Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?

Correct Answer: A,C

Rationale: Petechiae (
A) and low Hb/Hct (
C) reflect leukemia’s impact on hematologic regulation (thrombocytopenia, anemia). Joint pain (
B) is less common, and headache/slurred speech (
D) suggest stroke.

Question 2 of 5

When assessing the client who is recovering from a radical hysterectomy with vulvectomy, the nurse notes lymphedema of the lower extremities. Which intervention should be implemented by the nurse?

A. Elevate the head of the client’s bed to 45 degrees. B. Increase the client’s intake of fluids high in sodium. C. Encourage the client to exercise the lower extremities. D. Apply splints to both of the client’s lower extremities.

Correct Answer: C

Rationale: A. Elevating the head of the bed to a 45-degree angle may increase lymphedema of the lower extremities. B. Intake of fluids high in sodium will cause fluid retention. C. Leg exercises will improve drainage when lymphedema is present. D. Lower-extremity splints can cause skin breakdown of edematous tissue.

Question 3 of 5

The nurse is assessing a client diagnosed with acute myeloid leukemia. Which assessment data support this diagnosis?

A. Fever and infections. B. Nausea and vomiting. C. Excessive energy and high platelet counts. D. Cervical lymph node enlargement and positive acid-fast bacillus.

Correct Answer: A

Rationale: AML causes neutropenia, leading to fever/infections (
A). Nausea (
B) is nonspecific, high platelets/energy (
C) are incorrect (AML causes thrombocytopenia/fatigue), and acid-fast bacillus (
D) indicates TB, not AML.

Question 4 of 5

The client is placed on neutropenia precautions. Which information should the nurse teach the client?

A. Shave with an electric razor and use a soft toothbrush. B. Eat plenty of fresh fruits and vegetables. C. Perform perineal care after every bowel movement. D. Some blood in the urine is not unusual.

Correct Answer: A

Rationale: Neutropenia precautions include electric razors and soft toothbrushes (
A) to prevent bleeding/infection. Fresh produce (
B) risks infection, perineal care (
C) is routine, and hematuria (
D) is abnormal.

Question 5 of 5

Which client should be assigned to the experienced medical-surgical nurse who is in the first week of orientation to the oncology floor?

A. The client diagnosed with non-Hodgkin’s lymphoma who is having daily radiation treatments. B. The client diagnosed with Hodgkin’s disease who is receiving combination chemotherapy. C. The client diagnosed with leukemia who has petechiae covering both anterior and posterior body surfaces. D. The client diagnosed with diffuse histolytic lymphoma who is to receive two (2) units of packed red blood cells.

Correct Answer: C

Rationale: Leukemia with extensive petechiae (
C) indicates severe thrombocytopenia, requiring experienced assessment for bleeding. Radiation (
A), chemotherapy (
B), and transfusions (
D) are less complex.

Hematologic Disorders NCLEX Questions | Nurselytic

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