Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The client is admitted to the emergency department after a motor-vehicle accident. The nurse notes profuse bleeding from a right-sided abdominal injury. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Profuse bleeding requires immediate IV access with 18-gauge and NS (
B) to stabilize hemodynamics. Crossmatch (
A), consent (
C), and notification (
D) follow.

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 client has a blood type of B negative. The client’s family asks if they can donate blood for the client. The nurse informs the family that they would need to be of which blood type to be considered for a directed donation of RBCs for this client?

A. Type A positive B. Type B positive C. Type B negative D. Type O positive E. Type O negative F. Type AB positive

Correct Answer: C, E, A

Rationale: Blood type A positive has the D antigen on the RBC, making it incompatible with blood type B negative. B. Blood type B positive has the D antigen on the RBC, making it incompatible with blood type B negative. C. The client with B negative blood type has B antigen on the RBC and does not have an Rh (or
D) antigen on the cell. Because the client can receive RBCs of the same blood type, a person with type B negative blood could be considered for a directed donation. D. Blood type O positive has the D antigen, making it incompatible with blood type B negative. E. Type O negative has no antigens on the RBC so a directed donation from a person with type O negative blood could also be considered. F. Blood type AB positive has the D antigen on the RBC, making it incompatible with blood type B negative.

Question 4 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?

A. The pain associated with the menorrhagia does not allow the client to rest. B. The client’s symptoms are unrelated to the diagnosis of menorrhagia. C. The client probably has been exposed to a virus that causes chronic fatigue. D. Menorrhagia has caused the client to have decreased levels of hemoglobin.

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 5 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?

A. These vaccines promote health in clients with chronic illnesses.' B. You are susceptible to infections. These shots may help prevent a crisis.' C. The vaccines will help your blood from sickling secondary to viruses.' D. The doctor wanted to make sure that I discussed the vaccines with you.'

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.

Hematologic Disorders NCLEX Questions | Nurselytic

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