Neoplastic/Immune/Hematology Quiz

2, 3, 4

A patient has aplastic anemia. The nurse assesses which diagnostic test results? Select all that apply. 1 D-dimer assay 2 hemoglobin/hematocrit 3 WBCs 4 platelets 5 B-type natriuretic peptide 6 prothrombin time

2

A pathology report of a patient with prostate cancer who underwent prostate surgery shows moderately differentiated cancer cells, indicating that some cells have retained some of the characteristics of normal cells, and many others have more malignant characteristics. Based on this finding, the nurse expects documentation of which malignancy grade? 1 G1 2 G2 3 G3

3, 5

A patient diagnosed with leukemia has developed an infection. Which response would the nurse give the patient about the reason for the infection? Select all that apply. 1 impaired immune functions are not associated with bone marrow cancer 2 impaired immune functions are usually associated with other cancers 3 impaired blood producing functions occur most often in patients with leukemia 4 impaired blood producing functions rarely occur in patients with leukemia 5 impaired immune function occurs most often in patients with leukemia

2

A patient who has undergone stem cell transplantation develops graft-versus-host disease (GVHD) and is prescribed cyclosporine. The nurse teaches the patient that this drug is given for what purpose? 1 wipe out remaining host cells by myeloablation 2 inhibit immune activity of donor T-cells 3 prevent host cells from attacking donor cells 4 facilitate engraftment of donor cells

4, 5

A patient with small cell lung cancer is receiving radiation therapy. Which finding indicates a positive outcome of treatment? Select all that apply. 1 decreased RBC count 2 increased WBC count 3 decreased glucose levels 4 increased uric acid levels 5 increased potassium levels

4

Abnormal functioning of which body system is responsible for the signs and symptoms of HIV infection? 1 respiratory 2 cardiovascular 3 GI 4 immune

2

An African-American patient taking a thiazide diuretic develops hemolytic anemia. The nurse notifies the health care provider and anticipates an order to test this patient for which type of anemia? 1 immunohemolytic 2 G6PD deficiency 3 iron deficiency 4 sickle cell disease

4, 5

For a patient with an excessive immune response, which clinical manifestation would the patient experience more than a patient with a decreased immune response? Select all that apply. 1 chemotherapy 2 infections 3 drug therapy 4 allergies 5 autoimmune diseases

1

How are malignant tumor cells that are graded G1 characterized? 1 closely resemble cells from which they were produced 2 poorly differentiated, but origin can be established 3 moderately differentiated 4 do not retain any feature of original cell

4

The nurse is reinforcing information about genetic counseling to a patient with sickle cell disease who has a healthy spouse. Which statement should the nurse include? 1 children will have disease but grandchildren will not 2 sickle cell disease will be inherited by your children 3 children will not have the disease but your grandchildren could 4 sickle cell trait will be inherited by your children

3

The patient with which condition is at increased risk for developing cancer later in life? 1 sickle cell disease 2 polycythemia secondary to COPD 3 myelodysplastic syndromes 4 pernicious anemia

????

Which clinical manifestation is associated with sickle cell crisis in a patient with sickle cell disease? Select all that apply 1 bradycardia 2 dyspnea 3 pallor 4 jaundice 5 joint pain 6 low iron levels

4

Which condition is a risk for a patient who has undergone a splenectomy? 1 dysrhythmia 2 anemia 3 HTN 4 sepsis

2

Which event occurs in a type II hypersensitivity reaction? 1 sensitized t-cell react with antigen and release lymphokines 2 IgG antibody reacts with host cell membrane 3 autoantibodies react with normal cell-surface receptors 4 IgE antibody reacts on mast cells with antigen

1

Which is an example of a type I hypersensitivity reaction? 1 angioedema 2 poison ivy skin rashes 3 immune hemolytic anemia 4 rheumatoid arthritis

2

Which laboratory changes are most likely in a patient whose immune system is being overwhelmed by the human immune deficiency virus (HIV)? 1 CD4+ T-cell counts and viral numbers fall 2 CD4+ T-cell counts fall, viral numbers rise 3 CD4+ T-cell counts and viral numbers rise 4 CD4+ T-cell counts rise, viral numbers fall

4

Which patient does the nurse assign as a roommate to the patient with aplastic anemia? 1 23 yo with sickle cell diseases with 2 draining leg ulcers 2 34 yo with idiopathic thrombocytopenia who is taking steroids 3 30 yo with leukemia receiving induction chemotherapy 4 28 yo with G6PD anemia who is receiving mannitol

4

Which statement describes the mechanism by which chemotherapy can cure and increase survival time in individuals with cancer? 1 metastatic areas of cancer are difficult for chemotherapy to penetrate effectively 2 slow-growing tumors are most sensitive to the DNA damage caused by chemo agents 3 most chemotherapy agents have a special affinity for cancer cells 4 killing effect on cancer cells is related to ability to damage DNA and interfere with cell division

????

Which statement indicates the need for further teaching about malignant cells? 1 cancer cell does not respond to apoptotic signals b/c it contains fibronectin protein 2 cancer cell becomes smaller and rounded as it becomes more malignant 3 nucleus occupies much of the space in the cancer cell 4 chromosomes of the cancer cell are lost, gained, or broken 5 cancer cells grow in the wrong place by hyper plastic expansion

1

Which type of hypersensitivity occurs when a patient received the wrong blood type during a transfusion, leading to a hemolytic transfusion reaction? 1 cytotoxic reactions 2 immune complex reactions 3 rapid hypersensitivity reactions 4 delayed hypersensitivity reactions