Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

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

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 2 of 5

The nurse is caring for a child who has hemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?

A. Heparin B. Cryoprecipitate C. Packed cells D. Whole blood

Correct Answer: B

Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.

Question 3 of 5

The HCP orders two (2) units of blood to be administered over eight (8) hours each for a client diagnosed with heart failure. Which intervention(s) should the nurse implement?

A. Call the HCP to question the order because blood must infuse within four (4) hours. B. Retrieve the blood from the laboratory and run each unit at an eight (8)-hour rate. C. Notify the laboratory to split each unit into half-units and infuse each half for four (4) hours. D. Infuse each unit for four (4) hours, the maximum rate for a unit of blood.

Correct Answer: A

Rationale: Blood must infuse within 4 hours to prevent bacterial growth; 8-hour infusion (
B) is unsafe, requiring HCP clarification (
A). Splitting units (
C) is unnecessary, and 4 hours (
D) ignores heart failure needs.

Question 4 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 5 of 5

The client asks the nurse, 'They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?' The nurse’s answer is based on which scientific rationale?

A. Biopsies are nuclear medicine scans that can detect cancer. B. A biopsy is a laboratory test that detects cancer cells. C. It determines which kind of cancer the client has. D. The HCP takes a small piece out of the tumor and looks at the cells.

Correct Answer: C

Rationale: A biopsy identifies Hodgkin’s via Reed-Sternberg cells (
C). It’s not a scan (
A), not just a lab test (
B), and involves microscopic cell analysis (D is partial but less precise).

Hematologic Disorders NCLEX Questions | Nurselytic

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