NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
An elderly client who is being treated for pernicious anemia needs to be monitored periodically for which of the following conditions?
Correct Answer: B
Rationale: Pernicious anemia is associated with an increased risk of stomach cancer due to chronic gastritis, requiring periodic monitoring.
Question 2 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.
Question 3 of 5
The nurse is caring for the female client recovering from a sickle cell crisis. The client tells the nurse her family is planning a trip this summer to Yellowstone National Park. Which response would be best for the nurse?
Correct Answer: C
Rationale: High altitudes (e.g., Yellowstone) reduce oxygen, risking SCA crisis (
C). Generic praise (
A), deferring to HCP (
B), or questioning motive (
D) are less direct.
Question 4 of 5
The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
Correct Answer: B
Rationale: Neutropenia increases infection risk; limiting fresh fruits/flowers (
B) reduces microbial exposure. Holding venipuncture (
A) prevents bleeding, reverse isolation (
C) is excessive, and soft toothbrushes (
D) prevent gum trauma but are secondary.
Question 5 of 5
The nurse assesses that the client who is receiving radiation for cervical cancer continues to have diarrhea. Which nursing advice is most appropriate for this client?
Correct Answer: A
Rationale: A. The client with diarrhea should eat a low-residue diet to decrease roughage and bowel irritability and take sitz (or tub) baths twice daily to increase comfort. B. Intake of fluids that are high in potassium (not low) is recommended to replace electrolytes lost through diarrhea. C. Milk products are discouraged because they increase bowel irritability. D. Intake of fluids high in sodium should be avoided because it contributes to water retention, but hydrocolloid pads may be used on reddened areas to promote healing.