NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on an oncology floor. Which nursing task would be delegated to the UAP?
Correct Answer: B
Rationale: Taking initial vital signs (
B) during transfusion is within UAP scope. Assessing urine (
A), lung sounds (
C), and brushing teeth post-platelets (
D) require nursing judgment.
Question 2 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 3 of 5
The client diagnosed with leukemia is scheduled for bone marrow transplantation. Which interventions should be implemented to prepare the client for this procedure? Select all that apply.
Correct Answer: A,C,D,E
Rationale: High-dose chemotherapy (
A) ablates marrow, HLA typing (
C) identifies donors, CBC monitoring (
D) tracks counts, and central line care (E) prevents infection. Autologous transfusions (
B) are irrelevant (donor marrow used).
Question 4 of 5
The client is experiencing pain due to cancer treatment- The client tells the nurse, “Methadone has always worked well for me in the past.” Which effects of methadone should the nurse consider when administering methadone?
Correct Answer: A
Rationale: bg
Question 5 of 5
The client is diagnosed with polycythemia vera. The nurse would prepare to perform which intervention?
Correct Answer: C
Rationale: Polycythemia vera requires phlebotomy (
C) to reduce blood viscosity. Transfusions (
A) worsen hyperviscosity, petechiae (
B) are for thrombocytopenia, and Hb/Hct (
D) are elevated.