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HESI LPN · HESI LPN Medical Surgical Nursing · HESI Anatomy of Hematologic System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient with non-Hodgkin's lymphoma is receiving information from the oncology nurse. The patient asks the nurse why she should stop drinking and smoking and stay out of the sun. What would be the nurse's best response?

A. Everyone should do these things because they're health promotion activities that apply to everyone.

B. You don't want to develop a second cancer, do you?

C. You need to do this just to be on the safe side.

D. It's important to reduce other factors that increase the risk of second cancers.

Expert Explanatory Rationale

Correct Answer: It's important to reduce other factors that increase the risk of second cancers.

Question 2 of 5

Waldeyer's ring does not include:

A. faucal tonsils

B. submandibular glands

C. adenoids

D. lingual tonsils

Expert Explanatory Rationale

Correct Answer: submandibular glands

Question 3 of 5

A study is designed to investigate the rates of central lineÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬Å“associated blood stream infections (CLABSI) among pediatric hematology/oncology patients. Investigators wish to compare the length of stay (LOS) between subjects receiving three common central line types (totally implanted catheter [port], peripherally inserted central catheter [PICC], and tunneled externalized catheter [TEC]). It is discovered that LOS is not normally distributed. What is the appropriate test for comparing the LOS between patients receiving the three central line types?

A. Student's t test

B. ANOVA

C. Wilcoxon-Mann-Whitney test

D. Kruskal-Wallis test

Expert Explanatory Rationale

Correct Answer: Kruskal-Wallis test

Question 4 of 5

A 10-year-old girl is a long-term survivor of type II pleuropulmonary blastoma (PPB). You suspect she has a cancer predisposition syndrome and perform genetic testing, which confirms she has DICER1 syndrome. Which other cancer is she predisposed to?

A. Papillary thyroid cancer

B. Medullary thyroid cancer

C. Pheochromocytoma

D. Renal cell carcinoma

Expert Explanatory Rationale

Correct Answer: Papillary thyroid cancer

Question 5 of 5

A 2-year-old girl has a diagnosis of overall stage IV favorable histology Wilms' tumor with pulmonary metastases and local stage III disease due to finding positive lymph nodes. After she completes 6 weeks of vincristine/dactinomycin/doxorubicin (DD4A) chemotherapy, restaging shows complete resolution of some but not all lung nodules. Tumor genetic testing reveals combined loss of heterozygosity for 1p and 16q. Which of the following would be the most appropriate treatment plan?

A. Continue chemotherapy with vincristine, doxorubicin, and dactinomycin to complete 25 weeks of therapy. Administer radiation to lungs and flank.

B. Continue chemotherapy with vincristine, doxorubicin and dactinomycin to complete 25 weeks of therapy. Radiation to flank only. No lung radiation.

C. Continue chemotherapy with vincristine, doxorubicin and dactinomycin, add cyclophosphamide and etoposide to complete 33 weeks of therapy. Radiation to flank only. No lung radiation.

D. Continue chemotherapy with vincristine, doxorubicin and dactinomycin, add cyclophosphamide and etoposide to complete 33 weeks of therapy. Radiation to lungs and flank.

Expert Explanatory Rationale

Correct Answer: Continue chemotherapy with vincristine, doxorubicin and dactinomycin, add cyclophosphamide and etoposide to complete 33 weeks of therapy. Radiation to lungs and flank.

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