NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assisting the HCP with a bone marrow biopsy. Which intervention postprocedure has priority?
Correct Answer: A
Rationale: Applying pressure for 5–10 minutes (
A) prevents bleeding post-biopsy, a priority. Pain meds (
B), HOB (
C), and oxygen (
D) are secondary or unrelated.
Question 2 of 5
The nurse assesses that the client with hemolytic anemia has weakness, fatigue, malaise, and skin and mucous membrane pallor. Which finding should the nurse also associate with hemolytic anemia?
Correct Answer: A
Rationale: A. Jaundice occurs in hemolytic anemia from the shortened life span of the RBC and the breakdown of Hgb. About 80% of heme is converted to bilirubin, conjugated in the liver, and excreted in the bile. The increased bilirubin in the blood causes the jaundice. B. A smooth, red tongue is seen with iron-deficiency anemia. C. A craving for ice is seen with iron-deficiency anemia. D. Folate deficiency occurs in people who rarely eat fresh vegetables.
Question 3 of 5
The client is symptomatic with a Hgb of 7.8 g/dL, but refuses blood and blood products transfusions for religious reasons. The nurse should prepare the client that the HCP may prescribe which alternatives?
Correct Answer: A, B,
Rationale: Epoetin alfa (erythropoietin growth factor; Procrit) promotes erythropoiesis (production of RBCs), thus decreasing the need for transfusions. B. Folic acid promotes erythropoiesis and production of WBCs and platelets. C. Albumin is a blood product. D. Platelets are blood products. E. Plasma is a blood product. F. Granulocytes are blood products.
Question 4 of 5
The client diagnosed with atrial fibrillation is admitted with warfarin (Coumadin) toxicity. Which HCP order would the nurse anticipate?
Correct Answer: D
Rationale: Warfarin toxicity causes bleeding; vitamin K (
D) reverses it. Protamine (
A) reverses heparin, heparin/Lovenox (B,
C) worsen bleeding.
Question 5 of 5
The nurse and the licensed practical nurse (LPN) are caring for clients on an oncology floor. Which client should not be assigned to the LPN?
Correct Answer: D
Rationale: IV piggyback medications (
D) require complex assessment (e.g., chemotherapy), beyond LPN scope. New diagnosis (
A), post-biopsy (
B), and post-transfusion (
C) are stable for LPN care.