Hematology & Oncology
NCLEX® practice.

Free practice set · 2 questions

2 more free hematology & oncology NCLEX-RN® practice questions

Real questions from the same bank the app serves. Pick an answer in your head, then open the rationale to see why the correct option holds and why each other option falls short. No account needed for these.

1. Question 1 of 2 · Hematologic Disorders & Oncology Safety

   A 22-year-old man is admitted to the ICU with suspected active pulmonary tuberculosis after presenting with hemoptysis, night sweats, and profound fatigue. He is placed in a negative-pressure room with airborne precaution signage posted and an N95 respirator supply cart outside the door. He is oriented to person and place but has moderate hearing loss and speaks limited English, requiring an interpreter for teaching. His mother has been staying at the bedside and wants to enter the room to sit with him. Before the mother enters the room, which action should the nurse take?

   1. AHave the mother put on a standard surgical mask before entering the room.
   2. BAsk the mother to remove fresh flowers from the room before entering.
   3. CEnsure the mother dons an N95 respirator before she enters the client's room.
   4. DAllow the mother to enter first and put on respiratory protection once inside.
   Show the answer and rationale

   Correct answer: C. Ensure the mother dons an N95 respirator before she enters the client's room.

   Tuberculosis is spread by the airborne route via droplet nuclei that remain suspended in air, so the CDC Guideline for Isolation Precautions requires airborne precautions: a negative-pressure (AIIR) room and N95 respirator (or PAPR) fit-tested and donned BEFORE anyone enters the room. Because this client has confirmed airborne-precaution signage and an N95 cart already staged outside the door, the correct action is to have the mother put on the N95 before she crosses the threshold, matching the precaution tier to the organism's actual transmission route. A standard surgical mask only blocks large droplets and is used for droplet-transmitted organisms, not for airborne pathogens like Mycobacterium tuberculosis, so it fails to protect the mother. Allowing her to enter first and don protection afterward is unsafe timing, since airborne infectious particles are already present in the room air the moment the door opens; protection must be in place before entry, not after. Restricting flowers and live plants applies to protective (reverse) isolation for immunocompromised, neutropenic clients who need shielding from environmental organisms, which is the opposite concern here, this client is the source of infection, not the vulnerable host. This action is anchored to CDC airborne precaution standards and reflects the client's specific diagnosis and transmission route.

   A. Have the mother put on a standard surgical mask before entering the room.

   A surgical mask is designed for droplet-sized particles and does not filter the small airborne particles that carry Mycobacterium tuberculosis, so it does not match the required precaution tier for this organism.

   B. Ask the mother to remove fresh flowers from the room before entering.

   Restricting flowers is a protective (reverse) isolation measure for immunocompromised clients being shielded from outside organisms, which is the opposite of this scenario where the client is the infectious source.

   C. Ensure the mother dons an N95 respirator before she enters the client's room.

   Correct: tuberculosis spreads via airborne droplet nuclei, so anyone entering the negative-pressure room must don an N95 respirator before crossing the threshold, per CDC airborne precaution guidelines.

   D. Allow the mother to enter first and put on respiratory protection once inside.

   Entering before donning protection exposes the mother to airborne infectious particles already in the room air; respiratory protection must be in place before entry, not applied afterward.

2. Question 2 of 2 · Hematologic Disorders & Oncology Safety

   The nurse is caring for a 68-year-old man with lymphoma on a medical-surgical unit. He is intermittently delirious, has severe hearing loss, and cannot reliably follow transfer commands; his right leg is non-weight-bearing after a recent fracture. The order specifies a two-person powered lift for transfers, and a newly prescribed daily oral medication is due after breakfast. The lift assigned to his room has a frayed power cord, while an inspected replacement is available. Which action should the nurse take first?

   1. AUse the inspected powered lift with two staff members, keeping the client’s body aligned and the load close during transfer.
   2. BHave one staff member manually lift the client while bending at the waist and pivoting toward the chair.
   3. CSilence the lift alarm and use it for this transfer, then report the frayed cord to biomedical services after the medication pass.
   4. DPage the health care provider for transfer instructions before obtaining the replacement lift and beginning the ordered transfer.
   Show the answer and rationale

   Correct answer: A. Use the inspected powered lift with two staff members, keeping the client’s body aligned and the load close during transfer.

   Use the inspected powered lift with two staff members because this client cannot bear weight or reliably follow commands. ANA Safe Patient Handling and Mobility standards and OSHA injury-prevention principles support mechanical assistance rather than manual lifting; proper alignment and controlled movement reduce staff injury, client shear, and falls. The frayed-cord lift must be removed from service immediately, tagged, and reported, not used temporarily. Calling the health care provider is unnecessary before the RN implements the existing transfer order. The medication is not the immediate safety priority, and delaying the transfer action increases risk.

   A. Use the inspected powered lift with two staff members, keeping the client’s body aligned and the load close during transfer.

   This action follows the ordered two-person powered transfer and applies ANA safe-patient-handling principles. Because the client is non-weight-bearing and delirious with hearing loss, he cannot safely provide the assistance or commands needed for a manual transfer. Using the inspected replacement and maintaining alignment protects both the client and staff.

   B. Have one staff member manually lift the client while bending at the waist and pivoting toward the chair.

   Manual lifting is unsafe for a client who cannot bear weight or reliably follow directions. Bending at the waist and pivoting violates safe body mechanics and increases staff back injury, client shear, and fall risk. A powered lift and team assistance are required rather than relying on one person’s strength.

   C. Silence the lift alarm and use it for this transfer, then report the frayed cord to biomedical services after the medication pass.

   A lift with a frayed power cord is malfunctioning equipment and must be removed from the care area, tagged out, and reported promptly. Silencing an alarm does not make the device safe. OSHA workplace-safety principles support preventing exposure to defective equipment; the inspected replacement should be used instead, before the medication pass.

   D. Page the health care provider for transfer instructions before obtaining the replacement lift and beginning the ordered transfer.

   The RN can implement the existing transfer order without waiting for additional provider direction. Obtaining safe equipment and carrying out a prescribed mobility plan are nursing responsibilities. Delaying for a provider call leaves a high-risk client without the ordered safe transfer method and does not address the immediate equipment problem.