NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 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?
Correct Answer: B
Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.
Question 2 of 5
The nurse is discussing prevention of liver cancer with the client. Which vaccine should the nurse recommend?
Correct Answer: D
Rationale: A. The varicella vaccine is a live (attenuated) virus administered to protect against chicken pox. There is no evidence that it has an effect on preventing liver cancer. B. Hepatitis A vaccine is given to protect against hepatitis A virus (HAV). HAV can be spread by stool, blood, or food and water that is infected with HAV. There is no evidence that it has an effect on preventing liver cancer. C. Meningococcal vaccine is a vaccine used to prevent meningitis caused by Neisseria meningitidis. There is no evidence that it has an effect on preventing liver cancer. D. Hepatitis B vaccine dramatically reduces the incidence of hepatitis B virus (HBV) and, in turn, prevents liver cancer. HBV is transmitted through contact with blood or body fluids of an infected person, and it can survive outside the body for at least 7 days.
Question 3 of 5
Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
Correct Answer: D
Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.
Question 4 of 5
Which of the following would be the best lunch for a client with folic acid deficiency anemia?
Correct Answer: D
Rationale: Spinach and beans are rich in folate, making this lunch ideal for folic acid deficiency anemia.
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?
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.