NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
Following morning shift report, the nurse identifies care needs for four clients. Which client should be the nurse’s priority?
Correct Answer: B
Rationale: A. No time is noted for the administration of ondansetron (Zofran) prior to chemotherapy treatment; this client is not the nurse’s priority. B. The client with neutropenia should be the nurse’s priority. If seen first, microorganisms from other clients would be less likely to be transmitted to the client. This client is at risk for infection and severe sepsis because the absolute neutrophil count is less than 1001mm3 (normal = 1500 to 8000/mm3). C. This client is stable; another person can take this client to radiation therapy, and the nurse’s assessment can wait until the client returns. D. The tube feeding can be initiated after the needs of the most critical client are met.
Question 2 of 5
Which sign/symptom should the nurse expect to assess in the client diagnosed with hemophilia A?
Correct Answer: A
Rationale: Hemophilia A causes bleeding; epistaxis (
A) is common. Petechiae (
B) indicate thrombocytopenia, emphysema (
C) is unrelated, and claudication (
D) is vascular.
Question 3 of 5
The student nurse asks the nurse, 'What is sickle cell anemia?' Which statement by the nurse would be the best answer to the student’s question?
Correct Answer: D
Rationale: Sickle cell anemia causes RBCs to sickle under low oxygen, thickening blood (
D). Written material (
A) avoids teaching, clotting (
B) is incorrect (SCD causes occlusion), and synovial fluid (
C) is unrelated.
Question 4 of 5
The charge nurse in the intensive care unit is making client assignments. Which client should the charge nurse assign to the graduate nurse who has just finished the three (3)-month orientation?
Correct Answer: A
Rationale: Colostomy care (
A) is stable and suitable for a new graduate. ARDS (
B), DIC (
C), and severe anemia (
D) are critical, requiring experienced care.
Question 5 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.