NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse discusses the self-care guidelines to minimize the side effects of radiation on the skin. Which actions to reduce radiation skin reactions should the nurse explain to the client?
Correct Answer: A, D, F,
Rationale: Wearing loose-fitting, soft clothing over the treated skin is a recommended skin-care activity to reduce radiation skin reactions. B. The use of an electric, not a straight-edged, razor for shaving a treated area is recommended. C. Clients are advised to avoid swimming in chlorinated water. D. Using only skin-care products suggested by the radiation staff is a recommended skin-care activity to reduce radiation skin reactions. E. Clients are advised to delay the application of skin-care products within 4 hours of radiation treatment. F. Washing the treated area gently with lukewarm water and mild soap is a recommended skin-care activity to reduce radiation skin reactions.
Question 2 of 5
The nurse discusses the self-care guidelines to minimize the side effects of radiation on the skin. Which actions to reduce radiation skin reactions should the nurse explain to the client?
Correct Answer: A, D, F,
Rationale: Wearing loose-fitting, soft clothing over the treated skin is a recommended skin-care activity to reduce radiation skin reactions. B. The use of an electric, not a straight-edged, razor for shaving a treated area is recommended. C. Clients are advised to avoid swimming in chlorinated water. D. Using only skin-care products suggested by the radiation staff is a recommended skin-care activity to reduce radiation skin reactions. E. Clients are advised to delay the application of skin-care products within 4 hours of radiation treatment. F. Washing the treated area gently with lukewarm water and mild soap is a recommended skin-care activity to reduce radiation skin reactions.
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’s CBC indicates an RBC 6 (x106/mm3), Hb 14.2 g/dL, Hct 42%, and platelets 69 (x103/mm3). Which intervention should the nurse implement?
Correct Answer: A
Rationale: Platelets 69,000 indicate thrombocytopenia; a soft-bristle toothbrush (
A) prevents gum bleeding. Fever (
B), BP (
C), and brief pressure (
D) are insufficient for bleeding risk.
Question 5 of 5
The client is diagnosed with Hodgkin’s disease. Which data are diagnostic for Hodgkin’s disease?
Correct Answer: C
Rationale: Reed-Sternberg cells on biopsy (
C) are diagnostic for Hodgkin’s. Night sweats/fever (
A) and weight loss/nodes (
D) are supportive, and cavitation (
B) suggests TB.