NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client’s nephew has just been diagnosed with sickle cell anemia (SCA). The client asks the nurse, 'How did my nephew get this disease?' Which statement would be the best response by the nurse?
Correct Answer: A
Rationale: SCA is an autosomal recessive disorder (
A), the most precise explanation. Parents as carriers (
B) is partial, cause is known (
C), and viral exposure (
D) is incorrect.
Question 2 of 5
The client diagnosed with sickle cell anemia asks the nurse, 'Why should I take those shots? I hate shots.' Which statement by the nurse is the best response?
Correct Answer: B
Rationale: Flu/pneumonia vaccines (
B) reduce infection risk, a common SCA crisis trigger. General health (
A) is vague, sickling (
C) is indirect, and HCP mention (
D) avoids explanation.
Question 3 of 5
The nurse is caring for a client diagnosed with sickle cell disease. Which should the nurse include in the client’s plan of care?
Correct Answer: B
Rationale: Hydration (
B) prevents sickling in SCD. Limiting fluids (
A) worsens crisis, calf swelling (
C) is for DVT, and scheduled narcotics (
D) risk dependency.
Question 4 of 5
The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?
Correct Answer: A,C
Rationale: Petechiae (
A) and low Hb/Hct (
C) reflect leukemia’s impact on hematologic regulation (thrombocytopenia, anemia). Joint pain (
B) is less common, and headache/slurred speech (
D) suggest stroke.
Question 5 of 5
The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Assisting with ADLs (
B) conserves energy in anemia-related activity intolerance. Isometric exercises (
A) strain oxygen capacity, diet (
C) is medical, and PT (
D) is collaborative.