NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse explains “watchful waiting” (ongoing visits to a physician for observation of signs and symptoms without treatment) to the client with prostate cancer. Which client is a candidate for “watchful waiting”?
Correct Answer: B
Rationale: A. The client with prostate cancer that has metastasized to the bone generally requires aggressive therapy. B. The client is a candidate for “watchful waiting” when older than age 70 with a life expectancy of less than 10 years and with low-grade disease. C. The client with extension of the tumor outside of the prostate generally requires aggressive therapy. D. The client who is asymptomatic with an elevated prostate-specific antigen generally requires aggressive therapy.
Question 2 of 5
The client diagnosed with von Willebrand’s disease calls a clinic after experiencing hemarthrosis. The client states that factor concentrate is infusing. Which intervention should the nurse recommend now?
Correct Answer: B
Rationale: A. Aspirin (Ecotrin) and NSAIDs are contraindicated because they interfere with platelet aggregation. B. Hemarthrosis is bleeding into the joint. The pressure of the ice pack and cold will reduce the bleeding and swelling. The ice pack should be covered with a cloth. C. The client and family are usually taught how to administer factor concentrates at home at the first sign of bleeding. D. The splint should be left on initially to control bleeding. The client should be instructed on how to assess for adequate tissue perfusion.
Question 3 of 5
The client diagnosed with non-Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?
Correct Answer: B
Rationale: Lymphangiogram involves dye injection between toes (
B) to visualize lymphatics. It’s not vascular (
A), unlike cardiac angiogram (
C), and takes longer than 5 minutes (
D).
Question 4 of 5
The client is diagnosed with non-Hodgkin’s lymphoma. Which nursing concept should the nurse identify as priority?
Correct Answer: A
Rationale: NHL impairs immunity (
A) via lymph node dysfunction, increasing infection risk, a priority. Grieving (
B), perfusion (
C), and clotting (
D) are secondary.
Question 5 of 5
The client is being admitted with folic acid deficiency anemia. Which would be the most appropriate referral?
Correct Answer: C
Rationale: Folic acid deficiency anemia requires a hematologist (
C) for evaluation/treatment. AA (
A) is for alcoholism, Leukemia Society (
B) is unrelated, and social work (
D) is secondary.