NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse administers iron using the Z track technique. What is the primary reason for administering iron via Z track?
Correct Answer: B
Rationale: The Z track technique prevents iron from leaking into subcutaneous tissue, reducing skin staining.
Question 2 of 5
The client has undergone a lymph node biopsy to differentiate between Hodgkin’s and non-Hodgkin’s lymphoma. After reviewing the client’s lymph node biopsy results, which revealed that the client has Hodgkin’s lymphoma, the nurse should obtain which educational brochure?
Correct Answer: D
Rationale: A. Reticulocytes are found in a CBC, not from a lymph node biopsy, and are not indicative of either Hodgkin’s or non-Hodgkin’s lymphoma. B. CA-125 tumor markers are sometimes used in the management of ovarian cancer. C. WBCs are collected from a complete blood panel, not a lymph node biopsy, and could be indicative of other lymphomas and/or leukemia. D. The nurse should obtain the brochure that explains about Reed-Sternberg cells. The main diagnostic feature of Hodgkin’s lymphoma is the presence of Reed-Sternberg cells in a lymph node biopsy.
Question 3 of 5
The nurse writes a diagnosis of altered tissue perfusion for a client diagnosed with anemia. Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Monitoring Hb/Hct (
A), assessing numbness/tingling (
D), and rest periods (E) address perfusion in anemia. Proximity to desk (
B) is nonspecific, and limiting greens (
C) is for anticoagulation, not anemia.
Question 4 of 5
The nurse writes a diagnosis of 'potential for fluid volume deficit related to bleeding' for a client diagnosed with disseminated intravascular coagulation (DIC). Which would be an appropriate goal for this client?
Correct Answer: D
Rationale: DIC risks bleeding/fluid loss; urine output >30 mL/hr (
D) indicates adequate volume. Clot resolution (
A) is unrealistic, dressing saturation (
B) is an intervention, and swabs (
C) are unrelated.
Question 5 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.