Certified Medical-Surgical Registered Nurse Practice Test

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Prepare for the Certified Medical-Surgical Registered Nurse Exam with confidence. Our comprehensive quiz features multiple-choice questions paired with hints and explanations to enhance your understanding and readiness for the exam.

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A patient with Hodgkin's disease has lymph node involvement on both sides of the diaphragm and involvement of the spleen. According to the Ann Harbor classification system, what stage lymphoma does this patient have?

  1. Stage I

  2. Stage II

  3. Stage III

  4. Stage IV

The correct answer is: Stage III

In the Ann Arbor classification system for Hodgkin's disease, Stage III involves lymph node involvement on both sides of the diaphragm and involvement of the spleen, which is the case described in the question. This denotes advanced disease that has spread to both sides of the diaphragm. Stage I represents involvement of a single lymph node region or a single organ, while Stage II involves two or more lymph node regions on the same side of the diaphragm. Stage IV indicates disease involvement beyond the lymph nodes (e.g., liver, bone marrow), which is not described in the patient scenario provided.

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