ATI LPN
Assessment of Hematologic System NCLEX Questions Questions
Question 1 of 5
What is a side effect of leflunomide?
Correct Answer: A
Rationale: The correct answer is A: Hair loss. Leflunomide is known to cause hair loss as a side effect due to its impact on the hair follicles. This is a common adverse reaction and can occur in some individuals taking leflunomide. Pulmonary fibrosis (B), retinal damage (C), and hepatotoxicity (D) are not typically associated with leflunomide use. Pulmonary fibrosis is more commonly linked to certain medications like methotrexate, while retinal damage and hepatotoxicity are not common side effects of leflunomide.
Question 2 of 5
A client has been newly diagnosed with systemic lupus erythematosus and is reviewing self-care measures with the nurse. Which statement by the client indicates a need to review the material?
Correct Answer: B
Rationale: The correct answer is B because using baby powder is not a recommended self-care measure for someone with lupus. The rationale is that individuals with lupus are sensitive to sunlight (choice A) and should avoid it, should manage fatigue by grouping activities (choice C), and should prioritize rest (choice D) to manage symptoms. Baby powder does not play a role in managing lupus symptoms and could potentially worsen skin irritation.
Question 3 of 5
Through a bone marrow aspirate:
Correct Answer: C
Rationale: The correct answer is C because a bone marrow aspirate allows for the examination of cells to assess their level of maturation. This is crucial in diagnosing various hematologic conditions like leukemia and anemia. Choice A is incorrect as cellularity is better assessed through a bone marrow biopsy. Choice B is incorrect as myelofibrosis is better visualized through a bone marrow biopsy as well. Choice D is incorrect as tumor infiltration is typically seen through imaging studies rather than a bone marrow aspirate.
Question 4 of 5
One of the following is suggestive of multiple myeloma:
Correct Answer: B
Rationale: Bence Jones proteinuria is suggestive of multiple myeloma because it represents monoclonal free light chains in the urine, a characteristic of the disease. Howel Jolly bodies are seen in conditions affecting red blood cells, not specific to multiple myeloma. Philadelphia chromosome is associated with chronic myeloid leukemia, not multiple myeloma. Reedberg stein cells are not a recognized term in relation to multiple myeloma.
Question 5 of 5
The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and should incorporate which action as a priority in the plan?
Correct Answer: A
Rationale: The correct answer is A because protecting the client from infection is the priority for someone with immunodeficiency. By minimizing exposure to pathogens, the nurse helps prevent potential serious complications. Providing emotional support (B) is important but not the priority. Encouraging discussion about lifestyle changes (C) and identifying factors that decreased immune function (D) are also important but not as critical as preventing infections in this case.