Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The charge nurse is making assignments on a medical floor. Which client should be assigned to the most experienced nurse?

Correct Answer: C

Rationale: Aplastic anemia with pancytopenia (
C) is complex, risking bleeding/infection, requiring experienced care. Iron (
A), B12 (
B), and renal anemia (
D) are more stable.

Question 2 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

A. The client will call the HCP if feeling ill. B. The client will be compliant with medical regimen. C. The client will live as normal a life as possible. D. The client will verbalize understanding of treatments.

Correct Answer: C

Rationale: The primary goal for SCA is to live normally (
C), managing crises. Calling HCP (
A), compliance (
B), and understanding (
D) are secondary.

Question 3 of 5

The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?

A. Encourage isometric exercises. B. Assist the client with activities of daily living (ADLs). C. Provide a high-protein diet. D. Refer to the physical therapist.

Correct Answer: B

Rationale: Assisting with ADLs (
B) conserves energy in anemia-related activity intolerance. Isometric exercises (
A) strain oxygen capacity, diet (
C) is medical, and PT (
D) is collaborative.

Question 4 of 5

The client asks the nurse, 'They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?' The nurse’s answer is based on which scientific rationale?

A. Biopsies are nuclear medicine scans that can detect cancer. B. A biopsy is a laboratory test that detects cancer cells. C. It determines which kind of cancer the client has. D. The HCP takes a small piece out of the tumor and looks at the cells.

Correct Answer: C

Rationale: A biopsy identifies Hodgkin’s via Reed-Sternberg cells (
C). It’s not a scan (
A), not just a lab test (
B), and involves microscopic cell analysis (D is partial but less precise).

Question 5 of 5

The nurse is caring for the client placed on neutropenic precautions. Which interventions should the nurse implement?

A. Apply pressure for at least 5 minutes to any site that is bleeding. B. Prevent anyone from bringing fresh flowers into the client’s room. C. Teach the client to avoid eating unwashed fruit and vegetables. D. Perform hand hygiene before touching any of the client’s belongings. E. Inform the client that fresh water will be delivered every hour. F. Stop visitors from entering the room if observed to be coughing.

Correct Answer: B, C, D, F, A.

Rationale: Pressure should be applied to an area that is bleeding when the client has thrombocytopenia, not neutropenia. B. Fresh flowers harbor microorganisms that can cause an infection. C. Unwashed fruits and vegetables have been found to be colonized with various bacteria, particularly gram-negative enteric organisms, as well as pseudomonas and fungi. Recent research indicates that well-washed fresh fruits and vegetables may be eaten. D. Hand hygiene reduces microbial counts on hands and helps to prevent the transmission of microorganisms to the client’s belongings. E. The client should not consume any liquids that have been standing at room temperature for longer than an hour due to risk of microbial colonization. F. Visitors with a transmittable infection place the client at a high risk for becoming infected due to the client’s depressed immune system.

Hematologic Disorders NCLEX Questions | Nurselytic

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