NCLEX-PN
Hematology NCLEX Questions Questions
Question 1 of 5
The client with COPD has developed polycythemia vera, and the nurse completes teaching on measures to prevent complications. During a home visit, the nurse evaluates that the client is correctly following the teaching when which actions are noted?
Correct Answer: A, C, D, F
Rationale: Iron supplements, including those in multi-vitamins, should be avoided because the iron stimulates RBC production. B. Alcohol increases the risk of bleeding. C. Increasing fluid intake to 3000 mL daily will help decrease blood viscosity. D. Phlebotomy is performed on a routine or intermittent basis to diminish blood viscosity, deplete iron stores, and decrease the client’s ability to manufacture excess erythrocytes. E. Frequent, small meals are better tolerated, especially if the liver is involved. F. Elevating the legs, avoiding constriction or crossing the legs, and wearing antiembolic stockings help prevent DVT.
Question 2 of 5
Which sign/symptom should the nurse expect to assess in the client diagnosed with hemophilia A?
Correct Answer: A
Rationale: Hemophilia A causes bleeding; epistaxis (
A) is common. Petechiae (
B) indicate thrombocytopenia, emphysema (
C) is unrelated, and claudication (
D) is vascular.
Question 3 of 5
The nurse is preparing to administer the chemotherapeutic agent cisplatin IV to the client with ovarian cancer. The dose is 100 mg/m2 in 2 liters of DSW to be infused over 8 hours. What is the rate in milliliters (mL) per hour that the nurse should set the infusion pump to deliver the medication? __________ mL/hour (Record your answer as a whole number.)
Correct Answer: 250
Rationale: first convert liters to milliliters: 1000 mL/1L= XmL/2L. 1000mL* 2L= 1L * x mL;
2000 mL = X. Next ,CALCULATE the mL per hour 2000 mL /8 Hours =250mL/hour
Question 4 of 5
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
Correct Answer: D
Rationale: Morphine PRN (
D) is preferred for severe SCA crisis pain, titrated to relief. Aspirin (
A) and ibuprofen (
B) are insufficient and risk bleeding, and meperidine (
C) risks seizures.
Question 5 of 5
The nurse is caring for the female client recovering from a sickle cell crisis. The client tells the nurse her family is planning a trip this summer to Yellowstone National Park. Which response would be best for the nurse?
Correct Answer: C
Rationale: High altitudes (e.g., Yellowstone) reduce oxygen, risking SCA crisis (
C). Generic praise (
A), deferring to HCP (
B), or questioning motive (
D) are less direct.