NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
A client who has been diagnosed as having pernicious anemia asks how long she will have to take shots. What is the best answer for the nurse to give?
Correct Answer: C
Rationale: Due to the absence of intrinsic factor, pernicious anemia requires lifelong vitamin B12 injections.
Question 2 of 5
The 24-year-old female client is diagnosed with idiopathic thrombocytopenic purpura (ITP). Which question would be important for the nurse to ask during the admission interview?
Correct Answer: B
Rationale: ITP causes bleeding; heavy menstrual periods (
B) assess bleeding severity. Dyspnea (
A), DVT (
C), and migraines (
D) are unrelated.
Question 3 of 5
The male client with sickle cell anemia comes to the emergency department with a temperature of 101.4°F and tells the nurse that he is having a sickle cell crisis. Which diagnostic test should the nurse anticipate the emergency department doctor ordering for the client?
Correct Answer: D
Rationale: Fever (101.4°F) in SCA crisis suggests infection; blood cultures (
D) identify the cause. Spinal tap (
A) is for meningitis, electrophoresis (
B) confirms SCA, and Sickledex (
C) screens for sickle trait.
Question 4 of 5
The nurse completed teaching the client who had a bone marrow transplant (BMT). Which statement by the client indicates the client misunderstood the expected changes following a BMT?
Correct Answer: D
Rationale: A. A common side effect of immunosuppressant medications is weight gain. B. Sterility can occur as a result of chemotherapy and the total body irradiation after BMT. C. Changes in vision are common as a result of the total body irradiation after BMT. D. A white, patchy tongue is a sign of a fungal infection with Candidiasis albicans and would not be an expected change.
Question 5 of 5
The nurse is teaching self-care measures to the client hospitalized with HP. Which measures should the nurse plan to include?
Correct Answer: B, C, D
Rationale: Dental floss can traumatize the gums and increase the risk for bleeding. B. Because the client is at risk for bleeding due to low platelet counts, measures to decrease the risk of bleeding should be implemented, such as using an electric razor. C. Throw rugs and clutter increase the risk for falls with subsequent bleeding. D. Fiber and fluids help prevent constipation. Constipation can lead to hemorrhoids and increase the risk for bleeding. E. Platelet transfusions are usually avoided because the person’s antiplatelet antibodies bind with the transfused platelets, causing them to be destroyed.