NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with sickle cell anemia is experiencing a vaso-occlusive sickle cell crisis secondary to an infection. Which medical treatment should the nurse anticipate the HCP ordering for the client?
Correct Answer: C
Rationale: Hydration with IV fluids (
C) prevents sickling in vaso-occlusive crisis. Meperidine (
A) is avoided (risks seizures), isolation (
B) is excessive, and Foley (
D) is unnecessary.
Question 2 of 5
The nurse assesses the client diagnosed with acute myeloid leukemia. Which finding should be the nurse’s priority for implementing interventions?
Correct Answer: A
Rationale: A. Pain control is priority. The altered VS (other than temperature) could be related to pain. B. Weakness and fatigue are due to anemia and also the disease process. It is important to allow rest, but if pain is not controlled the client may not be able to rest. C. The temperature warrants further monitoring because it could indicate a developing infection; the other VS may decrease if pain is controlled. D. Ecchymosis and petechiae are associated with low platelet counts. The nurse should check the laboratory report for the platelet level, but this is an assessment and not an intervention.
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
The client is admitted with a diagnosis of colon cancer. Which finding in the client’s admission information should prompt the nurse to consider that the cancer may be located in the client’s descending colon?
Correct Answer: C
Rationale: A. Pain may be a symptom of a tumor located on the left side of the colon, but it is not exclusive and could be a symptom of a tumor elsewhere in the colon. B. Change of bowel habits may be a symptom of a tumor located on the left side of the colon, but this is not exclusive and could be a symptom of a tumor elsewhere in the colon. C. Bright red blood in the stool is a sign or symptom of a colorectal tumor located in the descending colon. D. Nausea and vomiting are not symptoms specific to colon cancer.
Question 5 of 5
The nurse knows that infectious mononucleosis is caused by which of the following?
Correct Answer: C
Rationale: Infectious mononucleosis is caused by the Epstein-Barr virus.