NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
Correct Answer: D
Rationale: Morphine PRN (
D) is preferred for severe SCA crisis pain, titrated to relief. Aspirin (
A) and ibuprofen (
B) are insufficient and risk bleeding, and meperidine (
C) risks seizures.
Question 2 of 5
The client is diagnosed with non-Hodgkin’s lymphoma. Which nursing concept should the nurse identify as priority?
Correct Answer: A
Rationale: NHL impairs immunity (
A) via lymph node dysfunction, increasing infection risk, a priority. Grieving (
B), perfusion (
C), and clotting (
D) are secondary.
Question 3 of 5
Which statement made by the parent of a child newly diagnosed with sickle cell anemia indicates a need for more teaching?
Correct Answer: A
Rationale: High altitudes, like mountains, have lower oxygen levels, which can precipitate a sickle cell crisis, indicating a need for more teaching. Drinking juices, using acetaminophen, and avoiding chills are appropriate.
Question 4 of 5
The client is diagnosed with hereditary spherocytosis. Which treatment/procedure would the nurse prepare the client to receive?
Correct Answer: B
Rationale: Spherocytosis causes hemolytic anemia; splenectomy (
B) reduces RBC destruction. BMT (
A) is for leukemia, transfusions (
C) are supportive, and liver biopsy (
D) is unrelated.
Question 5 of 5
Which test is considered diagnostic for Hodgkin's lymphoma?
Correct Answer: D
Rationale: Lymph node biopsy (
D) diagnoses Hodgkin’s via Reed-Sternberg cells. MRI/CT (A,
B) stage disease, ESR (
C) is nonspecific.