NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The client is diagnosed with Hodgkin’s disease. Which data are diagnostic for Hodgkin’s disease?
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 2 of 5
Which clinical manifestation of Stage I non-Hodgkin’s lymphoma would the nurse expect to find when assessing the client?
Correct Answer: C
Rationale: Stage I NHL is often asymptomatic (
C), with localized node involvement. Enlarged nodes (
A) are later, LUQ tenderness (
B) suggests spleen, and B-cell elevation (
D) is lab-based, not clinical.
Question 3 of 5
The nurse and the licensed practical nurse (LPN) are caring for clients on an oncology floor. Which client should not be assigned to the LPN?
Correct Answer: D
Rationale: IV piggyback medications (
D) require complex assessment (e.g., chemotherapy), beyond LPN scope. New diagnosis (
A), post-biopsy (
B), and post-transfusion (
C) are stable for LPN care.
Question 4 of 5
The nurse knows that infectious mononucleosis is caused by which of the following?
Correct Answer: C
Rationale: Infectious mononucleosis is caused by the Epstein-Barr virus.
Question 5 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?
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.