NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client is diagnosed with sickle cell crisis. The nurse is calculating the client’s intake and output (I&O) for the shift. The client had 20 ounces of water, eight (8) ounces of apple juice, three (3) cartons of milk with four (4) ounces each, 1,800 mL of IV fluids for the last 12 hours, and a urinary output of 1,200. What is the client’s total intake for this shift?
Correct Answer: 2840
Rationale: Oral intake: 20 oz water + 8 oz juice + (3 × 4 oz milk) = 36 oz. 1 oz = 30 mL, so 36 × 30 = 1,080 mL. IV fluids = 1,800 mL.
Total intake = 1,080 + 1,800 = 2,840 mL. Output (1,200 mL) is not included.
Question 2 of 5
The client received two (2) units of packed red blood cells of 250 mL with 63 mL of preservative each during the shift. There was 240 mL of saline remaining in the 500-mL bag when the nurse discarded the blood tubing. How many milliliters of fluid should be documented on the intake and output record?
Correct Answer: 886
Rationale: Each unit = 250 mL RBC + 63 mL preservative = 313 mL. Two units = 313 × 2 = 626 mL. Saline used = 500 – 240 = 260 mL.
Total intake = 626 + 260 = 886 mL.
Question 3 of 5
The client undergoing knee replacement surgery has a 'cell saver' apparatus attached to the knee when he arrives in the post-anesthesia care unit (PACU). Which intervention should the nurse implement to care for this drainage system?
Correct Answer: A
Rationale: Cell saver reinfuses collected blood (
A) per protocol to reduce allogeneic transfusion. Discarding (
B) wastes blood, CPM (
C) is unrelated, and verification (
D) is for donor blood.
Question 4 of 5
Which of the following assessment findings should alert the nurse that the elderly client should be evaluated for pernicious anemia?
Correct Answer: C
Rationale: A beefy-red tongue is a classic symptom of pernicious anemia due to vitamin B12 deficiency.
Question 5 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.