Hematology NCLEX Questions

Extract:

Question 1 of 5

The client is diagnosed with hereditary spherocytosis. Which treatment/procedure would the nurse prepare the client to receive?

Correct Answer: B

Rationale: Spherocytosis causes hemolytic anemia; splenectomy (
B) reduces RBC destruction. BMT (
A) is for leukemia, transfusions (
C) are supportive, and liver biopsy (
D) is unrelated.

Question 2 of 5

The student nurse asks the nurse, 'What is sickle cell anemia?' Which statement by the nurse would be the best answer to the student’s question?

A. There is some written material at the desk that will explain the disease.' B. It is a congenital disease of the blood in which the blood does not clot.' C. The client has decreased synovial fluid that causes joint pain.' D. The blood becomes thick when the client is deprived of oxygen.'

Correct Answer: D

Rationale: Sickle cell anemia causes RBCs to sickle under low oxygen, thickening blood (
D). Written material (
A) avoids teaching, clotting (
B) is incorrect (SCD causes occlusion), and synovial fluid (
C) is unrelated.

Question 3 of 5

The nurse is preparing to administer the chemotherapeutic agent cisplatin IV to the client with ovarian cancer. The dose is 100 mg/m2 in 2 liters of DSW to be infused over 8 hours. What is the rate in milliliters (mL) per hour that the nurse should set the infusion pump to deliver the medication? __________ mL/hour (Record your answer as a whole number.)

Your Answer:

Correct Answer: 250

Rationale: first convert liters to milliliters: 1000 mL/1L= XmL/2L. 1000mL* 2L= 1L * x mL;
2000 mL = X. Next ,CALCULATE the mL per hour 2000 mL /8 Hours =250mL/hour

Question 4 of 5

The client diagnosed with non-Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?

A. The scan will identify any malignancy in the vascular system. B. Radiopaque dye will be injected between the toes. C. The test will be done similar to a cardiac angiogram. D. The test will be completed in about five (5) minutes.

Correct Answer: B

Rationale: Lymphangiogram involves dye injection between toes (
B) to visualize lymphatics. It’s not vascular (
A), unlike cardiac angiogram (
C), and takes longer than 5 minutes (
D).

Question 5 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?

A. Tells the nurse about discontinuing iron supplements. B. States increasing alcohol intake to decrease blood viscosity. C. Presents a record that shows a daily fluid intake of 3000 mL. D. Discusses yesterday’s phlebotomy treatment to remove blood. E. Shows the nurse 3 menu plan for eating three large meals daily. F. Wears antiembolic stockings and sits in a recliner with legs uncrossed

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.

Hematology NCLEX Questions | Nurselytic

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