NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse has identified the concept of cellular deviation for a client diagnosed with chronic myelogenous leukemia. Which intervention should the nurse implement? Select all that apply.
Correct Answer: A,C,D
Rationale: Screening visitors (
A), avoiding fresh produce (
C), and monitoring WBCs (
D) reduce infection risk in CML. Vitals (
B) are routine, droplet isolation (E) is excessive, and daily bone marrow (F) is impractical.
Question 2 of 5
An 8-year-old boy is admitted to the unit with a diagnosis of acute lymphocytic leukemia. During a routine physical exam, numerous ecchymotic areas were noted on his body. The parent reported that the child has been more tired than usual personally more tired than usual lately. The parent says that the child has had a cold for the last several weeks and asks if this is related to the leukemia. The nurse's response is based on the knowledge that:
Correct Answer: A
Rationale: Leukemia reduces normal white blood cells, impairing infection fighting, which may explain the prolonged cold. Infections do not cause leukemia.
Question 3 of 5
The client received two (2) units of packed red blood cells of 250 mL with 63 mL of preservative each during the shift. There was 240 mL of saline remaining in the 500-mL bag when the nurse discarded the blood tubing. How many milliliters of fluid should be documented on the intake and output record?
Correct Answer: 886
Rationale: Each unit = 250 mL RBC + 63 mL preservative = 313 mL. Two units = 313 × 2 = 626 mL. Saline used = 500 – 240 = 260 mL.
Total intake = 626 + 260 = 886 mL.
Question 4 of 5
The nurse is planning the care of a client diagnosed with aplastic anemia. Which interventions should be taught to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Avoiding alcohol (
A), pacing activities (
B), stopping smoking (
C), and balanced diet (
D) support aplastic anemia management. Safety razors (E) risk bleeding due to thrombocytopenia.
Question 5 of 5
The nurse writes a client problem of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pacing activities (
A) conserves energy in anemia-related activity intolerance. Supplements (
B) and transfusions (
C) are medical, and vitals (
D) are routine, not primary.