NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 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?
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 2 of 5
The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?
Correct Answer: D
Rationale: Menorrhagia causes blood loss, lowering hemoglobin (
D), leading to fatigue/listlessness. Pain (
A) is not primary, symptoms are related (
B), and viral fatigue (
C) is less likely.
Question 3 of 5
The nurse is teaching the client who is to undergo diagnostic testing for possible gastric cancer. Teaching the client about which specific diagnostic test would be most helpful?
Correct Answer: C
Rationale: A. Bronchoscopy includes insertion of a bronchoscope to examine the lungs. B. Colonoscopy is used to inspect the large intestines. C. EGD is an invasive procedure in which a lighted instrument (scope) is lowered into the stomach and duodenum to examine gastric tissues and obtain biopsies for cancer cell analysis. Because it is the preferred test to diagnose gastric cancer, the nurse should teach the client about this test. D. A MUGA scan creates video images of the ventricles of the heart to evaluate their correct function in pumping blood. A person who is to receive chemotherapy for cancer treatment may have a MUGA scan completed to identify preexisting heart conditions.
Question 4 of 5
The female client, who has Hodgkin’s lymphoma with cervical and axillary node involvement, is to receive chemotherapy and radiation. The nurse evaluates that the client is coping positively when the client makes which statement?
Correct Answer: A
Rationale: A. The client is expressing feelings about hair loss but has acted positively related to her feelings and obtained a wig. This statement indicates positive coping. B. This statement reflects that either the client is in denial or is uninformed regarding the effects of chemotherapy and radiation treatments. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include alopecia. C. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include mucositis. D. The risk for other cancers is increased after chemotherapy and radiation for Hodgkin’s lymphoma, so long-term surveillance is crucial.
Question 5 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.