Questions 33

NCLEX-PN

NCLEX-PN Test Bank

Hematologic Disorders NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a client diagnosed with sickle cell disease. Which should the nurse include in the client’s plan of care?

Correct Answer: B

Rationale: Hydration (
B) prevents sickling in SCD. Limiting fluids (
A) worsens crisis, calf swelling (
C) is for DVT, and scheduled narcotics (
D) risk dependency.

Question 2 of 5

The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?

Correct Answer: A,C

Rationale: Petechiae (
A) and low Hb/Hct (
C) reflect leukemia’s impact on hematologic regulation (thrombocytopenia, anemia). Joint pain (
B) is less common, and headache/slurred speech (
D) suggest stroke.

Question 3 of 5

The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Assisting with ADLs (
B) conserves energy in anemia-related activity intolerance. Isometric exercises (
A) strain oxygen capacity, diet (
C) is medical, and PT (
D) is collaborative.

Question 4 of 5

The client is placed on neutropenia precautions. Which information should the nurse teach the client?

Correct Answer: A

Rationale: Neutropenia precautions include electric razors and soft toothbrushes (
A) to prevent bleeding/infection. Fresh produce (
B) risks infection, perineal care (
C) is routine, and hematuria (
D) is abnormal.

Question 5 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

Correct Answer: C

Rationale: The primary goal for SCA is to live normally (
C), managing crises. Calling HCP (
A), compliance (
B), and understanding (
D) are secondary.

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