NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The client is being admitted with folic acid deficiency anemia. Which would be the most appropriate referral?
Correct Answer: C
Rationale: Folic acid deficiency anemia requires a hematologist (
C) for evaluation/treatment. AA (
A) is for alcoholism, Leukemia Society (
B) is unrelated, and social work (
D) is secondary.
Question 2 of 5
Which statement made by the parent of a child newly diagnosed with sickle cell anemia indicates a need for more teaching?
Correct Answer: A
Rationale: High altitudes, like mountains, have lower oxygen levels, which can precipitate a sickle cell crisis, indicating a need for more teaching. Drinking juices, using acetaminophen, and avoiding chills are appropriate.
Question 3 of 5
The client with COPD has developed polycythemia vera, and the nurse completes teaching on measures to prevent complications. During a home visit, the nurse evaluates that the client is correctly following the teaching when which actions are noted?
Correct Answer: A, C, D, F
Rationale: Iron supplements, including those in multi-vitamins, should be avoided because the iron stimulates RBC production. B. Alcohol increases the risk of bleeding. C. Increasing fluid intake to 3000 mL daily will help decrease blood viscosity. D. Phlebotomy is performed on a routine or intermittent basis to diminish blood viscosity, deplete iron stores, and decrease the client’s ability to manufacture excess erythrocytes. E. Frequent, small meals are better tolerated, especially if the liver is involved. F. Elevating the legs, avoiding constriction or crossing the legs, and wearing antiembolic stockings help prevent DVT.
Question 4 of 5
The client is being admitted with folic acid deficiency anemia. Which would be the most appropriate referral?
Correct Answer: C
Rationale: Folic acid deficiency anemia requires a hematologist (
C) for evaluation/treatment. AA (
A) is for alcoholism, Leukemia Society (
B) is unrelated, and social work (
D) is secondary.
Question 5 of 5
A child with leukemia bruises easily. This is most likely due to which of the following?
Correct Answer: C
Rationale: Leukemia causes bone marrow failure, leading to decreased platelets, which results in easy bruising.