NCLEX-PN
Hematologic System NCLEX Questions Questions
Question 1 of 5
The client is diagnosed with severe iron-deficiency anemia. Which statement is the scientific rationale regarding oral replacement therapy?
Correct Answer: D
Rationale: Oral iron has low absorption (
D), requiring high doses. Side effects (
A) include GI upset, IV (
B) is for severe cases, and diarrhea (
C) is not primary (constipation is common).
Question 2 of 5
The nurse and the licensed practical nurse (LPN) are caring for clients on an oncology floor. Which client should not be assigned to the LPN?
Correct Answer: D
Rationale: IV piggyback medications (
D) require complex assessment (e.g., chemotherapy), beyond LPN scope. New diagnosis (
A), post-biopsy (
B), and post-transfusion (
C) are stable for LPN care.
Question 3 of 5
The nurse is transcribing the HCP’s order for an iron supplement on the MAR. At which time should the nurse schedule the daily dose?
Correct Answer: A
Rationale: Iron supplements are best taken in the morning (0900,
A) with food to reduce GI upset and enhance absorption. Later times (B, C,
D) are less optimal.
Question 4 of 5
Which clinical manifestation of Stage I non-Hodgkin’s lymphoma would the nurse expect to find when assessing the client?
Correct Answer: C
Rationale: Stage I NHL is often asymptomatic (
C), with localized node involvement. Enlarged nodes (
A) are later, LUQ tenderness (
B) suggests spleen, and B-cell elevation (
D) is lab-based, not clinical.
Question 5 of 5
The client diagnosed with leukemia is scheduled for bone marrow transplantation. Which interventions should be implemented to prepare the client for this procedure? Select all that apply.
Correct Answer: A,C,D,E
Rationale: High-dose chemotherapy (
A) ablates marrow, HLA typing (
C) identifies donors, CBC monitoring (
D) tracks counts, and central line care (E) prevents infection. Autologous transfusions (
B) are irrelevant (donor marrow used).