NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with iron-deficiency anemia is prescribed ferrous gluconate orally. Which should the nurse teach the client?
Correct Answer: C
Rationale: Ferrous gluconate darkens stools (
C), potentially masking GI bleeding. Imodium (
A) is premature, exercise (
B) is encouraged, and diet (
D) should be varied, not meat-only.
Question 2 of 5
The nurse is transcribing the HCP’s order for an iron supplement on the MAR. At which time should the nurse schedule the daily dose?
Correct Answer: A
Rationale: Iron supplements are best taken in the morning (0900,
A) with food to reduce GI upset and enhance absorption. Later times (B, C,
D) are less optimal.
Question 3 of 5
Which laboratory result would the nurse expect in the client diagnosed with DIC?
Correct Answer: B
Rationale: DIC consumes clotting factors, lowering fibrinogen (
B). PT is prolonged (
A), platelets decrease (
C), and WBCs (
D) are nonspecific.
Question 4 of 5
Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP)?
Correct Answer: A
Rationale: ITP causes low platelets, leading to petechiae (
A). Capillary refill (
B) is normal, splenomegaly (
C) is not primary, and SpO2 95% (
D) is normal.
Question 5 of 5
The client with O+ blood is in need of an emergency transfusion but the laboratory does not have any O+ blood available. Which potential unit of blood could be given to the client?
Correct Answer: A
Rationale: O- is the universal donor (
A), safe for O+ clients. A+ (
B), B+ (
C), and other Rh+ (
D) risk reactions due to antigens.