Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The female client, who has Hodgkin’s lymphoma with cervical and axillary node involvement, is to receive chemotherapy and radiation. The nurse evaluates that the client is coping positively when the client makes which statement?

Correct Answer: A

Rationale: A. The client is expressing feelings about hair loss but has acted positively related to her feelings and obtained a wig. This statement indicates positive coping. B. This statement reflects that either the client is in denial or is uninformed regarding the effects of chemotherapy and radiation treatments. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include alopecia. C. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include mucositis. D. The risk for other cancers is increased after chemotherapy and radiation for Hodgkin’s lymphoma, so long-term surveillance is crucial.

Question 2 of 5

The nurse is caring for a child who has hemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?

A. Heparin B. Cryoprecipitate C. Packed cells D. Whole blood

Correct Answer: B

Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.

Question 3 of 5

The charge nurse is making assignments on a medical floor. Which client should be assigned to the most experienced nurse?

A. The client diagnosed with iron-deficiency anemia who is prescribed iron supplements. B. The client diagnosed with pernicious anemia who is receiving vitamin B12 intramuscularly. C. The client diagnosed with aplastic anemia who has developed pancytopenia. D. The client diagnosed with renal disease who has a deficiency of erythropoietin.

Correct Answer: C

Rationale: Aplastic anemia with pancytopenia (
C) is complex, risking bleeding/infection, requiring experienced care. Iron (
A), B12 (
B), and renal anemia (
D) are more stable.

Question 4 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?

A. Sickle cell anemia is an inherited autosomal recessive disease.' B. He was born with it and both his parents were carriers of the disease.' C. At this time, the cause of sickle cell anemia is unknown.' D. Your sister was exposed to a virus while she was pregnant.'

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 5 of 5

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

A. A 35-year-old pregnant client with placenta previa. B. A 42-year-old client with a pulmonary embolus. C. A 60-year-old client receiving hemodialysis three (3) days a week. D. A 78-year-old client diagnosed with septicemia.

Correct Answer: D

Rationale: Septicemia (
D) is a major DIC trigger due to systemic inflammation/coagulation. Placenta previa (
A), PE (
B), and dialysis (
C) are lower risk.

Hematologic Disorders NCLEX Questions | Nurselytic

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