NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
The client’s laboratory values are RBCs 5.5 (x106/mm3), WBCs 8.9 (x103/mm3), and platelets 189 (x103/mm3). Which intervention should the nurse implement?
Correct Answer: B
Rationale: Labs are normal (RBC 5.5, WBC 8.9, platelets 189); continue monitoring (
B). Transfusions (
A), Neupogen (
C), and bleeding precautions (
D) are unnecessary.
Question 2 of 5
The nurse is discussing the prevention of bladder cancer with the client. Which factors that increase the client’s risk for bladder cancer should the nurse emphasize?
Correct Answer: B, D, E, A
Rationale: Consumption of caffeine is not associated with an increased risk for bladder cancer. B. Smoking is the number one cause of bladder cancer in the world. C. Studies show a protective effect with an increased intake of vitamins A, B6, and E. D. Exposure to aromatic amines in the textile and paint industries is clearly associated with bladder cancer. E. Exposure to aromatic amines in the rubber industry is clearly associated with bladder cancer.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical unit. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Taking vital signs post-transfusion (
B) is within UAP scope. Checking melena (
A), evaluating diet (
C), and shaving with anemia (
D) require nursing judgment due to bleeding risks.
Question 4 of 5
A young man who has infectious mononucleosis asks what the treatment is for his condition. What is the best response for the nurse to make?
Correct Answer: B
Rationale: Rest and good nutrition support recovery from infectious mononucleosis, a viral illness with no specific antiviral or steroid treatment.
Question 5 of 5
The nurse is assessing an African American client diagnosed with sickle cell crisis. Which assessment datum is most pertinent when assessing for cyanosis in clients with dark skin?
Correct Answer: A
Rationale: Oral mucosa (
A) is the best site to assess cyanosis in dark skin, showing dusky color. Metatarsals (
B) and sclera (
D) are less reliable, and capillary refill (
C) assesses perfusion.