Question

Family members of a leukemia patient receiving induction therapy ask about infection precautions. Which comment shows they misunderstand infection control?

Answer 1

Correct Answers:

We will bring in fresh flowers to brighten the room.

Rationale :

🦠Fresh flowers pose an infection risk because they may carry bacteria, mold, or other pathogens that can be harmful to an immunocompromised patient.

🌸Patients undergoing induction therapy for leukemia have significantly weakened immune systems due to aggressive chemotherapy, making strict infection control essential.

👃Even pleasant items like flowers can harbor microorganisms in water or plant material, creating risk of respiratory or systemic infection.

🧼Safe items like photos or sealed magazines are acceptable, but living plants or flowers should be avoided during periods of high infection vulnerability.

📌Core Message

Avoid bringing fresh flowers to immunocompromised patients due to the risk of infection from microorganisms in soil or water.

Answer 2

Correct Answers:

3–10 years.

Rationale :

🧒ALL most commonly affects children, especially those between ages 3 to 10, and it is the most frequent childhood cancer.

📊Peak incidence of ALL is observed in early school-age children, though it can also affect adults with a poorer prognosis.

🧬The disease involves overproduction of immature lymphoblasts, which interferes with normal blood cell production.

🩺Recognizing common age ranges for diseases like ALL helps nurses tailor age-appropriate care and anticipate developmental concerns.

📌Core Message

Acute lymphoblastic leukemia most commonly affects children aged 3 to 10, making it the most prevalent pediatric leukemia.

Answer 3

Correct Answers:

Night sweats and fatigue.

Rationale :

🌙Night sweats and fatigue are classic B symptoms associated with Hodgkin’s lymphoma, indicating systemic involvement.

💤Fatigue results from immune activation and metabolic stress, common in hematologic cancers like Hodgkin’s.

🔥Night sweats are linked to cytokine release, particularly during disease progression.

💁‍♂️These symptoms aid diagnosis and staging, as their presence signifies more advanced or systemic disease.

📌Core Message

Hodgkin’s disease often presents with night sweats and fatigue, known as B symptoms, which indicate systemic involvement.

Answer 4

Correct Answers:

Reed-Sternberg cells.

Rationale :

🔬Reed-Sternberg cells are the hallmark of Hodgkin’s lymphoma, seen under microscope in affected lymph tissue.

🧫These abnormally large, multinucleated cells are derived from B lymphocytes.

📋Definitive diagnosis of Hodgkin’s requires the identification of these cells, making them a critical diagnostic marker.

🧪Their presence distinguishes Hodgkin’s from other lymphomas or hematologic malignancies.

📌Core Message

Reed-Sternberg cells are diagnostic for Hodgkin’s disease, confirming the presence of this specific lymphatic cancer.

Answer 5

Correct Answers:

Stay with the patient and focus on slow, deep breathing for relaxation.

Rationale :

💓Staying with the patient offers emotional support, reducing anxiety and fear before invasive procedures.

🌬️Guided deep breathing encourages relaxation, lowers stress response, and improves coping.

👂Active presence and therapeutic communication validate the patient’s emotions without delaying care.

🧘‍♀️Nonpharmacologic strategies like breathing are effective for procedural anxiety and pain modulation.

📌Core Message

Providing emotional presence and using guided deep breathing helps reduce pre-procedural anxiety during invasive procedures like bone marrow biopsy.

Answer 6

Correct Answers:

Bowel control is usually achieved before bladder control, and the average age for completion of toilet training varies widely from 24 to 36 months.

Rationale :

🚼Toilet training is a gradual process, and developmental readiness varies greatly among children.

🚽Bowel control typically comes before bladder control, which requires more complex neurological maturity.

📅Most children complete toilet training between 24 and 36 months, although some may take longer without pathology.

💬Providing reassurance and developmental facts helps reduce parental anxiety and promotes realistic expectations.

📌Core Message

Bowel control usually develops before bladder control, and toilet training is typically completed between 24 and 36 months of age.

Answer 7

Correct Answers:

Give only a bottle of water at bedtime.

Rationale :

🧴Nighttime milk bottles contribute to tooth decay, particularly with prolonged exposure during sleep.

💧Water is a safe substitute that doesn’t promote early childhood caries or reinforce a sleep association with caloric intake.

😴Transitioning from bottles to cups and reducing night feeding supports better sleep hygiene.

🦷Preventing dental problems starts early with proper feeding practices and avoidance of sugary drinks overnight.

📌Core Message

Replace bedtime milk bottles with water to prevent dental caries and improve sleep hygiene in toddlers.

Answer 8

Correct Answers:

Wait until at least 4 months to add infant cereals and strained fruits to the diet.

Rationale :

🧴Introducing solids before 4 months is not recommended, as the infant’s digestive system is not fully mature.

🍎Cereals and strained fruits are generally introduced between 4 to 6 months of age based on pediatric guidance.

📅Early feeding can increase risks of allergies and gastrointestinal distress in young infants.

👩‍⚕️Teaching parents appropriate feeding timelines supports growth and reduces long-term health issues.

📌Core Message

Delaying solid foods until at least 4 months supports proper infant nutrition and avoids digestive complications.

Answer 9

Correct Answers:

Get moderate exercise for at least 30 minutes each day.
Drink 6–8 glasses of water each day.
Eat a diet high in fiber.

Rationale :

🚶‍♂️Moderate daily exercise enhances intestinal motility and helps prevent constipation.

💧Adequate hydration is crucial to soften stool and promote regular elimination.

🌾High-fiber diets improve stool bulk and consistency, aiding smoother bowel movements.

🚫Routine use of laxatives can lead to dependence and is not recommended for daily management.

🥩Protein intake does not directly prevent constipation, and excessive intake may contribute to it.

📌Core Message

Preventing constipation in older adults includes regular exercise, adequate hydration, and a fiber-rich diet, avoiding habitual laxative use.

Answer 10

Correct Answers:

A negative antistreptolysin O titer.

Rationale :

🧪A negative ASO titer means no recent streptococcal infection, which is essential for a rheumatic fever diagnosis.

🦠Rheumatic fever is a post-streptococcal autoimmune condition, typically triggered by Group A strep infections.

🌡️Fever, rash, and sore throat history are consistent with major and minor criteria for diagnosis.

📋Diagnostic confirmation relies on evidence of a recent strep infection, and ASO titer is a key marker.

📌Core Message

A negative antistreptolysin O (ASO) titer rules out recent strep infection, which is essential for diagnosing rheumatic fever.

NCLEX PN-Readiness Assessment Test-5

No.

1 :
Family members of a leukemia patient receiving induction therapy ask about infection precautions. Which comment shows they misunderstand infection control?

2 :
A nurse cares for a client diagnosed with acute lymphoblastic leukemia (ALL). What is the most likely age group for this condition?

3 :
A patient is suspected of having Hodgkin’s disease. Which symptom would the nurse most expect?

4 :
A lymph node biopsy is performed for a client with suspected Hodgkin’s disease. What cell type confirms the diagnosis?

5 :
A patient expresses fear before a bone marrow biopsy. Which nursing intervention is most helpful?

6 :
A mother is concerned her 2½-year-old son uses the potty for bowel movements but not for urination. What is the best nursing explanation?

7 :
A 14-month-old child won't sleep without a milk bottle and wants more at night. What advice should the nurse offer the parent?

8 :
In caring for a 2-month-old infant, which action would be considered inappropriate?

9 :
An older adult asks for help preventing constipation. Which recommendations are appropriate?

10 :
A child suspected of rheumatic fever is being assessed. Which finding does not support the diagnosis?

NCLEX PN-Readiness Assessment Test-5

No.

1 : Family members of a leukemia patient receiving induction therapy ask about infection precautions. Which comment shows they misunderstand infection control?

2 : A nurse cares for a client diagnosed with acute lymphoblastic leukemia (ALL). What is the most likely age group for this condition?

3 : A patient is suspected of having Hodgkin’s disease. Which symptom would the nurse most expect?

4 : A lymph node biopsy is performed for a client with suspected Hodgkin’s disease. What cell type confirms the diagnosis?

5 : A patient expresses fear before a bone marrow biopsy. Which nursing intervention is most helpful?

6 : A mother is concerned her 2½-year-old son uses the potty for bowel movements but not for urination. What is the best nursing explanation?

7 : A 14-month-old child won't sleep without a milk bottle and wants more at night. What advice should the nurse offer the parent?

8 : In caring for a 2-month-old infant, which action would be considered inappropriate?

9 : An older adult asks for help preventing constipation. Which recommendations are appropriate?

10 : A child suspected of rheumatic fever is being assessed. Which finding does not support the diagnosis?

1 :
Family members of a leukemia patient receiving induction therapy ask about infection precautions. Which comment shows they misunderstand infection control?

2 :
A nurse cares for a client diagnosed with acute lymphoblastic leukemia (ALL). What is the most likely age group for this condition?

3 :
A patient is suspected of having Hodgkin’s disease. Which symptom would the nurse most expect?

4 :
A lymph node biopsy is performed for a client with suspected Hodgkin’s disease. What cell type confirms the diagnosis?

5 :
A patient expresses fear before a bone marrow biopsy. Which nursing intervention is most helpful?

6 :
A mother is concerned her 2½-year-old son uses the potty for bowel movements but not for urination. What is the best nursing explanation?

7 :
A 14-month-old child won't sleep without a milk bottle and wants more at night. What advice should the nurse offer the parent?

8 :
In caring for a 2-month-old infant, which action would be considered inappropriate?

9 :
An older adult asks for help preventing constipation. Which recommendations are appropriate?

10 :
A child suspected of rheumatic fever is being assessed. Which finding does not support the diagnosis?