Hematologic Disorders NCLEX Questions

Extract:

Question 1 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 2 of 5

The nurse is caring for a client diagnosed with sickle cell disease. Which should the nurse include in the client’s plan of care?

A. Teach the client to limit fluids. B. Discuss interventions to maintain hydration. C. Measure the client’s calf for swelling. D. Have the client take narcotic pain medication every four (4) hours.

Correct Answer: B

Rationale: Hydration (
B) prevents sickling in SCD. Limiting fluids (
A) worsens crisis, calf swelling (
C) is for DVT, and scheduled narcotics (
D) risk dependency.

Question 3 of 5

The charge nurse is making assignments on a medical floor. Which client should be assigned to the most experienced nurse?

A. The client diagnosed with iron-deficiency anemia who is prescribed iron supplements. B. The client diagnosed with pernicious anemia who is receiving vitamin B12 intramuscularly. C. The client diagnosed with aplastic anemia who has developed pancytopenia. D. The client diagnosed with renal disease who has a deficiency of erythropoietin.

Correct Answer: C

Rationale: Aplastic anemia with pancytopenia (
C) is complex, risking bleeding/infection, requiring experienced care. Iron (
A), B12 (
B), and renal anemia (
D) are more stable.

Question 4 of 5

The laboratory results for a male client diagnosed with leukemia include RBC count 2.1 x 106/mm3, WBC count 150 x 103/mm3, platelets 22 x 103/mm3, K+ 3.8 mEq/L, and Na+ 139 mEq/L. Based on these results, which intervention should the nurse teach the client?

A. Encourage the client to eat foods high in iron. B. Instruct the client to use an electric razor when shaving. C. Discuss the importance of limiting sodium in the diet. D. Instruct the family to limit visits to once a week.

Correct Answer: B

Rationale: Low platelets (22,000) increase bleeding risk; an electric razor (
B) prevents cuts. Iron (
A) is for anemia, sodium (
C) is normal (139), and limiting visits (
D) is excessive.

Question 5 of 5

Which client should be assigned to the experienced medical-surgical nurse who is in the first week of orientation to the oncology floor?

A. The client diagnosed with non-Hodgkin’s lymphoma who is having daily radiation treatments. B. The client diagnosed with Hodgkin’s disease who is receiving combination chemotherapy. C. The client diagnosed with leukemia who has petechiae covering both anterior and posterior body surfaces. D. The client diagnosed with diffuse histolytic lymphoma who is to receive two (2) units of packed red blood cells.

Correct Answer: C

Rationale: Leukemia with extensive petechiae (
C) indicates severe thrombocytopenia, requiring experienced assessment for bleeding. Radiation (
A), chemotherapy (
B), and transfusions (
D) are less complex.

Hematologic Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN