Hematologic Disorders NCLEX Questions

Question 1 of 5

The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?

A. Encourage isometric exercises.B. Assist the client with activities of daily living (ADLs).C. Provide a high-protein diet.D. Refer to the physical therapist.

Correct Answer: B

Rationale: Assisting with ADLs (
B) conserves energy in anemia-related activity intolerance. Isometric exercises (
A) strain oxygen capacity, diet (
C) is medical, and PT (
D) is collaborative.

Question 2 of 5

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

A. A 35-year-old pregnant client with placenta previa.B. A 42-year-old client with a pulmonary embolus.C. A 60-year-old client receiving hemodialysis three (3) days a week.D. A 78-year-old client diagnosed with septicemia.

Correct Answer: D

Rationale: Septicemia (
D) is a major DIC trigger due to systemic inflammation/coagulation. Placenta previa (
A), PE (
B), and dialysis (
C) are lower risk.

Question 3 of 5

Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?

A. The client's cheeks are flushed.B. The client reports having more energy.C. The client complains of nausea.D. The client's stools are light brown.

Correct Answer: D

Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.

Question 4 of 5

The client asks the nurse, 'They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?' The nurse’s answer is based on which scientific rationale?

A. Biopsies are nuclear medicine scans that can detect cancer.B. A biopsy is a laboratory test that detects cancer cells.C. It determines which kind of cancer the client has.D. The HCP takes a small piece out of the tumor and looks at the cells.

Correct Answer: C

Rationale: A biopsy identifies Hodgkin’s via Reed-Sternberg cells (
C). It’s not a scan (
A), not just a lab test (
B), and involves microscopic cell analysis (D is partial but less precise).

Question 5 of 5

The HCP orders two (2) units of blood to be administered over eight (8) hours each for a client diagnosed with heart failure. Which intervention(s) should the nurse implement?

A. Call the HCP to question the order because blood must infuse within four (4) hours.B. Retrieve the blood from the laboratory and run each unit at an eight (8)-hour rate.C. Notify the laboratory to split each unit into half-units and infuse each half for four (4) hours.D. Infuse each unit for four (4) hours, the maximum rate for a unit of blood.

Correct Answer: A

Rationale: Blood must infuse within 4 hours to prevent bacterial growth; 8-hour infusion (
B) is unsafe, requiring HCP clarification (
A). Splitting units (
C) is unnecessary, and 4 hours (
D) ignores heart failure needs.

Hematologic Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN