NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
A 1-year-old is admitted to the hospital with sickle cell anemia in crisis. Upon admission, which therapy will assume priority?
Correct Answer: A
Rationale: Fluid administration is the priority in sickle cell crisis to prevent dehydration and reduce blood viscosity, which can worsen sickling.
Question 2 of 5
The nurse is assessing the client newly diagnosed with endometrial cancer. Which common findings would the nurse expect?
Correct Answer: A
Rationale: A. Abnormal vaginal bleeding and pain in the pelvic region appear as the most common presenting symptoms in the client with endometrial cancer. B. Weight loss is not a common presenting symptom unless the cancer is advanced. Night sweats may occur with hormone changes. C. Supraclavicular lymph nodes are located just above the clavicle, lateral to where it joins the sternum, and not near the uterus. D. Unexplained temperature spikes and splenomegaly are not common presenting symptoms.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a bone marrow transplantation unit. Which nursing task should the nurse delegate?
Correct Answer: A
Rationale: Taking vital signs (
A) is within UAP scope during transfusions. Monitoring chemo (
B), transcribing orders (
C), and evaluating response (
D) require nursing judgment.
Question 4 of 5
The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. Which is the nurse’s best response?
Correct Answer: A
Rationale: Hodgkin’s has a good prognosis with standard therapy (
A) (5-year survival >85%). Investigational therapy (
B) isn’t required, survival isn’t poor (
C), and secondary cancers (
D) are long-term risks.
Question 5 of 5
The client diagnosed with leukemia has received a bone marrow transplant. The nurse monitors the client’s absolute neutrophil count (ANC). What is the client’s neutrophil count if the WBCs are 2.2 (x103/mm3), neutrophils are 25%, and bands are 5%?
Correct Answer: 660
Rationale: ANC = WBC × (neutrophils% + bands%). WBC = 2,200/mm3, neutrophils = 25%, bands = 5%. ANC = 2,200 × (0.25 + 0.05) = 2,200 × 0.3 = 660/mm3.