NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse assesses the client diagnosed with acute myeloid leukemia. Which finding should be the nurse’s priority for implementing interventions?
Correct Answer: A
Rationale: A. Pain control is priority. The altered VS (other than temperature) could be related to pain. B. Weakness and fatigue are due to anemia and also the disease process. It is important to allow rest, but if pain is not controlled the client may not be able to rest. C. The temperature warrants further monitoring because it could indicate a developing infection; the other VS may decrease if pain is controlled. D. Ecchymosis and petechiae are associated with low platelet counts. The nurse should check the laboratory report for the platelet level, but this is an assessment and not an intervention.
Question 2 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.
Question 3 of 5
Which clinical manifestation of Stage I non-Hodgkin’s lymphoma would the nurse expect to find when assessing the client?
Correct Answer: C
Rationale: Stage I NHL is often asymptomatic (
C), with localized node involvement. Enlarged nodes (
A) are later, LUQ tenderness (
B) suggests spleen, and B-cell elevation (
D) is lab-based, not clinical.
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
The nurse assesses that the client with hemolytic anemia has weakness, fatigue, malaise, and skin and mucous membrane pallor. Which finding should the nurse also associate with hemolytic anemia?
Correct Answer: A
Rationale: A. Jaundice occurs in hemolytic anemia from the shortened life span of the RBC and the breakdown of Hgb. About 80% of heme is converted to bilirubin, conjugated in the liver, and excreted in the bile. The increased bilirubin in the blood causes the jaundice. B. A smooth, red tongue is seen with iron-deficiency anemia. C. A craving for ice is seen with iron-deficiency anemia. D. Folate deficiency occurs in people who rarely eat fresh vegetables.