NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a bone marrow transplantation unit. Which nursing task should the nurse delegate?
Correct Answer: A
Rationale: Taking vital signs (
A) is within UAP scope during transfusions. Monitoring chemo (
B), transcribing orders (
C), and evaluating response (
D) require nursing judgment.
Question 2 of 5
A child who has leukemia is to have a bone marrow biopsy performed. How will the child be positioned for this procedure?
Correct Answer: B
Rationale: The prone position is used for a bone marrow biopsy from the iliac crest to access the site safely.
Question 3 of 5
Which interrelated psychological concept is priority for the nurse caring for a client diagnosed with leukemia?
Correct Answer: C
Rationale: Leukemia’s life-threatening nature makes grieving (
C) a priority, addressing loss of health. Comfort (
A), stress (
B), and coping (
D) are secondary.
Question 4 of 5
The nurse is assessing the client newly diagnosed with endometrial cancer. Which common findings would the nurse expect?
Correct Answer: A
Rationale: A. Abnormal vaginal bleeding and pain in the pelvic region appear as the most common presenting symptoms in the client with endometrial cancer. B. Weight loss is not a common presenting symptom unless the cancer is advanced. Night sweats may occur with hormone changes. C. Supraclavicular lymph nodes are located just above the clavicle, lateral to where it joins the sternum, and not near the uterus. D. Unexplained temperature spikes and splenomegaly are not common presenting symptoms.
Question 5 of 5
The 24-year-old female client is diagnosed with idiopathic thrombocytopenic purpura (ITP). Which question would be important for the nurse to ask during the admission interview?
Correct Answer: B
Rationale: ITP causes bleeding; heavy menstrual periods (
B) assess bleeding severity. Dyspnea (
A), DVT (
C), and migraines (
D) are unrelated.