NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is thought to have pernicious anemia. What signs and symptoms would the nurse expect in this person?
Correct Answer: B
Rationale: A beefy-red tongue is a hallmark symptom of pernicious anemia due to vitamin B12 deficiency.
Question 2 of 5
Which action should the nurse expect to perform after a client has a bone marrow biopsy taken from the iliac crest?
Correct Answer: C
Rationale: Applying an adhesive bandage to the site after a bone marrow biopsy prevents bleeding and protects the area. Pressure is typically applied for longer, narcotics are not routine, and recumbent positioning is not required.
Question 3 of 5
A college student who is diagnosed as having infectious mononucleosis asks how the disease is spread. The nurse's response is based on the knowledge that the usual mode of transmission is through:
Correct Answer: D
Rationale: Infectious mononucleosis, known as the 'kissing disease,' is spread through intimate oral contact, such as kissing or sharing utensils.
Question 4 of 5
The client diagnosed with leukemia is scheduled for bone marrow transplantation. Which interventions should be implemented to prepare the client for this procedure? Select all that apply.
Correct Answer: A,C,D,E
Rationale: High-dose chemotherapy (
A) ablates marrow, HLA typing (
C) identifies donors, CBC monitoring (
D) tracks counts, and central line care (E) prevents infection. Autologous transfusions (
B) are irrelevant (donor marrow used).
Question 5 of 5
The client is diagnosed with Hodgkin’s disease. Which data are diagnostic for Hodgkin’s disease?
Correct Answer: C
Rationale: Reed-Sternberg cells on biopsy (
C) are diagnostic for Hodgkin’s. Night sweats/fever (
A) and weight loss/nodes (
D) are supportive, and cavitation (
B) suggests TB.