• During the teaching session for a patient who has a new diagnosis of acute leukemia, the patient is restless
and looks away without making eye contact. The patient asks the nurse to repeat the information about the
complications associated with chemotherapy. Based on this assessment, which patient problem should the
nurse identify?
• Denial
• Anxiety
• confusion
• Ineffective adherence to treatment
• Anxiety
• The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?
• A 35-yr-old patient who has wet desquamation associated with
abdominal radiation
• A 42-yr-old patient who is sobbing after receiving a new diagnosis of
ovarian cancer
• A 24-yr-old patient who received neck radiation and has blood oozing
from the neck
• A 56-yr-old patient who developed a new pericardial friction rub after
chest radiation
• A 24-yr-old patient who received neck radiation and has blood oozing
from the neck
• A patient arrives in the emergency department after becoming dehydrated. Based on the patient’s history,
the provider determines that isotonic dehydration has occurred. Which solution will the nurse expect to
infuse to treat this patient?
• 0.45% sodium chloride in sterile water
• 0.9% sodium chloride in sterile water
• 3% sodium chloride in sterile water
• 5% dextrose solution
• What solution starts out as isotonic in the bag but breaks down into
its component parts once inside the body?
• D5W
• A patient with congestive heart failure is admitted to the
hospital. During the admission assessment, the nurse learns
that the patient is taking a thiazide diuretic. The nurse notes that
the admission electrolyte levels include a sodium level of 142
mEq/L, a chloride level of 95 mEq/L, and a potassium level of 3
mEq/L. The prescriber has ordered digoxin to be given
immediately. What will the nurse do initially?
• Give the digoxin and maintain close cardiac monitoring.
• Hold the digoxin and report the laboratory values to the provider.
• Hold the thiazide diuretic and give the digoxin.
• Request an order for an electrocardiogram (ECG).
• Hold the digoxin and report the laboratory values to the provider.
• A patient who has been diagnosed with rheumatoid arthritis
(RA) for 1 month and has generalized symptoms is taking highdose nonsteroidal anti-inflammatory drugs (NSAIDs) and an
oral glucocorticoid. The provider has ordered methotrexate
[Rheumatrex]. The patient asks the nurse why methotrexate is
necessary since pain and swelling have been well controlled
with the other medications. The nurse will tell the patient that:
• a methotrexate regimen can reduce overall costs and side effects of
treatment.
• starting methotrexate early can help delay joint degeneration.
• starting methotrexate now will help increase life expectancy.
• with methotrexate, doses of NSAIDs can be reduced to less toxic
levels.
• starting methotrexate early can help delay joint degeneration.
• A nurse is caring for a patient with HIV infection who has been prescribed highly active antiretroviral therapy
(HAART). What should the nurse warn the patient that inconsistent administration of the drug can result in?
• HIV strain becoming resistant to the drug
• Decrease in antibodies in the circulating volume
• Addition of another antiretroviral agent to the protocol
• Rapid increase in the symptoms of AIDS
• HIV strain becoming resistant to the drug