NCLEX-PN
Hematology NCLEX Questions
Question 1 of 5
The client is diagnosed with chronic lymphocytic leukemia (CLL) after routine laboratory tests during a yearly physical. Which is the scientific rationale for the random nature of discovering the illness?
Correct Answer: D
Rationale: Early CLL is often asymptomatic (
D), detected via routine labs. CLL is serious (
A), has symptoms later (
B), and is adult-onset (
C), not self-limiting.
Question 2 of 5
The nurse is completing a care plan for a client diagnosed with leukemia. Which independent problem should be addressed?
Correct Answer: A
Rationale: Infection (
A) is critical in leukemia due to neutropenia, requiring independent nursing actions (e.g., hygiene). Anemia (
B), nutrition (
C), and grieving (
D) are collaborative or secondary.
Question 3 of 5
The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. Which is the nurse’s best response?
Correct Answer: A
Rationale: Hodgkin’s has a good prognosis with standard therapy (
A) (5-year survival >85%). Investigational therapy (
B) isn’t required, survival isn’t poor (
C), and secondary cancers (
D) are long-term risks.
Question 4 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a bone marrow transplantation unit. Which nursing task should the nurse delegate?
Correct Answer: A
Rationale: Taking vital signs (
A) is within UAP scope during transfusions. Monitoring chemo (
B), transcribing orders (
C), and evaluating response (
D) require nursing judgment.
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.