NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
An 8-year-old boy is admitted to the unit with a diagnosis of acute lymphocytic leukemia. During a routine physical exam, numerous ecchymotic areas were noted on his body. The parent reported that the child has been more tired than usual personally more tired than usual lately. The parent says that the child has had a cold for the last several weeks and asks if this is related to the leukemia. The nurse's response is based on the knowledge that:
Correct Answer: A
Rationale: Leukemia reduces normal white blood cells, impairing infection fighting, which may explain the prolonged cold. Infections do not cause leukemia.
Question 2 of 5
The nurse is caring for a client diagnosed with acute myeloid leukemia. Which assessment data warrant immediate intervention?
Correct Answer: D
Rationale: Left upper quadrant pain (
D) suggests splenic rupture, a life-threatening AML complication. Vitals (
A) are stable, gum hyperplasia (
B) is expected, and fatigue (
C) is common.
Question 3 of 5
A toddler has been treated for sickle cell crisis. The crisis subsides, and the child improves. Which statement is essential for the nurse to include in the discharge teaching?
Correct Answer: B
Rationale: Fevers can cause dehydration and trigger sickling, leading to a crisis, making it essential to notify the physician immediately.
Question 4 of 5
The unlicensed assistive personnel (UAP) asks the primary nurse, 'How does someone get hemophilia A?' Which statement would be the primary nurse’s best response?
Correct Answer: A
Rationale: Hemophilia A is an X-linked recessive disorder (
A), the most precise explanation. Factor VIII deficiency (
B) is a result, born with it (
C) is vague, and mother-to-son (
D) is partial.
Question 5 of 5
A toddler is diagnosed with sickle cell anemia. Her mother is four months pregnant with her second child. The mother asks if there is any chance the new baby will have sickle cell anemia. She says that neither she nor her husband has sickle cell anemia. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Sickle cell anemia is autosomal recessive. If both parents are carriers (trait), there is a 25% chance each child will have the disease.