NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse identified clotting as a concept related to sickle cell disease. Which intervention should the nurse implement?
Correct Answer: A
Rationale: SCD causes vaso-occlusion; assessing cerebrovascular symptoms (
A) detects stroke risk. HOB elevation (
B) is for ICP, sodium diet (
C) is for hypertension, and stockings (
D) are for DVT.
Question 2 of 5
Which concepts could the nurse identify for a client diagnosed with lymphoma? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Lymphoma involves coping (
A) with diagnosis, hematologic regulation (
B) via lymph dysfunction, perfusion (
C) due to node obstruction, and clotting (
D) from thrombocytopenia. Clinical judgment (E) is a nursing process, not a patient concept.
Question 3 of 5
The client diagnosed with cancer has been undergoing systemic treatments and has red blood cell deficiency. Which signs and symptoms should the nurse teach the client to manage?
Correct Answer: B
Rationale: RBC deficiency (anemia) causes shortness of breath and fatigue (
B), which clients should manage. Nausea (
A), mucositis/diarrhea (
C), and emotions (
D) are unrelated to anemia.
Question 4 of 5
The client is diagnosed with chronic myeloid leukemia and leukocytosis. Which signs/symptoms would the nurse expect to find when assessing this client?
Correct Answer: B
Rationale: CML with leukocytosis causes fatigue, dyspnea, and confusion (
B) from hyperviscosity. Sputum/JVD (
A) suggest heart failure, RUQ/nausea (
C) suggest liver issues, and appetite/weight gain (
D) are unlikely.
Question 5 of 5
The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The crossmatch reveals the presence of antibodies that cannot be crossmatched. Which precaution should the nurse implement when initiating the transfusion?
Correct Answer: A
Rationale: Uncrossmatched blood requires slow infusion (10–15 mL/hr) initially (
A) to monitor reactions. Re-crossmatching (
B) is impractical, consent (
C) is for emergencies, and UAP (
D) cannot monitor.