NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with sickle cell disease is experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?
Correct Answer: A
Rationale: IV fluids and pain medication (
A) prevent sickling and manage vaso-occlusive crisis pain. Ambulation (
B) risks hypoxia, 10 LPM oxygen (
C) is excessive, and RBC monitoring (
D) is not primary.
Question 2 of 5
The client is diagnosed with leukemia and has leukocytosis. Which laboratory value would the nurse expect to assess?
Correct Answer: D
Rationale: Leukocytosis in leukemia causes elevated WBCs (
D). Hb (
A) is low, ESR (
B) is elevated, and RDW (
C) is unrelated.
Question 3 of 5
The unlicensed assistive personnel (UAP) asks the primary nurse, 'How does someone get hemophilia A?' Which statement would be the primary nurse’s best response?
Correct Answer: A
Rationale: Hemophilia A is an X-linked recessive disorder (
A), the most precise explanation. Factor VIII deficiency (
B) is a result, born with it (
C) is vague, and mother-to-son (
D) is partial.
Question 4 of 5
The client is hospitalized with a diagnosis of sickle cell crisis. Which findings should prompt the nurse to consider that the client is ready for discharge?
Correct Answer: A, B, C, D
Rationale: leukocyte count of 7500/mm3 is within normal range (5000 to 10,000/mm3 indicates the absence of an infection). B. Keeping warm and avoiding chills will help to prevent infection. Cold causes vasoconstriction, slowing blood flow and aggravating the Sickling process. C. Acute pain is due to tissue hypoxia from the agglutination of sickled cells within blood vessels. D. The absence of symptoms of complication such as acute chest syndrome and pulmonary hypertension indicates readiness for discharge. E. RBC transfusions may help to prevent complications, but transfusions do not alter the person’s body from producing the deformed erythrocytes. F. Hydroxyurea (Hydrea) can decrease the permanent formation of sickled cells. A side effect (not therapeutic effect) of hydroxyurea is suppression of leukocyte formation.
Question 5 of 5
When reviewing the morning serum laboratory results of the client with multiple myeloma, the nurse sees that the total calcium level is 13.2 mEq/L. Which interventions, if prescribed by the HCP, should the nurse plan to implement?
Correct Answer: C
Rationale: A, C: A. Adequate hydration dilutes calcium and prevents precipitates from causing renal tubular obstruction. B. The client with multiple myeloma is encouraged to ambulate because weight-bearing activities can help the bone resorb some calcium as well as prevent thrombosis that can accompany immobility. C. Furosemide (Lasix) given IV can promote the excretion of calcium when hypercalcemia exists due to multiple myeloma. D. Allopurinol (Zyloprim) may be administered to reduce the hyperuricemia that can accompany multiple myeloma, not the hypercalcemia. E. The serum calcium level is elevated (normal is 9–10.5 mg/dL). Foods high in calcium would not be offered. However, limiting the intake of foods high in calcium will not make any difference to the elevated calcium level that is caused by cancer.