Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is administering a transfusion of packed red blood cells to a client. Which interventions should the nurse implement? List in order of performance.

Correct Answer: E,C,B,D,A

Rationale: 1. Obtain blood (E): Retrieve from lab. 2. Assess IV site (
C): Ensure 18-gauge patency. 3. Sign permit (
B): Obtain consent. 4. Check blood (
D): Verify with another nurse. 5. Start slowly (
A): Infuse at 10–15 mL/hr initially.

Question 2 of 5

The client is admitted to the emergency department after a motor-vehicle accident. The nurse notes profuse bleeding from a right-sided abdominal injury. Which intervention should the nurse implement first?

A. Type and crossmatch for red blood cells immediately (STAT). B. Initiate an IV with an 18-gauge needle and hang normal saline. C. Have the client sign a consent for an exploratory laparotomy. D. Notify the significant other of the client’s admission.

Correct Answer: B

Rationale: Profuse bleeding requires immediate IV access with 18-gauge and NS (
B) to stabilize hemodynamics. Crossmatch (
A), consent (
C), and notification (
D) follow.

Question 3 of 5

The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?

A. The pain associated with the menorrhagia does not allow the client to rest. B. The client’s symptoms are unrelated to the diagnosis of menorrhagia. C. The client probably has been exposed to a virus that causes chronic fatigue. D. Menorrhagia has caused the client to have decreased levels of hemoglobin.

Correct Answer: D

Rationale: Menorrhagia causes blood loss, lowering hemoglobin (
D), leading to fatigue/listlessness. Pain (
A) is not primary, symptoms are related (
B), and viral fatigue (
C) is less likely.

Question 4 of 5

The client diagnosed with sickle cell anemia asks the nurse, 'Why should I take those shots? I hate shots.' Which statement by the nurse is the best response?

A. These vaccines promote health in clients with chronic illnesses.' B. You are susceptible to infections. These shots may help prevent a crisis.' C. The vaccines will help your blood from sickling secondary to viruses.' D. The doctor wanted to make sure that I discussed the vaccines with you.'

Correct Answer: B

Rationale: Flu/pneumonia vaccines (
B) reduce infection risk, a common SCA crisis trigger. General health (
A) is vague, sickling (
C) is indirect, and HCP mention (
D) avoids explanation.

Question 5 of 5

A child who is being treated for leukemia develops stomatitis. Which of the following nursing care measures is essential?

A. Using dental floss to clean the teeth B. Frequent cleaning of the mouth with an astringent mouthwash C. Use of an overbed cradle D. Swabbing the mouth with moistened cotton swabs

Correct Answer: D

Rationale: Swabbing the mouth with moistened cotton swabs gently cleans the mouth without irritating stomatitis. Flossing or astringent mouthwash may worsen irritation, and an overbed cradle is unrelated.

Hematologic Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN