Hematologic System NCLEX Questions

Extract:

Question 1 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 2 of 5

The client is diagnosed with Hodgkin’s disease. Which data are diagnostic for Hodgkin’s disease?

A. Night sweats and low-grade fever. B. Cavitation noted on the chest x-ray. C. Reed-Sternberg cells found on biopsy. D. Weight loss and palpable inguinal lymph nodes.

Correct Answer: C

Rationale: Reed-Sternberg cells on biopsy (
C) are diagnostic for Hodgkin’s. Night sweats/fever (
A) and weight loss/nodes (
D) are supportive, and cavitation (
B) suggests TB.

Question 3 of 5

The client’s CBC indicates an RBC 6 (x106/mm3), Hb 14.2 g/dL, Hct 42%, and platelets 69 (x103/mm3). Which intervention should the nurse implement?

A. Teach the client to use a soft-bristle toothbrush. B. Monitor the client for elevated temperature. C. Check the client’s blood pressure. D. Hold venipuncture sites for one (1) minute.

Correct Answer: A

Rationale: Platelets 69,000 indicate thrombocytopenia; a soft-bristle toothbrush (
A) prevents gum bleeding. Fever (
B), BP (
C), and brief pressure (
D) are insufficient for bleeding risk.

Question 4 of 5

The client is diagnosed with severe iron-deficiency anemia. Which statement is the scientific rationale regarding oral replacement therapy?

A. Iron supplements are well tolerated without side effects. B. There is no benefit from oral preparations; the best route is IV. C. Oral iron preparations cause diarrhea if not taken with food. D. Very little of the iron supplement will be absorbed by the body.

Correct Answer: D

Rationale: Oral iron has low absorption (
D), requiring high doses. Side effects (
A) include GI upset, IV (
B) is for severe cases, and diarrhea (
C) is not primary (constipation is common).

Question 5 of 5

The client is experiencing pain due to cancer treatment- The client tells the nurse, “Methadone has always worked well for me in the past.” Which effects of methadone should the nurse consider when administering methadone?

A. Has a long half-life and high level of potency B. May cause an increase in BP and confusion C. Causes severe allergic reactions and liver failure D. Has active metabolites, but it is well tolerated

Correct Answer: A

Rationale: bg

Hematologic System NCLEX Questions | Nurselytic

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