NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
Correct Answer: D
Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.
Question 2 of 5
The nurse is caring for a client diagnosed with sickle cell disease. Which should the nurse include in the client’s plan of care?
Correct Answer: B
Rationale: Hydration (
B) prevents sickling in SCD. Limiting fluids (
A) worsens crisis, calf swelling (
C) is for DVT, and scheduled narcotics (
D) risk dependency.
Question 3 of 5
The nurse is caring for the client who had a left modified radical mastectomy (a total mastectomy with axillary node dissection and removal of the lining over the pectoralis major muscle). Which action by the nurse is appropriate?
Correct Answer: B
Rationale: A. The arm on the operative side should be elevated on a pillow, but not above the head. B. All IV access sites should be located on the nonoperative side to prevent circulatory impairment. C. Having the client look at the incision should be at the client’s readiness, not as soon as possible. D. Only ROM to the lower arm should be carried out for the first few days after surgery, with exercises and ROM to the shoulder after the drains are removed.
Question 4 of 5
The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?
Correct Answer: A,C
Rationale: Petechiae (
A) and low Hb/Hct (
C) reflect leukemia’s impact on hematologic regulation (thrombocytopenia, anemia). Joint pain (
B) is less common, and headache/slurred speech (
D) suggest stroke.
Question 5 of 5
The nurse is caring for a child who has hemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?
Correct Answer: B
Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.