Hematology NCLEX Questions

Question 1 of 5

The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?

A. Hold all venipuncture sites for at least five (5) minutes.B. Limit fresh fruits and flowers.C. Place all clients in reverse isolation.D. Have the clients use a soft-bristle toothbrush.

Correct Answer: B

Rationale: Neutropenia increases infection risk; limiting fresh fruits/flowers (
B) reduces microbial exposure. Holding venipuncture (
A) prevents bleeding, reverse isolation (
C) is excessive, and soft toothbrushes (
D) prevent gum trauma but are secondary.

Question 2 of 5

Which medication is contraindicated for a client diagnosed with leukemia?

A. Bactrim, a sulfa antibiotic.B. Morphine, a narcotic analgesic.C. Epogen, a biologic response modifier.D. Gleevec, a genetic blocking agent.

Correct Answer: C

Rationale: Epogen (
C) stimulates RBC production, risky in leukemia due to blast proliferation. Bactrim (
A) treats infections, morphine (
B) manages pain, and Gleevec (
D) targets CML.

Question 3 of 5

The client diagnosed with non-Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?

A. The scan will identify any malignancy in the vascular system.B. Radiopaque dye will be injected between the toes.C. The test will be done similar to a cardiac angiogram.D. The test will be completed in about five (5) minutes.

Correct Answer: B

Rationale: Lymphangiogram involves dye injection between toes (
B) to visualize lymphatics. It’s not vascular (
A), unlike cardiac angiogram (
C), and takes longer than 5 minutes (
D).

Question 4 of 5

Which test is considered diagnostic for Hodgkin's lymphoma?

A. A magnetic resonance image (MRI) of the chest.B. A computed tomography (CT) scan of the cervical area.C. An erythrocyte sedimentation rate (ESR).D. A biopsy of the cervical lymph nodes.

Correct Answer: D

Rationale: Lymph node biopsy (
D) diagnoses Hodgkin’s via Reed-Sternberg cells. MRI/CT (A,
B) stage disease, ESR (
C) is nonspecific.

Question 5 of 5

The nurse is admitting a 24-year-old African American female client with a diagnosis of rule-out anemia. The client has a history of gastric bypass surgery for obesity four (4) years ago. Current assessment findings include height 5’5”; weight 75 kg; P 110, R 27, and BP 104/66; pale mucous membranes and dyspnea on exertion. Which type of anemia would the nurse suspect the client has developed?

A. Vitamin B12 deficiency.B. Folic acid deficiency.C. Iron deficiency.D. Sickle cell anemia.

Correct Answer: A

Rationale: Gastric bypass impairs B12 absorption, causing B12 deficiency anemia (
A) with pale membranes, tachycardia, and dyspnea. Folic acid (
B) is less likely, iron (
C) is possible but secondary, and sickle cell (
D) is genetic.

Hematology NCLEX Questions | Nurselytic

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