NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
Correct Answer: B
Rationale: Neutropenia increases infection risk; limiting fresh fruits/flowers (
B) reduces microbial exposure. Holding venipuncture (
A) prevents bleeding, reverse isolation (
C) is excessive, and soft toothbrushes (
D) prevent gum trauma but are secondary.
Question 2 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 3 of 5
The nurse is assessing a client diagnosed with vaso-occlusive crisis. Which indicates the client is not meeting an appropriate stage of growth and development according to Erikson?
Correct Answer: A
Rationale: At 32 (Intimacy vs. Isolation), lack of a significant other and disability (
A) suggest isolation, not meeting Erikson’s stage. Parenting (
B), caregiving (
C), and socializing (
D) align with Generativity, Generativity, and Identity stages.
Question 4 of 5
The client diagnosed with von Willebrand’s disease calls a clinic after experiencing hemarthrosis. The client states that factor concentrate is infusing. Which intervention should the nurse recommend now?
Correct Answer: B
Rationale: A. Aspirin (Ecotrin) and NSAIDs are contraindicated because they interfere with platelet aggregation. B. Hemarthrosis is bleeding into the joint. The pressure of the ice pack and cold will reduce the bleeding and swelling. The ice pack should be covered with a cloth. C. The client and family are usually taught how to administer factor concentrates at home at the first sign of bleeding. D. The splint should be left on initially to control bleeding. The client should be instructed on how to assess for adequate tissue perfusion.
Question 5 of 5
A child who has hemophilia is admitted to the hospital with a swollen knee joint. He is complaining of severe pain. What is the priority of nursing care for this child upon admission?
Correct Answer: B
Rationale: Using a bed cradle reduces pressure on the swollen, painful joint, prioritizing pain relief and comfort during a bleeding episode.