NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client receiving a unit of PRBCs begins to chill and develops hives. Which action should be the nurse’s first response?
Correct Answer: D
Rationale: Chills/hives suggest a transfusion reaction; stopping the transfusion at the hub (
D) prevents further reaction. Assessment (
C), Benadryl (
B), and notification (
A) follow.
Question 2 of 5
The nurse is teaching the client who is a strict vegetarian how to decrease the risk of developing megaloblastic anemia. Which information should the nurse provide?
Correct Answer: C
Rationale: A. The Schilling test is used to diagnose vitamin B12 deficiency; it is not necessary to have this completed annually. B. Consuming foods high in iron will prevent iron-deficiency, not megaloblastic, anemia. C. The client consuming a vegetarian diet can prevent megaloblastic anemia from a vitamin B12 deficiency with oral vitamin supplements or fortified soy milk. D. Monthly lab work is unnecessary and costly.
Question 3 of 5
The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?
Correct Answer: A
Rationale: Night sweats and fever (
A) are classic Hodgkin’s B symptoms. Edematous nodes (
B) are not typical (firm, non-tender), malaise/stomach (
C) is nonspecific, and neck pain (
D) suggests gallbladder issues.
Question 4 of 5
Which information about reproduction should be taught to the 27-year-old female client diagnosed with Hodgkin's disease?
Correct Answer: D
Rationale: Hodgkin’s therapy (chemo/radiation) often temporarily disrupts menstruation (
D). Fertility may recover (A, C incorrect), and birth control (
B) is advised during treatment, not 2 years post.
Question 5 of 5
The nurse administers iron using the Z track technique. What is the primary reason for administering iron via Z track?
Correct Answer: B
Rationale: The Z track technique prevents iron from leaking into subcutaneous tissue, reducing skin staining.