NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
A child who has hemophilia is admitted to the hospital with a swollen knee joint. He is complaining of severe pain. What is the priority of nursing care for this child upon admission?
Correct Answer: B
Rationale: Using a bed cradle reduces pressure on the swollen, painful joint, prioritizing pain relief and comfort during a bleeding episode.
Question 2 of 5
Which medication is contraindicated for a client diagnosed with leukemia?
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 is being admitted with folic acid deficiency anemia. Which would be the most appropriate referral?
Correct Answer: C
Rationale: Folic acid deficiency anemia requires a hematologist (
C) for evaluation/treatment. AA (
A) is for alcoholism, Leukemia Society (
B) is unrelated, and social work (
D) is secondary.
Question 4 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 5 of 5
The nurse explains “watchful waiting” (ongoing visits to a physician for observation of signs and symptoms without treatment) to the client with prostate cancer. Which client is a candidate for “watchful waiting”?
Correct Answer: B
Rationale: A. The client with prostate cancer that has metastasized to the bone generally requires aggressive therapy. B. The client is a candidate for “watchful waiting” when older than age 70 with a life expectancy of less than 10 years and with low-grade disease. C. The client with extension of the tumor outside of the prostate generally requires aggressive therapy. D. The client who is asymptomatic with an elevated prostate-specific antigen generally requires aggressive therapy.