NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The 33-year-old client diagnosed with Stage IV Hodgkin’s lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?
Correct Answer: A
Rationale: Post-remission Hodgkin’s requires ongoing cancer screenings (
A) due to recurrence/second cancer risk. Follow-ups are more frequent than 5 years (
B), risk remains elevated (
C), and funeral plans (
D) are premature.
Question 2 of 5
The client receiving hospice care has cancer pain and requires treatment with a co-analgesic for pain control. Which medication should the nurse request an HCP to prescribe because it gives the best pain-relieving response when given with opioids?
Correct Answer: B
Rationale: Promethazine (Phenergan) is given with pain medications, but it treats nausea and vomiting, not pain. Gabapentin (Neurontin) is often administered with opioid pain medications because of its efficacy in relieving neuropathic pain and its limited adverse effects. Diphenhydramine (Benadryl) is not a co-analgesic but an antihistamine. Droperidol (Inapsine) is not a co-analgesic but an antiemetic to control nausea and vomiting.
Question 3 of 5
The nurse writes the problem of 'grieving' for a client diagnosed with non-Hodgkin's lymphoma. Which collaborative intervention should be included in the plan of care?
Correct Answer: C
Rationale: Grieving requires collaborative support; ACS Dialogue group (
C) provides peer support. Talking (
A) is independent, outings (
B) are nonspecific, and chaplain visits (
D) are spiritual, not primary.
Question 4 of 5
At 1000 hours, the nurse is documenting the administration of 275 mL of compatible platelets, unit number XR123. Which information should the nurse document?
Correct Answer: B, C, E,A.
Rationale: This documents an incomplete blood type, and platelets are unlikely to be administered over 4 hours. B. Documentation should include the type of product infused (platelets), product number (compatible platelets were ordered), and that it was double-checked. C. Documentation should include any adverse reactions. D. Only 0.9% NaCl should be used when administering blood or blood products, and usually only to purge the line before and after administration. E. Documentation should include volume infused. Platelets should be infused as fast as the client can tolerate the infusion to diminish clumping.
Question 5 of 5
A child is being evaluated for possible leukemia. Which assessment finding is most likely to be present?
Correct Answer: A
Rationale: Numerous bruises are common in leukemia due to decreased platelets from bone marrow failure.