NCLEX-PN
Hematology NCLEX Questions
Question 1 of 5
The client diagnosed with end-stage renal disease (ESRD) has developed anemia. Which would the nurse anticipate the HCP prescribing for this client?
Correct Answer: D
Rationale: ESRD causes erythropoietin deficiency; prescribing erythropoietin (
D) treats anemia. Isolation (
A), stopping treatment (
B), and daily CBC (
C) are inappropriate.
Question 2 of 5
A client who has been diagnosed as having pernicious anemia asks how long she will have to take shots. What is the best answer for the nurse to give?
Correct Answer: C
Rationale: Due to the absence of intrinsic factor, pernicious anemia requires lifelong vitamin B12 injections.
Question 3 of 5
The nurse is caring for multiple 25-year-old female clients. The nurse should plan to consult the HCP about a referral for genetic counseling and family planning for which clients?
Correct Answer: A, B, C, E
Rationale: Thalassemia is a hereditary disorder; the client could benefit from a referral for genetic counseling. B. Sickle cell anemia is a hereditary disorder; the client could benefit from a referral for genetic counseling. C. Hemophilia A is a hereditary disorder; the client could benefit from a referral for genetic counseling. D. Autoimmune hemolytic anemia is an acquired hemolytic anemia. E. Hemophilia B is a hereditary disorder; the client could benefit from a referral for genetic counseling.
Question 4 of 5
Which interrelated psychological concept is priority for the nurse caring for a client diagnosed with leukemia?
Correct Answer: C
Rationale: Leukemia’s life-threatening nature makes grieving (
C) a priority, addressing loss of health. Comfort (
A), stress (
B), and coping (
D) are secondary.
Question 5 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical unit. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Taking vital signs post-transfusion (
B) is within UAP scope. Checking melena (
A), evaluating diet (
C), and shaving with anemia (
D) require nursing judgment due to bleeding risks.