Hematologic Disorders NCLEX Questions

Question 1 of 5

The nurse is assessing a client diagnosed with acute myeloid leukemia. Which assessment data support this diagnosis?

A. Fever and infections.B. Nausea and vomiting.C. Excessive energy and high platelet counts.D. Cervical lymph node enlargement and positive acid-fast bacillus.

Correct Answer: A

Rationale: AML causes neutropenia, leading to fever/infections (
A). Nausea (
B) is nonspecific, high platelets/energy (
C) are incorrect (AML causes thrombocytopenia/fatigue), and acid-fast bacillus (
D) indicates TB, not AML.

Question 2 of 5

The laboratory results for a male client diagnosed with leukemia include RBC count 2.1 x 106/mm3, WBC count 150 x 103/mm3, platelets 22 x 103/mm3, K+ 3.8 mEq/L, and Na+ 139 mEq/L. Based on these results, which intervention should the nurse teach the client?

A. Encourage the client to eat foods high in iron.B. Instruct the client to use an electric razor when shaving.C. Discuss the importance of limiting sodium in the diet.D. Instruct the family to limit visits to once a week.

Correct Answer: B

Rationale: Low platelets (22,000) increase bleeding risk; an electric razor (
B) prevents cuts. Iron (
A) is for anemia, sodium (
C) is normal (139), and limiting visits (
D) is excessive.

Question 3 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 4 of 5

Which client should be assigned to the experienced medical-surgical nurse who is in the first week of orientation to the oncology floor?

A. The client diagnosed with non-Hodgkin’s lymphoma who is having daily radiation treatments.B. The client diagnosed with Hodgkin’s disease who is receiving combination chemotherapy.C. The client diagnosed with leukemia who has petechiae covering both anterior and posterior body surfaces.D. The client diagnosed with diffuse histolytic lymphoma who is to receive two (2) units of packed red blood cells.

Correct Answer: C

Rationale: Leukemia with extensive petechiae (
C) indicates severe thrombocytopenia, requiring experienced assessment for bleeding. Radiation (
A), chemotherapy (
B), and transfusions (
D) are less complex.

Question 5 of 5

The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?

A. The pain associated with the menorrhagia does not allow the client to rest.B. The client’s symptoms are unrelated to the diagnosis of menorrhagia.C. The client probably has been exposed to a virus that causes chronic fatigue.D. Menorrhagia has caused the client to have decreased levels of hemoglobin.

Correct Answer: D

Rationale: Menorrhagia causes blood loss, lowering hemoglobin (
D), leading to fatigue/listlessness. Pain (
A) is not primary, symptoms are related (
B), and viral fatigue (
C) is less likely.

Hematologic Disorders NCLEX Questions | Nurselytic

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