NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client who was recently admitted with gastric cancer appears pale and weak and states feeling fatigued. In reviewing the client’s laboratory results, which component of the CBC should the nurse most associate with the client’s gastric cancer and identify as the causative factor for the fatigue?
Correct Answer: B
Rationale: A. The elevation in the WBC (normal is 4500–10,000/mm3 or microL) is concerning because it could indicate an infection, but the elevation would not necessarily be related to the gastric cancer. B. The presenting symptoms are indicative of anemia, which is common in gastric cancer due to chronic blood loss, or as a result of pernicious anemia (due to loss of intrinsic factor). The low Hgb (normal is 12–15 g/dL) may be the causative factor for the fatigue. C. The serum protein is slightly low (normal is 6.0–8.0 g/dL) and could be indicative of nutritional problems associated with the gastric cancer, but it is not specific to the signs and symptoms described in the question, and it is not part of a CBC. D. The BUN (normal is 5–25 mg/dL) is within normal parameters and is measuring kidney function or hydration status. It is not part of the CBC.
Question 2 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 3 of 5
The nurse is working in a blood bank facility procuring units of blood from donors. Which client would not be a candidate to donate blood?
Correct Answer: C
Rationale: Recent childbirth (
C) (within 6 months) disqualifies blood donation due to anemia risk. Wisdom teeth (
A), immunization (
B), and aspirin allergy (
D) are not contraindications.
Question 4 of 5
The client who was recently admitted with gastric cancer appears pale and weak and states feeling fatigued. In reviewing the client’s laboratory results, which component of the CBC should the nurse most associate with the client’s gastric cancer and identify as the causative factor for the fatigue?
Correct Answer: B
Rationale: A. The elevation in the WBC (normal is 4500–10,000/mm3 or microL) is concerning because it could indicate an infection, but the elevation would not necessarily be related to the gastric cancer. B. The presenting symptoms are indicative of anemia, which is common in gastric cancer due to chronic blood loss, or as a result of pernicious anemia (due to loss of intrinsic factor). The low Hgb (normal is 12–15 g/dL) may be the causative factor for the fatigue. C. The serum protein is slightly low (normal is 6.0–8.0 g/dL) and could be indicative of nutritional problems associated with the gastric cancer, but it is not specific to the signs and symptoms described in the question, and it is not part of a CBC. D. The BUN (normal is 5–25 mg/dL) is within normal parameters and is measuring kidney function or hydration status. It is not part of the CBC.
Question 5 of 5
The client is diagnosed with chronic myeloid leukemia and leukocytosis. Which signs/symptoms would the nurse expect to find when assessing this client?
Correct Answer: B
Rationale: CML with leukocytosis causes fatigue, dyspnea, and confusion (
B) from hyperviscosity. Sputum/JVD (
A) suggest heart failure, RUQ/nausea (
C) suggest liver issues, and appetite/weight gain (
D) are unlikely.