NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with sickle cell anemia asks the nurse, 'Why should I take those shots? I hate shots.' Which statement by the nurse is the best response?
Correct Answer: B
Rationale: Flu/pneumonia vaccines (
B) reduce infection risk, a common SCA crisis trigger. General health (
A) is vague, sickling (
C) is indirect, and HCP mention (
D) avoids explanation.
Question 2 of 5
The client diagnosed with sickle cell anemia asks the nurse, 'Why should I take those shots? I hate shots.' Which statement by the nurse is the best response?
Correct Answer: B
Rationale: Flu/pneumonia vaccines (
B) reduce infection risk, a common SCA crisis trigger. General health (
A) is vague, sickling (
C) is indirect, and HCP mention (
D) avoids explanation.
Question 3 of 5
The nurse is caring for the client who had a left modified radical mastectomy (a total mastectomy with axillary node dissection and removal of the lining over the pectoralis major muscle). Which action by the nurse is appropriate?
Correct Answer: B
Rationale: A. The arm on the operative side should be elevated on a pillow, but not above the head. B. All IV access sites should be located on the nonoperative side to prevent circulatory impairment. C. Having the client look at the incision should be at the client’s readiness, not as soon as possible. D. Only ROM to the lower arm should be carried out for the first few days after surgery, with exercises and ROM to the shoulder after the drains are removed.
Question 4 of 5
The nurse is caring for a child who has hemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?
Correct Answer: B
Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.
Question 5 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?
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.