NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The client with O+ blood is in need of an emergency transfusion but the laboratory does not have any O+ blood available. Which potential unit of blood could be given to the client?
Correct Answer: A
Rationale: O- is the universal donor (
A), safe for O+ clients. A+ (
B), B+ (
C), and other Rh+ (
D) risk reactions due to antigens.
Question 2 of 5
The client is diagnosed with severe iron-deficiency anemia. Which statement is the scientific rationale regarding oral replacement therapy?
Correct Answer: D
Rationale: Oral iron has low absorption (
D), requiring high doses. Side effects (
A) include GI upset, IV (
B) is for severe cases, and diarrhea (
C) is not primary (constipation is common).
Question 3 of 5
The client diagnosed with sickle cell anemia is experiencing a vaso-occlusive sickle cell crisis secondary to an infection. Which medical treatment should the nurse anticipate the HCP ordering for the client?
Correct Answer: C
Rationale: Hydration with IV fluids (
C) prevents sickling in vaso-occlusive crisis. Meperidine (
A) is avoided (risks seizures), isolation (
B) is excessive, and Foley (
D) is unnecessary.
Question 4 of 5
The nurse is caring for a client who is thought to have pernicious anemia. What signs and symptoms would the nurse expect in this person?
Correct Answer: B
Rationale: A beefy-red tongue is a hallmark symptom of pernicious anemia due to vitamin B12 deficiency.
Question 5 of 5
Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP)?
Correct Answer: A
Rationale: ITP causes low platelets, leading to petechiae (
A). Capillary refill (
B) is normal, splenomegaly (
C) is not primary, and SpO2 95% (
D) is normal.