NCLEX-PN
Hematology NCLEX Questions Questions
Question 1 of 5
Which statement is the scientific rationale for infusing a unit of blood in less than four (4) hours?
Correct Answer: B
Rationale: Blood must infuse within 4 hours (
B) to minimize bacterial growth risk. Coagulation (
A) is not primary, components (
C) degrade minimally, and lab procedure (
D) is incorrect.
Question 2 of 5
The nurse assesses that the client who is receiving radiation for cervical cancer continues to have diarrhea. Which nursing advice is most appropriate for this client?
Correct Answer: A
Rationale: A. The client with diarrhea should eat a low-residue diet to decrease roughage and bowel irritability and take sitz (or tub) baths twice daily to increase comfort. B. Intake of fluids that are high in potassium (not low) is recommended to replace electrolytes lost through diarrhea. C. Milk products are discouraged because they increase bowel irritability. D. Intake of fluids high in sodium should be avoided because it contributes to water retention, but hydrocolloid pads may be used on reddened areas to promote healing.
Question 3 of 5
The client is diagnosed with hereditary spherocytosis. Which treatment/procedure would the nurse prepare the client to receive?
Correct Answer: B
Rationale: Spherocytosis causes hemolytic anemia; splenectomy (
B) reduces RBC destruction. BMT (
A) is for leukemia, transfusions (
C) are supportive, and liver biopsy (
D) is unrelated.
Question 4 of 5
The client diagnosed with anemia has an Hb of 6.1 g/dL. Which complication should the nurse assess for?
Correct Answer: C
Rationale: Severe anemia (Hb 6.1) reduces oxygen delivery, straining the heart and risking CHF (
C). Pulmonary (
A), muscle (
B), and gastric (
D) issues are less direct.
Question 5 of 5
In which order should the nurse address the assessment findings for the client who has undergone a total laryngectomy? Place the findings in the order of priority.
Correct Answer: B, A, D, C
Rationale: . Restless and has a mucus plug in the tracheostomy is priority requiring immediate attention due to the negative impact on air exchange. The client needs immediate suctioning. A. Copious oral secretions and nasal mucus draining from the nose should be next. After a total laryngectomy the mouth does not communicate with the trachea, so copious oral secretions and nasal drainage would not influence air exchange, but these create a source of discomfort for the client. D. Oozing serosanguineous drainage around the tracheostomy tube and saturated dressing should be addressed third. Changing the dressing now would allow the nurse to inspect the site and ensure tube patency. C. NG tube used for intermittent feedings pulled halfway out can be addressed last. There is no indication that a tube feeding is infusing. The HCP should be contacted to reinsert the NG tube to prevent disruption of the suture line in the esophagus.