Chapter 24 Pathophysiology NCLEX-Style Review Questions

While taking a history on a pediatric client who appears to have Burkitt lymphoma, which question to the client and/or the family is likely to correlate with this diagnosis? -"Have you kissed someone with known HIV infection?" -"Have you recently traveled to Asia or eastern Europe?" -"How long have you had swollen joints and painful walking?" -"Have you recently been diagnosed with Epstein-Barr virus (EBV)?"

"Have you recently been diagnosed with Epstein-Barr virus (EBV)?"

The nurse is caring for a client with chronic myelogenous leukemia (CML) and notes that the client has splenomegaly and an increased basophil count as well as night sweats, bone pain, and a low grade fever. The nurse interprets the symptoms as indicating that the client is in which phase of the clinical course of CML? -Remissive -Accelerated -Terminal -Chronic

Accelerated

A client diagnosed with systemic lupus erythematosus (SLE) has been experiencing a low neutrophil count. How would this type of neutropenia be classified? -Congenital, cyclic neutropenia -Acquired, drug-related neutropenia -Acquired, autoimmune secondary neutropenia -Congenital, alloimmune neonatal neutropenia

Acquired, autoimmune secondary neutropenia

Which client is most likely to have a workup to rule out Hodgkin lymphoma? -Female client reporting bloating and excess fluid edema in the ankles -Male client reporting trouble starting the urine stream -Adult client reporting sore throat and enlarged glands in the neck -Adult client concerned about an enlarged lymph node in the axilla

Adult client concerned about an enlarged lymph node in the axilla

What is the first symptom of multiple myeloma that a client typically presents with on a visit to the primary care provider? -Hypercalcemia -Pathologic fractures -Bone pain -Kidney failure

Bone pain

Which clinical manifestations are associated with acute leukemia? Select all that apply. -Bone pain -Fever -Bleeding gums -Purulent rash -Epistaxis

Bone pain, Fever, Bleeding gums, Epistaxis

Which types of leukemias originate from the B cells? Select all that apply. -Chronic myelogenous leukemia -Chronic lymphocytic leukemia -Acute myelogenous leukemia -Acute lymphocytic leukemia

Chronic lymphocytic leukemia, Acute lymphocytic leukemia

In which conditions are Bence Jones proteins not found in the lab analysis? Select all that apply. -Chronic lymphocytic leukemia -Multiple myeloma -Chronic myelogenous leukemia -Hodgkin lymphoma

Chronic lymphocytic leukemia, Chronic myelogenous leukemia, Hodgkin lymphoma

A 16-year-old boy has enlarged lymph nodes and a sore throat. His girlfriend was recently diagnosed with infectious mononucleosis. While educating this teenager, the nurse emphasizes that infectious mononucleosis is caused by which pathogen and usually transmitted via: -T-cell infection; plasma -Heterophil antibodies; blood -Epstein-Barr virus; saliva -Bacterial infection; monocytes

Epstein-Barr virus; saliva

Which therapies are part of the treatment for acute lymphocytic leukemia (ALL)? Select all that apply. -Consolidation -Induction -Maintenance -Intensification

Induction, Maintenance, Intensification

A 26-year-old female client has a neutrophil count of 750/μL (0.75 x 109/L). Which description best correlates with the neutrophil count? -Severe neutropenia -Mild neutropenia -Moderate neutropenia -Normal neutrophil count

Moderate neutropenia

A client's history and physical documents the presence of an indolent lymphoma. The nurse plans care for which type of lymphoma? -Slow-growing -Encapsulated -Diffuse -Aggressive

Slow-growing

When assessing the mouth of a client receiving chemotherapy, which of the following should the nurse interpret as a possible indicator of neutropenia? -Stomatitis -Blue-tinged lips -Beefy red tongue -Dry mucous membranes

Stomatitis

The student is studying the body's lymphatic system. Which of the following is true of this system? -B and T lymphocytes complete the differentiation process in the bone marrow. -T lymphocytes travel to the thymus to complete the differentiation process. -B lymphocytes leave the bone marrow and differentiate into CD4+ cells. -The lymphatic system includes lymphoid tissue, the thymus, spleen, and thyroid gland.

T lymphocytes travel to the thymus to complete the differentiation process.

The nurse is admitting a client who is documented to be in the terminal blast crisis phase of chronic myelogenous leukemia (CML). What interpretation should the nurse make, given this information? -The CML has evolved to acute leukemia. -The CML is indolent. -The CML is in remission. -The CML has evolved to chronic lymphocytic leukemia.

The CML has evolved to acute leukemia.

What is the reason why bed rest and analgesics are expected treatments for infectious mononucleosis? -To eliminate the causative organism -To relieve fever, headache, and sore throat -To increase the white blood count -To decrease the risk of neutropenia

To relieve fever, headache, and sore throat

The nurse is conducting the initial assessment on a client with newly diagnosed Hodgkin lymphoma. Which symptoms should the nurse interpret as manifestation of the disease process? Select all that apply. -Weight loss -Night sweats -Tinnitus -Acute renal failure -Pruritus

Weight loss, Night sweats, Pruritus

The nurse evaluating the blood work of a client with chronic lymphocytic leukemia (CLL) notes the following: white blood count 22,000/μL (22 x 109/L); lymphocytes 90% (0.90); and hemoglobin 6 g/dL (60 g/L). The nurse should: -communicate to the physician an unexpected high white blood cell count. -note the results as expected in a client with CLL. -communicate to the physician an unexpected low hemoglobin. -communicate to the physician an unexpected high percentage of lymphoctyes.

communicate to the physician an unexpected low hemoglobin.

The pathologist notes that the client has Reed-Sternberg cells. He knows that these cells are a diagnostic hallmark for which disorder? -Burkitt lymphoma -Follicular lymphoma -Hodgkin lymphoma -Non-Hodgkin lymphoma

Hodgkin lymphoma

The nurse conducting a community education program on mononucleosis determines the participants are understanding the information when they make which statement? Select all that apply. -It is spread by contact with blood. -It occurs mostly in young children. -It is caused by the Epstein-Barr virus. -It is a self-limiting disorder.

It is caused by the Epstein-Barr virus, It is a self-limiting disorder.