NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client admitted with full-thickness burns may be developing DIC. Which signs/symptoms would support the diagnosis of DIC?
Correct Answer: A
Rationale: DIC causes uncontrolled bleeding; oozing from IV sites (
A) is a hallmark. Chest pain/sputum (
B) suggests PE, urine odor (
C) is unrelated, and redness (
D) indicates infection.
Question 2 of 5
The nurse is preparing to administer epoetin alfa to the client who has chemotherapy-associated anemia. The nurse recognizes the need to consult with the HCP before administration when the client makes which statements?
Correct Answer: A, D
Rationale: Erythropoiesis-stimulating agents, such as epoetin alfa (Epogen), can cause thromboembolic events. It would be concerning if the client had limited activity because this could further increase the client’s risk of a thromboembolic event. B. Dark green, leafy vegetables are high in iron and help with Hgb synthesis and therefore would be beneficial. C. Eggs are high in iron, but there are other food sources high in iron that the client can consume if an aversion exists. D. A history of a thromboembolic event and use of epoetin alfa increase the client’s risk for another thromboembolic event. E. The use of epoetin alfa is recommended as a treatment option for clients with chemotherapy-associated anemia and an Hgb concentration that is approaching, or has fallen below, 10 g/dL, to increase the Hgb level and decrease the need for a transfusion.
Question 3 of 5
The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The crossmatch reveals the presence of antibodies that cannot be crossmatched. Which precaution should the nurse implement when initiating the transfusion?
Correct Answer: A
Rationale: Uncrossmatched blood requires slow infusion (10–15 mL/hr) initially (
A) to monitor reactions. Re-crossmatching (
B) is impractical, consent (
C) is for emergencies, and UAP (
D) cannot monitor.
Question 4 of 5
The nurse writes a nursing problem of 'altered nutrition' for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?
Correct Answer: B
Rationale: Altered nutrition requires monitoring serum albumin (
B) to assess protein status. Antidiarrheals (
A) are symptom-specific, infection (
C) is unrelated, and skin care (
D) addresses radiation effects.
Question 5 of 5
The nurse administers iron using the Z track technique. What is the primary reason for administering iron via Z track?
Correct Answer: B
Rationale: The Z track technique prevents iron from leaking into subcutaneous tissue, reducing skin staining.