NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with cancer has been undergoing systemic treatments and has red blood cell deficiency. Which signs and symptoms should the nurse teach the client to manage?
Correct Answer: B
Rationale: RBC deficiency (anemia) causes shortness of breath and fatigue (
B), which clients should manage. Nausea (
A), mucositis/diarrhea (
C), and emotions (
D) are unrelated to anemia.
Question 2 of 5
The nurse identified clotting as a concept related to sickle cell disease. Which intervention should the nurse implement?
Correct Answer: A
Rationale: SCD causes vaso-occlusion; assessing cerebrovascular symptoms (
A) detects stroke risk. HOB elevation (
B) is for ICP, sodium diet (
C) is for hypertension, and stockings (
D) are for DVT.
Question 3 of 5
A Schilling test has been ordered for a client suspected of having pernicious anemia. What is the nurse's primary responsibility in relation to this test?
Correct Answer: B
Rationale: The Schilling test involves administering radioactive vitamin B12 orally and collecting a 24-hour urine sample to assess absorption, indicating the nurse's primary responsibility.
Question 4 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 5 of 5
The client, who underwent a right mastectomy with lymph node dissection, is being admitted to a nursing unit from the PACU. When settling the client in bed, which action by the NA requires the nurse to intervene?
Correct Answer: C
Rationale: A. BPs, venipunctures, and injections should not be done on the affected arm, so taking the BP on the left arm would be appropriate. B. It would be appropriate for the NA to tape a sign at the side rail to remind others of the restrictions following a mastectomy. C. The client should be placed in a semi-Fowler’s position with the arm on the affected side elevated on a pillow to promote restoring arm function and to prevent arm edema. D. It would be beneficial for the NA and nurse to be sensitive to the client’s readiness for family presence.