Hematology NCLEX | Nurselytic

Questions 33

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Hematology NCLEX Questions

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Question 1 of 5

A young man who has infectious mononucleosis asks what the treatment is for his condition. What is the best response for the nurse to make?

Correct Answer: B

Rationale: Rest and good nutrition support recovery from infectious mononucleosis, a viral illness with no specific antiviral or steroid treatment.

Question 2 of 5

The client who is receiving doxorubicin for the first time to treat multiple myeloma develops flushing, facial swelling, headache, chills, and back pain. Which statement made by the nurse is best?

Correct Answer: A

Rationale: A. This response is best. The nurse informs the client correctly that the symptoms of doxorubicin (Adriamycin) are limited to the first dose. B. The nurse is providing unsolicited advice. C. Ondansetron (Zofran) is an antiemetic and will not alleviate all of the symptoms. D. This response belittles the client’s symptoms. There is no cure for multiple myeloma. Treatment will control the illness and maintain the client’s level of functioning for several years or more.

Question 3 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 4 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 5 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.

Similar Questions

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The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical unit. Which task should the nurse delegate to the UAP?
Fifteen minutes after the nurse has initiated a transfusion of packed red blood cells, the client becomes restless and complains of itching on the trunk and arms. Which intervention should the nurse implement first?
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?

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