NCLEX-PN
Hematology NCLEX Questions
Question 1 of 5
The nurse is discharging a client diagnosed with anemia. Which discharge instruction should the nurse teach?
Correct Answer: C
Rationale: Multiple
Choice CBC checks (
C) monitor anemia recovery. Taking iron indefinitely (
A) depends on cause, BP/pulse checks (
B) are nonspecific, and isometric exercise (
D) may strain low oxygen capacity.
Question 2 of 5
The client’s laboratory values are RBCs 5.5 (x106/mm3), WBCs 8.9 (x103/mm3), and platelets 189 (x103/mm3). Which intervention should the nurse implement?
Correct Answer: B
Rationale: Labs are normal (RBC 5.5, WBC 8.9, platelets 189); continue monitoring (
B). Transfusions (
A), Neupogen (
C), and bleeding precautions (
D) are unnecessary.
Question 3 of 5
A child who has leukemia is to have a bone marrow biopsy performed. How will the child be positioned for this procedure?
Correct Answer: B
Rationale: The prone position is used for a bone marrow biopsy from the iliac crest to access the site safely.
Question 4 of 5
The nurse is caring for the following clients. Which client should the nurse assess first?
Correct Answer: C
Rationale: Platelets 75,000 (
C) indicate thrombocytopenia, risking bleeding, a priority. PTT 38 (
A) is therapeutic, Hb/Hct (
B) are normal, and RBC 4.8 (
D) is normal.
Question 5 of 5
The nurse is caring for clients on a medical floor. After the shift report, which client should be assessed first?
Correct Answer: C
Rationale: Vomiting blood (
C) indicates active GI bleeding, a life-threatening emergency. Low Hct/petechiae (
B) is urgent but stable, transfusion (
A) is uneventful, and perineal discomfort (
D) is least urgent.