Practice Mode– Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam.
MSN Exam for Hodgkin’s Disease (PM)
Choose the letter of the correct answer. Good luck!
Start
Congratulations - you have completed MSN Exam for Hodgkin’s Disease (PM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
A 22-year-old with stage I Hodgkin’s disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, “Sometimes I am afraid of dying.” Which response is most appropriate at this time?
A
“Many individuals with this diagnosis have some fears.”
B
“Tell me a little bit more about your fear of dying.”
C
“Perhaps you should ask the doctor about medication.”
D
“Most people with stage I Hodgkin’s disease survive.”
Question 1 Explanation:
Most assessment about what the client means is needed before any interventions can be planned or implemented. All of the other statements indicate a conclusion that the client is afraid of dying of Hodgkin’s disease. Focus: Prioritization
Question 2
After receiving the change-of-shift report, which client will you assess first?
A
A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed
B
A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge
C
A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit
D
A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regimen
Question 2 Explanation:
The newly admitted client should be assessed first, because the baseline assessment and plan of care need to be completed. The other clients also need assessments or interventions, but do not need immediate nursing care. Focus: Prioritization
Question 3
A client admitted with newly diagnosed with Hodgkin’s disease. Which of the following would the nurse expect the client to report?
A
Night sweats
B
Headache
C
Weight gain
D
Lymph node pain
Question 3 Explanation:
Assessment of a client with Hodgkin’s disease most often reveals enlarged, painless lymph node, fever, malaise and night sweats.
Question 4
Sex is one of the risk factors for developing NHL, but race is not.
A
True
B
False
Question 5
One of the symptoms for lymphatic disease is swelling of the lymph nodes; however, this symptom may be easily overlooked because the enlargement does not cause any pain.
A
True
B
False
Question 6
A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client?
A
Enlarged lymph nodes
B
Weakness
C
Weight gain
D
Fatigue
Question 6 Explanation:
Hodgkin’s disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites, such as the spleen and liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related significantly to the disease.
Question 7
The two main groups of lymphoma in humans are Hodgkin lymphoma and the non-Hodgkin Lymphomas (NHL).
A
True
B
False
Question 8
People infected with HIV are more likely to develop lymphatic disease.
A
True
B
False
Question 9
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
A
Fatigue related to chemotherapy
B
Tissue integrity related to prolonged bed rest
C
Anticipatory grieving related to terminal illness
D
Sexual dysfunction related to radiation therapy
Question 9 Explanation:
Radiation therapy often causes sterility in male clients and would be of primary importance to this client. The psychosocial needs of the client are important to address in light of the age and life choices. Hodgkin’s disease, however, has a good prognosis when diagnosed early.
Question 10
A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin's disease. Which of the following symptoms is typical of Hodgkin's disease?
A
Weight gain.
B
Night sweats and fatigue.
C
Nausea and vomiting.
D
Painful cervical lymph nodes.
Question 10 Explanation:
Symptoms of Hodgkin's disease include night sweats, fatigue, weakness, and tachycardia. The disease is characterized by painless, enlarged cervical lymph nodes. Weight loss occurs early in the disease. Nausea and vomiting are not typically symptoms of Hodgkin's disease.
Question 11
You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin’s lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?
A
Explain good skin care to the client and family.
B
Clean the skin over daily with a mild soap.
C
Check the skin for signs of redness or peeling.
D
Apply alcohol-free lotion to the area after cleaning.
Question 11 Explanation:
Skin care is included in nursing assistant education and job description. Assessment and client teaching are more complex tasks that should be delegated to registered nurses. Use of lotions to the irradiated area is usually avoided during radiation therapy. Focus: Delegation
Question 12
The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?
A
Splenomegaly
B
Persistent hypothermia
C
Pericarditis
D
Night sweat
Question 12 Explanation:
In stage 1, symptoms include a single enlarged lymph node (usually), unexplained fever, night sweats, malaise, and generalized pruritis. Although splenomegaly may be present in some clients, night sweats are generally more prevalent. Pericarditis isn’t associated with Hodgkin’s disease, nor is hypothermia. Moreover, splenomegaly and pericarditis aren’t symptoms. Persistent hypothermia is associated with Hodgkin’s but isn’t an early sign of the disease.
Question 13
A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure?
A
Incision site
B
Airway
C
Level of consciousness
D
Vital signs
Question 13 Explanation:
Assessing for an open airway is the priority. The procedure involves the neck, the anesthesia may have affected the swallowing reflex or the inflammation may have closed in on the airway leading to ineffective air exchange.
Question 14
The nurse understands that Hodgkin’s disease is suspected when a client presents with a painless, swollen lymph node. Hodgkin’s disease typically affects people in which age group?
A
Children (ages 6-12 years)
B
Teenagers (ages 13-20 years)
C
Older adults (ages 41-50 years)
D
Young adults (ages 21-40 years)
Question 15
Hodgkin lymphoma only occurs in a group of lymph nodes, not in a single lymph node or in other parts of the lymphatic system, such as the bone marrow and spleen.
A
False
B
True
Question 16
Non-Hodgkin lymphoma can spread to almost any part of the body, including the liver, bone marrow, and spleen.
A
True
B
False
Question 17
Hodgkin lymphoma, named for Thomas Hodgkin, is an American physician who identified it in 1832.
A
True
B
False
Question 18
Hodgkin lymphoma may be cured with chemotherapy with almost no incidence of secondary acute nonlymphocytic leukemia within 10 years.
A
False
B
True
Question 19
The Hodgkin's disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find?
A
Lymphoblastic cells.
B
Reed-Sternberg cells.
C
Rieder's cells
D
Gaucher's cells.
Question 19 Explanation:
A definitive diagnosis of Hodgkin's disease is made if Reed-Sternberg cells are found on pathologic examination of the excised lymph node. Lymphoblasts are immature cells found in the bone marrow of patients with acute lymphoblastic leukemia. Gaucher's cells are large storage cells found in patients with Gaucher's disease. Rieder's cells are myeloblasts found in patients with acute myelogenous leukemia.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 19 questions to complete.
←
List
→
Return
Shaded items are complete.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
End
Return
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
Exam Mode
Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
MSN Exam for Hodgkin’s Disease (EM)
Choose the letter of the correct answer. You got 19 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed MSN Exam for Hodgkin’s Disease (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure?
A
Level of consciousness
B
Airway
C
Vital signs
D
Incision site
Question 1 Explanation:
Assessing for an open airway is the priority. The procedure involves the neck, the anesthesia may have affected the swallowing reflex or the inflammation may have closed in on the airway leading to ineffective air exchange.
Question 2
The nurse understands that Hodgkin’s disease is suspected when a client presents with a painless, swollen lymph node. Hodgkin’s disease typically affects people in which age group?
A
Older adults (ages 41-50 years)
B
Teenagers (ages 13-20 years)
C
Young adults (ages 21-40 years)
D
Children (ages 6-12 years)
Question 3
Hodgkin lymphoma may be cured with chemotherapy with almost no incidence of secondary acute nonlymphocytic leukemia within 10 years.
A
True
B
False
Question 4
After receiving the change-of-shift report, which client will you assess first?
A
A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed
B
A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge
C
A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regimen
D
A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit
Question 4 Explanation:
The newly admitted client should be assessed first, because the baseline assessment and plan of care need to be completed. The other clients also need assessments or interventions, but do not need immediate nursing care. Focus: Prioritization
Question 5
Non-Hodgkin lymphoma can spread to almost any part of the body, including the liver, bone marrow, and spleen.
A
False
B
True
Question 6
Hodgkin lymphoma, named for Thomas Hodgkin, is an American physician who identified it in 1832.
A
False
B
True
Question 7
One of the symptoms for lymphatic disease is swelling of the lymph nodes; however, this symptom may be easily overlooked because the enlargement does not cause any pain.
A
True
B
False
Question 8
You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin’s lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?
A
Clean the skin over daily with a mild soap.
B
Explain good skin care to the client and family.
C
Check the skin for signs of redness or peeling.
D
Apply alcohol-free lotion to the area after cleaning.
Question 8 Explanation:
Skin care is included in nursing assistant education and job description. Assessment and client teaching are more complex tasks that should be delegated to registered nurses. Use of lotions to the irradiated area is usually avoided during radiation therapy. Focus: Delegation
Question 9
People infected with HIV are more likely to develop lymphatic disease.
A
False
B
True
Question 10
A 22-year-old with stage I Hodgkin’s disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, “Sometimes I am afraid of dying.” Which response is most appropriate at this time?
A
“Tell me a little bit more about your fear of dying.”
B
“Perhaps you should ask the doctor about medication.”
C
“Most people with stage I Hodgkin’s disease survive.”
D
“Many individuals with this diagnosis have some fears.”
Question 10 Explanation:
Most assessment about what the client means is needed before any interventions can be planned or implemented. All of the other statements indicate a conclusion that the client is afraid of dying of Hodgkin’s disease. Focus: Prioritization
Question 11
The Hodgkin's disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find?
A
Lymphoblastic cells.
B
Gaucher's cells.
C
Rieder's cells
D
Reed-Sternberg cells.
Question 11 Explanation:
A definitive diagnosis of Hodgkin's disease is made if Reed-Sternberg cells are found on pathologic examination of the excised lymph node. Lymphoblasts are immature cells found in the bone marrow of patients with acute lymphoblastic leukemia. Gaucher's cells are large storage cells found in patients with Gaucher's disease. Rieder's cells are myeloblasts found in patients with acute myelogenous leukemia.
Question 12
The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?
A
Persistent hypothermia
B
Night sweat
C
Splenomegaly
D
Pericarditis
Question 12 Explanation:
In stage 1, symptoms include a single enlarged lymph node (usually), unexplained fever, night sweats, malaise, and generalized pruritis. Although splenomegaly may be present in some clients, night sweats are generally more prevalent. Pericarditis isn’t associated with Hodgkin’s disease, nor is hypothermia. Moreover, splenomegaly and pericarditis aren’t symptoms. Persistent hypothermia is associated with Hodgkin’s but isn’t an early sign of the disease.
Question 13
A client admitted with newly diagnosed with Hodgkin’s disease. Which of the following would the nurse expect the client to report?
A
Headache
B
Lymph node pain
C
Weight gain
D
Night sweats
Question 13 Explanation:
Assessment of a client with Hodgkin’s disease most often reveals enlarged, painless lymph node, fever, malaise and night sweats.
Question 14
Hodgkin lymphoma only occurs in a group of lymph nodes, not in a single lymph node or in other parts of the lymphatic system, such as the bone marrow and spleen.
A
True
B
False
Question 15
Sex is one of the risk factors for developing NHL, but race is not.
A
True
B
False
Question 16
A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin's disease. Which of the following symptoms is typical of Hodgkin's disease?
A
Weight gain.
B
Painful cervical lymph nodes.
C
Nausea and vomiting.
D
Night sweats and fatigue.
Question 16 Explanation:
Symptoms of Hodgkin's disease include night sweats, fatigue, weakness, and tachycardia. The disease is characterized by painless, enlarged cervical lymph nodes. Weight loss occurs early in the disease. Nausea and vomiting are not typically symptoms of Hodgkin's disease.
Question 17
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
A
Anticipatory grieving related to terminal illness
B
Sexual dysfunction related to radiation therapy
C
Tissue integrity related to prolonged bed rest
D
Fatigue related to chemotherapy
Question 17 Explanation:
Radiation therapy often causes sterility in male clients and would be of primary importance to this client. The psychosocial needs of the client are important to address in light of the age and life choices. Hodgkin’s disease, however, has a good prognosis when diagnosed early.
Question 18
The two main groups of lymphoma in humans are Hodgkin lymphoma and the non-Hodgkin Lymphomas (NHL).
A
True
B
False
Question 19
A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client?
A
Weakness
B
Weight gain
C
Fatigue
D
Enlarged lymph nodes
Question 19 Explanation:
Hodgkin’s disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites, such as the spleen and liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related significantly to the disease.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 19 questions to complete.
←
List
→
Return
Shaded items are complete.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
End
Return
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
Text Mode
Text Mode – Text version of the exam
1) A 22-year-old with stage I Hodgkin’s disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, “Sometimes I am afraid of dying.” Which response is most appropriate at this time?
“Many individuals with this diagnosis have some fears.”
“Perhaps you should ask the doctor about medication.”
“Tell me a little bit more about your fear of dying.”
“Most people with stage I Hodgkin’s disease survive.”
2) After receiving the change-of-shift report, which client will you assess first?
A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit
A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge
A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed
A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regimen
3) The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct, which of the following cells would the pathologist expect to find?
Reed-Sternberg cells.
Lymphoblastic cells.
Gaucher’s cells.
Rieder’s cells
4) A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client?
Fatigue
Weakness
Weight gain
Enlarged lymph nodes
5) A newly admitted client is diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure?
Vital signs
Incision site
Airway
Level of consciousness
6) Hodgkin lymphoma, named for Thomas Hodgkin, is an American physician who identified it in 1832.
True
False
7) Hodgkin lymphoma may be cured with chemotherapy with almost no incidence of secondary acute nonlymphocytic leukemia within 10 years.
True
False
Q.8) The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?
Pericarditis
Night sweat
Splenomegaly
Persistent hypothermia
9) You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin’s lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?
Check the skin for signs of redness or peeling.
Apply alcohol-free lotion to the area after cleaning.
Explain good skin care to the client and family.
Clean the skin over daily with a mild soap.
10) The nurse understands that Hodgkin’s disease is suspected when a client presents with a painless, swollen lymph node. Hodgkin’s disease typically affects people in which age group?
Children (ages 6-12 years)
Teenagers (ages 13-20 years)
Young adults (ages 21-40 years)
Older adults (ages 41-50 years)
11) The two main groups of lymphoma in humans are Hodgkin lymphoma and the non-Hodgkin Lymphomas (NHL).
True
False
12) One of the symptoms for lymphatic disease is swelling of the lymph nodes; however, this symptom may be easily overlooked because the enlargement does not cause any pain.
True
False
13) A client admitted with newly diagnosed with Hodgkin’s disease. Which of the following would the nurse expect the client to report?
Lymph node pain
Weight gain
Night sweats
Headache
14) Non-Hodgkin lymphoma can spread to almost any part of the body, including the liver, bone marrow, and spleen.
True
False
15) Hodgkin lymphoma only occurs in a group of lymph nodes, not in a single lymph node or in other parts of the lymphatic system, such as the bone marrow and spleen.
True
False
16) A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?
Painful cervical lymph nodes.
Night sweats and fatigue.
Nausea and vomiting.
Weight gain.
17) Sex is one of the risk factors for developing NHL, but race is not.
True
False
18) A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
Sexual dysfunction related to radiation therapy
Anticipatory grieving related to terminal illness
Tissue integrity related to prolonged bed rest
Fatigue related to chemotherapy
19) People infected with HIV are more likely to develop lymphatic disease.
True
False
Answers and Rationales
C. “Tell me a little bit more about your fear of dying.”Most assessment about what the client means is needed before any interventions can be planned or implemented. All of the other statements indicate a conclusion that the client is afraid of dying of Hodgkin’s disease. Focus: Prioritization
A. A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit . The newly admitted client should be assessed first, because the baseline assessment and plan of care need to be completed. The other clients also need assessments or interventions, but do not need immediate nursing care. Focus: Prioritization
A. Reed-Sternberg cells. A definitive diagnosis of Hodgkin’s disease is made if Reed-Sternberg cells are found on pathologic examination of the excised lymph node. Lymphoblasts are immature cells found in the bone marrow of patients with acute lymphoblastic leukemia. Gaucher’s cells are large storage cells found in patients with Gaucher’s disease. Rieder’s cells are myeloblasts found in patients with acute myelogenous leukemia.
D. Enlarged lymph nodes. Hodgkin’s disease is a chronic progressive neoplastic disorder of lymphoid tissue characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites, such as the spleen and liver. Weight loss is most likely to be noted. Fatigue and weakness may occur but are not related significantly to the disease.
C. Airway . Assessing for an open airway is the priority. The procedure involves the neck, the anesthesia may have affected the swallowing reflex or the inflammation may have closed in on the airway leading to ineffective air exchange.
B. False
B. False
B. Night sweat . In stage 1, symptoms include a single enlarged lymph node (usually), unexplained fever, night sweats, malaise, and generalized pruritis. Although splenomegaly may be present in some clients, night sweats are generally more prevalent. Pericarditis isn’t associated with Hodgkin’s disease, nor is hypothermia. Moreover, splenomegaly and pericarditis aren’t symptoms. Persistent hypothermia is associated with Hodgkin’s but isn’t an early sign of the disease.
D. Clean the skin over daily with a mild soap. Skin care is included in nursing assistant education and job description. Assessment and client teaching are more complex tasks that should be delegated to registered nurses. Use of lotions to the irradiated area is usually avoided during radiation therapy. Focus: Delegation
C. Young adults (ages 21-40 years)
A. True
A. True
C. Night sweats. Assessment of a client with Hodgkin’s disease most often reveals enlarged, painless lymph node, fever, malaise and night sweats.
A. True
B. False
B. Night sweats and fatigue. Symptoms of Hodgkin’s disease include night sweats, fatigue, weakness, and tachycardia. The disease is characterized by painless, enlarged cervical lymph nodes. Weight loss occurs early in the disease. Nausea and vomiting are not typically symptoms of Hodgkin’s disease.
B. False
A. Sexual dysfunction related to radiation therapy. Radiation therapy often causes sterility in male clients and would be of primary importance to this client. The psychosocial needs of the client are important to address in light of the age and life choices. Hodgkin’s disease, however, has a good prognosis when diagnosed early.