NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with anemia begins to complain of dyspnea when ambulating in the hall. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Dyspnea in anemia suggests low oxygen-carrying capacity; a wheelchair (
B) prevents exertion while further assessment occurs. Oxygen (
A), lung assessment (
C), and assistance (
D) follow.
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 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 4 of 5
The client is diagnosed with chronic myeloid leukemia and leukocytosis. Which signs/symptoms would the nurse expect to find when assessing this client?
Correct Answer: B
Rationale: CML with leukocytosis causes fatigue, dyspnea, and confusion (
B) from hyperviscosity. Sputum/JVD (
A) suggest heart failure, RUQ/nausea (
C) suggest liver issues, and appetite/weight gain (
D) are unlikely.
Question 5 of 5
The nurse is working in a blood bank facility procuring units of blood from donors. Which client would not be a candidate to donate blood?
Correct Answer: C
Rationale: Recent childbirth (
C) (within 6 months) disqualifies blood donation due to anemia risk. Wisdom teeth (
A), immunization (
B), and aspirin allergy (
D) are not contraindications.