NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client, who underwent a right mastectomy with lymph node dissection, is being admitted to a nursing unit from the PACU. When settling the client in bed, which action by the NA requires the nurse to intervene?
Correct Answer: C
Rationale: A. BPs, venipunctures, and injections should not be done on the affected arm, so taking the BP on the left arm would be appropriate. B. It would be appropriate for the NA to tape a sign at the side rail to remind others of the restrictions following a mastectomy. C. The client should be placed in a semi-Fowler’s position with the arm on the affected side elevated on a pillow to promote restoring arm function and to prevent arm edema. D. It would be beneficial for the NA and nurse to be sensitive to the client’s readiness for family presence.
Question 2 of 5
Which concepts could the nurse identify for a client diagnosed with lymphoma? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Lymphoma involves coping (
A) with diagnosis, hematologic regulation (
B) via lymph dysfunction, perfusion (
C) due to node obstruction, and clotting (
D) from thrombocytopenia. Clinical judgment (E) is a nursing process, not a patient concept.
Question 3 of 5
A 19-year-old college student reports to the health service with a sore throat, malaise, and fever of four days in duration. Examination shows cervical lymphadenopathy and splenomegaly. Temperature is 103°F. Blood is positive for heterophil antibody agglutination test. Which condition does the nurse expect this student to have?
Correct Answer: B
Rationale: The symptoms and positive heterophil antibody test are diagnostic for infectious mononucleosis.
Question 4 of 5
The client admitted with full-thickness burns may be developing DIC. Which signs/symptoms would support the diagnosis of DIC?
Correct Answer: A
Rationale: DIC causes uncontrolled bleeding; oozing from IV sites (
A) is a hallmark. Chest pain/sputum (
B) suggests PE, urine odor (
C) is unrelated, and redness (
D) indicates infection.
Question 5 of 5
The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The crossmatch reveals the presence of antibodies that cannot be crossmatched. Which precaution should the nurse implement when initiating the transfusion?
Correct Answer: A
Rationale: Uncrossmatched blood requires slow infusion (10–15 mL/hr) initially (
A) to monitor reactions. Re-crossmatching (
B) is impractical, consent (
C) is for emergencies, and UAP (
D) cannot monitor.