-containing mouthwash.
All of the above are proven risk factors with the exception of mouthwash use. Poor dental care, prolonged present irritation (such as excessive flossing), tobacco and alcohol use, infection with certain strains of HPV, and an unbalanced diet can increase the risk of oral cancer.
Example Question #843 : Nclex
Which leukemia is linked to the Philadelphia chromosome?
Chronic lymphocytic leukemia (CLL)
Acute myelogenous leukemia (AML)
Chronic myelogenous leukemia (CML)
Acute lymphocytic leukemia (ALL)
Chronic myelogenous leukemia (CML)
The Philadelphia chromosome, which is an abnormality in chromosome 22, is most often found in bone marrow cells of patients with chronic myelogenous leukemia. It may also occasionally be found in acute lymphocytic leukemia, though this is rare.
Example Question #41 : Conditions And Treatments
Reed-Sternberg cells are pathognomonic in what type of cancer?
Acute lymphocytic leukemia
Non-Hodgkin's lymphoma
Hodgkin's lymphoma
Acute myeloblastic leukemia
Hodgkin's lymphoma
Reed-Sternberg cells are the pathognomonic cells of Hodgkin's lymphoma. These are mutated multinucleated B cells with a large amount of cytoplasm. These cells can be present in other pathologies - the diagnosis of Hodgkin's lymphoma can only be made if the Reed-Sternberg cells are in the presence of non-neoplastic inflammatory cells such as lymphocytes, plasma cells, and eosinophils.
Example Question #42 : Tumors And Cancer
What protein is found in the urine of patients with multiple myeloma?
Bence-Jones protein
Tau 64
Albumin
Alpha-synuclein
Bence-Jones protein
Bence-Jones proteins are present in the urine of over 60% of multiple myeloma patients.Albumin may be present in the urine of these patients, but it is not pathognomonic for multiple myeloma. Alpha-synuclein is associated with neurodegenerative conditions, and tau 64 is a protein present in the neurons of patients with Alzheimer's disease.
Example Question #42 : Conditions And Treatments
What is the most common symptom of Hodgkin's lymphoma?
Prolonged enlargement of one or more lymph nodes
Fatigue and weight loss
Easy bruising
Bone pain
Prolonged enlargement of one or more lymph nodes
The most common symptom of Hodgkin's lymphoma is the painless enlargement of one or more lymph nodes.
Unexplained weight loss and fatigue may also be present, but are more likely to present later than lymph node enlargement. Bone pain and easy bruising are not typically seen.
Example Question #43 : Conditions And Treatments
What tumor antigen will be elevated in prostate cancer?
Alpha-fetoprotein (AFP)
Prostate specific antigen (PSA)
Cancer antigen 125 (CA 125)
Tyrosinase
Prostate specific antigen (PSA)
In prostate cancer, patients will have elevated levels of prostate specific antigen (PSA). Cancer antigen 125 (CA 125) is elevated in ovarian cancer, alpha-fetoprotein (AFP) is elevated in hepatocellular carcinoma, and tyrosinase is an enzyme that is often highly elevated in malignant melanoma.
Example Question #45 : Tumors And Cancer
The oncology nurse cares for a patient who has been newly diagnosed with leukemia. Which of the following sets of symptoms would the nurse not expect during the initial physical assessment?
Headache, ecchymosis, retinal hemorrhages
Mouth ulcers, low leukocyte count, weakness
Throat ulcers, pneumonia, anemia
Lethargy, bleeding gums, petechiae
Weight gain, high red blood cell count, flushing
Weight gain, high red blood cell count, flushing
Leukemia is a cancer of white blood cells, limiting the ability of the body to fight infection. Patients with leukemia exhibit altered leukocyte counts (less than ), as well as ulcerations of the mouth and throat, pneumonia, septicemia, anemia, fatigue, lethargy, weakness, pallor, weight loss, headache, disorientation, and forms of bleeding, including bleeding gums, ecchymosis, petechiae, and retinal hemorrhaging. Patients with leukemia do not usually exhibit weight gain (usually loss), high red blood cell counts (usually anemic), and flushing (usually pallor).