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SNLE Oncology & Haematology Nursing Practice Questions
What this topic covers
Chemotherapy safety, neutropenia, blood transfusion, anaemias, bleeding disorders and oncologic emergencies.
Free SNLE oncology & haematology nursing questions
- Back pain is often the earliest symptom of spinal cord compression
- It is a sign of hypercalcaemia only
- It always indicates a urinary tract infection
- It is a normal effect of hormone therapy
Show answer and rationale
Answer: A. Back pain is often the earliest symptom of spinal cord compression
New or worsening back pain in a patient with cancer may be the first sign of metastatic spinal cord compression. Early recognition and urgent treatment prevent permanent weakness and loss of bladder or bowel control.
Reference: Lewis Medical-Surgical Nursing – oncological emergencies
- Leave cooked food at room temperature for later
- Eat raw sushi to boost protein intake
- Choose soft cheeses made from unpasteurised milk
- Avoid raw or undercooked meat, eggs and unpasteurised dairy
Show answer and rationale
Answer: D. Avoid raw or undercooked meat, eggs and unpasteurised dairy
Food safety measures reduce exposure to bacteria such as Salmonella and Listeria. Raw or undercooked foods and unpasteurised dairy carry a higher infection risk.
Reference: Lewis Medical-Surgical Nursing – neutropenia
- Limit fluid intake to avoid swelling
- Drink plenty of fluids and avoid getting very cold
- Take cold showers after exercise
- Spend time at high altitude to boost red cell production
Show answer and rationale
Answer: B. Drink plenty of fluids and avoid getting very cold
Dehydration, cold and low oxygen levels (such as at high altitude) all trigger sickling. Good hydration and keeping warm reduce the risk of crises.
Reference: Lewis Medical-Surgical Nursing – sickle cell disease
- Factor IX
- Factor VII
- Von Willebrand factor
- Factor VIII
Show answer and rationale
Answer: D. Factor VIII
Haemophilia A is an X-linked deficiency of factor VIII. Factor IX deficiency causes haemophilia B (Christmas disease).
Reference: Lewis Medical-Surgical Nursing – haemophilia
- Perform deep oropharyngeal suction every 30 minutes
- Increase the IV fluid rate to loosen the secretions
- Sit the patient upright and give sips of water
- Reposition the patient on the side and support the family
Show answer and rationale
Answer: D. Reposition the patient on the side and support the family
Noisy respiratory secretions at the end of life are managed by repositioning, explanation and support for the family, and anticholinergic drugs if prescribed. Deep suction is distressing, extra fluids can worsen secretions, and oral fluids risk aspiration in an unconscious patient.
Reference: Palliative care nursing – end-of-life symptom management
Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question
Study tip
For transfusion reactions, stop the transfusion first, keep the IV line open with saline, then notify.
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