Which type of leukemia can be successfully treated by chemotherapy resulting in suppression, but not complete remission?

Acute lymphoblastic leukemia (ALL).

Chronic lymphocytic leukemia (CLL).

Acute myelogenous leukemia (AML).

Hairy-cell leukemia.

Answer and Explanation

The Correct Answer is B

Choice A reason: Acute lymphoblastic leukemia (ALL) is an aggressive malignancy of lymphoid cells, often achieving complete remission with intensive chemotherapy, especially in children. Suppression without remission is not typical, as ALL responds well to treatment, targeting rapidly dividing blast cells. CLL, a slower-progressing disease, better fits the description of suppression without complete cure.

Choice B reason: Chronic lymphocytic leukemia (CLL) is a low-grade malignancy of mature B-lymphocytes, often managed with chemotherapy to suppress disease progression rather than achieve complete remission. CLL’s indolent nature means it can be controlled, but residual disease persists due to slow cell turnover, aligning with the question’s description of suppression.

Choice C reason: Acute myelogenous leukemia (AML) is an aggressive malignancy of myeloid cells, requiring intensive chemotherapy or stem cell transplant for potential remission. Suppression without remission is less common, as AML treatment aims for complete response. CLL’s chronic nature makes it more likely to result in disease control rather than cure.

Choice D reason: Hairy-cell leukemia is a rare, indolent B-cell malignancy highly responsive to purine analogs, often achieving long-term remission or near-cure. Suppression without remission is not characteristic, as treatment typically yields durable responses. CLL’s partial response to chemotherapy better matches the scenario of ongoing disease suppression.

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Correct Answer is C

Explanation

Choice A reason: VLDL transports triglycerides to tissues but does not reduce atherosclerosis risk. Elevated VLDL contributes to plaque formation by increasing lipid deposition in arteries. HDL’s cholesterol-removing function is protective, making VLDL incorrect, as it lacks the anti-atherogenic properties associated with decreased cardiovascular disease risk.

Choice B reason: LDL, or “bad cholesterol,” promotes atherosclerosis by depositing cholesterol in arterial walls, forming plaques. High LDL levels increase cardiovascular risk, unlike HDL, which removes cholesterol. LDL is a primary driver of atherosclerosis, making it incorrect for a lipoprotein that decreases the risk of this condition.

Choice C reason: HDL, or “good cholesterol,” reduces atherosclerosis risk by transporting cholesterol from arteries to the liver for excretion, a process called reverse cholesterol transport. High HDL levels are protective, decreasing plaque formation. This aligns with evidence-based lipid management, making HDL the correct choice for lowering cardiovascular risk.

Choice D reason: IDL, a transitional lipoprotein between VLDL and LDL, contributes to atherosclerosis by delivering cholesterol to arteries. Unlike HDL, IDL does not have protective, cholesterol-removing properties. IDL’s role in lipid metabolism increases cardiovascular risk, making it incorrect for reducing atherosclerosis risk.

A. Thyroid stimulating hormone (TSH). B. Iodine. C. Calcium. D. Serum triiodothyronine (T3) and thyroxine (T4).

Correct Answer is A

Explanation

Choice A reason: In hypothyroidism, elevated TSH reflects the pituitary’s attempt to stimulate an underactive thyroid, often causing goiter due to glandular hypertrophy. TSH rises to compensate for low thyroid hormone production, leading to thyroid enlargement. This aligns with the pathophysiology of goiter in primary hypothyroidism, supporting the clinical finding.

Choice B reason: Iodine levels are not routinely measured in hypothyroidism and do not directly cause goiter. Iodine deficiency may contribute to goiter but is less common in developed regions. Elevated TSH, not iodine, drives thyroid enlargement in hypothyroidism, making this an incorrect marker for supporting the goiter finding.

Choice C reason: Calcium levels are unrelated to goiter or hypothyroidism unless parathyroid dysfunction is involved. Goiter results from TSH-driven thyroid hypertrophy due to low thyroid hormones. Calcium does not influence thyroid enlargement, making it an irrelevant laboratory result for supporting the client’s goiter in this context.

Choice D reason: Serum T3 and T4 are decreased in hypothyroidism, not increased, as the thyroid fails to produce adequate hormones. Low T3/T4 triggers high TSH, causing goiter. Increased T3/T4 would suggest hyperthyroidism, not hypothyroidism with goiter, making this an incorrect choice for supporting the clinical finding.

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Which type of leukemia can be successfully treated by chemotherapy resulting in suppression, but not complete remission?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of lipoprotein has been associated with decreasing the risk of atherosclerosis?

Correct Answer is C

Explanation

During an assessment, the nurse determines that a client with hypothyroidism has a goiter. An increase in which laboratory test result(s) supports this finding?

Correct Answer is A

Explanation

A client who is admitted to the hospital with a diagnosis of primary diabetes insipidus (DI) asks the nurse if they will need insulin therapy. Which response should the nurse provide?

An older adult client with type 2 diabetes mellitus presents to the emergency department (ED) with a respiratory infection. The nurse recognizes that the client is at risk for hyperosmolar hyperglycemic state (HHS) as a result of which process?

The nurse is caring for an older adult client with heart failure (HF) and multiple comorbidities. Which finding(s) in the client’s history are consistent with the client developing HF? (Select all that apply)

When developing a teaching plan for a client with peripheral artery disease (PAD), the nurse should explain that intermittent claudication occurs as the result of which underlying pathophysiology?

The nurse admits a client with sepsis that has developed cool ecchymotic fingertips and toes. The healthcare provider (HCP) determines that the client has developed disseminated intravascular coagulation (DIC). Which findings support the pathophysiology of DIC?

A client who is overweight, smokes, and is a continually tense individual is admitted to the hospital for chest pain. The laboratory results reported to the nurse suggest a diagnosis of angina due to atherosclerosis. Which result is consistent with this diagnosis?

The laboratory findings of a client with cirrhosis of the liver indicate high serum ammonia levels. As a result of this increased ammonia level, which symptom is this client likely to exhibit?

A client reports new onset bilateral hearing loss after taking a medication with known ototoxic effects. Which type of hearing loss should the nurse suspect?