NCLEX-PN
Hematology NCLEX Practice Questions Questions
Question 1 of 5
The client diagnosed with leukemia is being admitted for an induction course of chemotherapy. Which laboratory values indicate a diagnosis of leukemia?
Correct Answer: C
Rationale: Leukemia causes bone marrow suppression, leading to low Hb/Hct (
C). Left shift (
A) indicates infection, antibiotic response (
B) suggests infection, and large RBCs (
D) indicate megaloblastic anemia.
Question 2 of 5
The nurse is caring for a client diagnosed with acute myeloid leukemia. Which assessment data warrant immediate intervention?
Correct Answer: D
Rationale: Left upper quadrant pain (
D) suggests splenic rupture, a life-threatening AML complication. Vitals (
A) are stable, gum hyperplasia (
B) is expected, and fatigue (
C) is common.
Question 3 of 5
The nurse writes the problem of 'grieving' for a client diagnosed with non-Hodgkin's lymphoma. Which collaborative intervention should be included in the plan of care?
Correct Answer: C
Rationale: Grieving requires collaborative support; ACS Dialogue group (
C) provides peer support. Talking (
A) is independent, outings (
B) are nonspecific, and chaplain visits (
D) are spiritual, not primary.
Question 4 of 5
The 33-year-old client diagnosed with Stage IV Hodgkin’s lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?
Correct Answer: A
Rationale: Post-remission Hodgkin’s requires ongoing cancer screenings (
A) due to recurrence/second cancer risk. Follow-ups are more frequent than 5 years (
B), risk remains elevated (
C), and funeral plans (
D) are premature.
Question 5 of 5
The client is diagnosed with congestive heart failure and anemia. The HCP ordered a transfusion of two (2) units of packed red blood cells. The unit has 250 mL of red blood cells plus 45 mL of additive. At what rate should the nurse set the IV pump to infuse each unit of packed red blood cells?
Correct Answer: 74
Rationale: Each unit = 250 mL RBC + 45 mL additive = 295 mL. Standard transfusion time is 4 hours max. 295 mL ÷ 4 hr = 73.75 mL/hr, rounded to 74 mL/hr for pump precision.