NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client diagnosed with vaso-occlusive crisis. Which indicates the client is not meeting an appropriate stage of growth and development according to Erikson?
Correct Answer: A
Rationale: At 32 (Intimacy vs. Isolation), lack of a significant other and disability (
A) suggest isolation, not meeting Erikson’s stage. Parenting (
B), caregiving (
C), and socializing (
D) align with Generativity, Generativity, and Identity stages.
Question 2 of 5
Which medication is contraindicated for a client diagnosed with leukemia?
Correct Answer: C
Rationale: Epogen (
C) stimulates RBC production, risky in leukemia due to blast proliferation. Bactrim (
A) treats infections, morphine (
B) manages pain, and Gleevec (
D) targets CML.
Question 3 of 5
Following morning shift report, the nurse identifies care needs for four clients. Which client should be the nurse’s priority?
Correct Answer: B
Rationale: A. No time is noted for the administration of ondansetron (Zofran) prior to chemotherapy treatment; this client is not the nurse’s priority. B. The client with neutropenia should be the nurse’s priority. If seen first, microorganisms from other clients would be less likely to be transmitted to the client. This client is at risk for infection and severe sepsis because the absolute neutrophil count is less than 1001mm3 (normal = 1500 to 8000/mm3). C. This client is stable; another person can take this client to radiation therapy, and the nurse’s assessment can wait until the client returns. D. The tube feeding can be initiated after the needs of the most critical client are met.
Question 4 of 5
The nurse is admitting a 24-year-old African American female client with a diagnosis of rule-out anemia. The client has a history of gastric bypass surgery for obesity four (4) years ago. Current assessment findings include height 5’5”; weight 75 kg; P 110, R 27, and BP 104/66; pale mucous membranes and dyspnea on exertion. Which type of anemia would the nurse suspect the client has developed?
Correct Answer: A
Rationale: Gastric bypass impairs B12 absorption, causing B12 deficiency anemia (
A) with pale membranes, tachycardia, and dyspnea. Folic acid (
B) is less likely, iron (
C) is possible but secondary, and sickle cell (
D) is genetic.
Question 5 of 5
An elderly client who is being treated for pernicious anemia needs to be monitored periodically for which of the following conditions?
Correct Answer: B
Rationale: Pernicious anemia is associated with an increased risk of stomach cancer due to chronic gastritis, requiring periodic monitoring.