NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client is diagnosed with leukemia and has leukocytosis. Which laboratory value would the nurse expect to assess?
Correct Answer: D
Rationale: Leukocytosis in leukemia causes elevated WBCs (
D). Hb (
A) is low, ESR (
B) is elevated, and RDW (
C) is unrelated.
Question 2 of 5
The nurse is caring for a client diagnosed with acute myeloid leukemia. Which assessment data warrant immediate intervention?
Correct Answer: D
Rationale: Left upper quadrant pain (
D) suggests splenic rupture, a life-threatening AML complication. Vitals (
A) are stable, gum hyperplasia (
B) is expected, and fatigue (
C) is common.
Question 3 of 5
The nurse is planning the care of a client diagnosed with aplastic anemia. Which interventions should be taught to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Avoiding alcohol (
A), pacing activities (
B), stopping smoking (
C), and balanced diet (
D) support aplastic anemia management. Safety razors (E) risk bleeding due to thrombocytopenia.
Question 4 of 5
The client diagnosed with anemia is admitted to the emergency department with dyspnea, cool pale skin, and diaphoresis. Which assessment data warrant immediate intervention?
Correct Answer: A
Rationale: Tachycardia, tachypnea, and hypotension (
A) indicate severe anemia with hypoxia, requiring immediate action. Allergies (
B), chemo history (
C), and normal ABGs (
D) are secondary.
Question 5 of 5
A toddler has been treated for sickle cell crisis. The crisis subsides, and the child improves. Which statement is essential for the nurse to include in the discharge teaching?
Correct Answer: B
Rationale: Fevers can cause dehydration and trigger sickling, leading to a crisis, making it essential to notify the physician immediately.