Hematologic Disorders NCLEX Questions Quizlet | Nurselytic

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Hematologic Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

A coworker being oriented by another nurse states, “I’m confused; a physician told me that graft-versus-host disease (GVHD) symptoms were desirable for a particular client after a bone marrow transplant.” Which should be the nurse’s best response?

Correct Answer: D

Rationale: A. GVHD is desirable if the primary source is hematological. B. Bone marrow transplant is not a treatment for GI malignancies unless the primary source is hematological. C. GVHD does not occur when a person receives autologous (his or her own) cells during a transplant. D. GVHD is sometimes desirable with a hematological malignancy. The donor lymphocytes can mount a reaction against any lingering tumor cells and destroy them.

Question 2 of 5

The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?

Correct Answer: A

Rationale: Night sweats and fever (
A) are classic Hodgkin’s B symptoms. Edematous nodes (
B) are not typical (firm, non-tender), malaise/stomach (
C) is nonspecific, and neck pain (
D) suggests gallbladder issues.

Question 3 of 5

The nurse writes a nursing problem of 'altered nutrition' for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?

Correct Answer: B

Rationale: Altered nutrition requires monitoring serum albumin (
B) to assess protein status. Antidiarrheals (
A) are symptom-specific, infection (
C) is unrelated, and skin care (
D) addresses radiation effects.

Question 4 of 5

The client is diagnosed with chronic myeloid leukemia and leukocytosis. Which signs/symptoms would the nurse expect to find when assessing this client?

Correct Answer: B

Rationale: CML with leukocytosis causes fatigue, dyspnea, and confusion (
B) from hyperviscosity. Sputum/JVD (
A) suggest heart failure, RUQ/nausea (
C) suggest liver issues, and appetite/weight gain (
D) are unlikely.

Question 5 of 5

A coworker being oriented by another nurse states, “I’m confused; a physician told me that graft-versus-host disease (GVHD) symptoms were desirable for a particular client after a bone marrow transplant.” Which should be the nurse’s best response?

Correct Answer: D

Rationale: A. GVHD is desirable if the primary source is hematological. B. Bone marrow transplant is not a treatment for GI malignancies unless the primary source is hematological. C. GVHD does not occur when a person receives autologous (his or her own) cells during a transplant. D. GVHD is sometimes desirable with a hematological malignancy. The donor lymphocytes can mount a reaction against any lingering tumor cells and destroy them.

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