NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client had basal cell carcinoma (BCC) lesions excised the day before at an outpatient clinic. The client telephones the nurse expressing concerns that the wounds are draining watery, pale pink fluid and that the small dressing is leaking. Which action should the nurse recommend?
Correct Answer: D
Rationale: A. Applying ice to the area is not necessary because the client did not mention swelling. B. Since the wounds do not drain purulent material, contacting the physician is not necessary. C. Because the client is not experiencing pain, pain medication is not needed. D. The nurse should recommend changing the dressing because a small amount of serosanguineous drainage is a normal response to surgical removal of a lesion.
Question 2 of 5
The client is diagnosed with sickle cell crisis. The nurse is calculating the client’s intake and output (I&O) for the shift. The client had 20 ounces of water, eight (8) ounces of apple juice, three (3) cartons of milk with four (4) ounces each, 1,800 mL of IV fluids for the last 12 hours, and a urinary output of 1,200. What is the client’s total intake for this shift?
Correct Answer: 2840
Rationale: Oral intake: 20 oz water + 8 oz juice + (3 × 4 oz milk) = 36 oz. 1 oz = 30 mL, so 36 × 30 = 1,080 mL. IV fluids = 1,800 mL.
Total intake = 1,080 + 1,800 = 2,840 mL. Output (1,200 mL) is not included.
Question 3 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 4 of 5
A toddler is diagnosed with sickle cell anemia. Her mother is four months pregnant with her second child. The mother asks if there is any chance the new baby will have sickle cell anemia. She says that neither she nor her husband has sickle cell anemia. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Sickle cell anemia is autosomal recessive. If both parents are carriers (trait), there is a 25% chance each child will have the disease.
Question 5 of 5
The nurse writes a client problem of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pacing activities (
A) conserves energy in anemia-related activity intolerance. Supplements (
B) and transfusions (
C) are medical, and vitals (
D) are routine, not primary.