NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for multiple 25-year-old female clients. The nurse should plan to consult the HCP about a referral for genetic counseling and family planning for which clients?
Correct Answer: A, B, C, E
Rationale: Thalassemia is a hereditary disorder; the client could benefit from a referral for genetic counseling. B. Sickle cell anemia is a hereditary disorder; the client could benefit from a referral for genetic counseling. C. Hemophilia A is a hereditary disorder; the client could benefit from a referral for genetic counseling. D. Autoimmune hemolytic anemia is an acquired hemolytic anemia. E. Hemophilia B is a hereditary disorder; the client could benefit from a referral for genetic counseling.
Question 2 of 5
Fifteen minutes after the nurse has initiated a transfusion of packed red blood cells, the client becomes restless and complains of itching on the trunk and arms. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Restlessness/itching suggest a transfusion reaction; stopping at the hub (
D) prevents further reaction. Urine collection (
A), notification (
B), and Benadryl (
C) follow.
Question 3 of 5
The nurse is caring for clients on a medical floor. After the shift report, which client should be assessed first?
Correct Answer: C
Rationale: Vomiting blood (
C) indicates active GI bleeding, a life-threatening emergency. Low Hct/petechiae (
B) is urgent but stable, transfusion (
A) is uneventful, and perineal discomfort (
D) is least urgent.
Question 4 of 5
Which collaborative treatment would the nurse anticipate for the client diagnosed with DIC?
Correct Answer: C
Rationale: Frozen plasma (
C) replaces clotting factors in DIC. Oral anticoagulants (
A) worsen bleeding, plasmapheresis (
B) is rare, and I&O (
D) is routine.
Question 5 of 5
The nurse is assessing the client newly diagnosed with endometrial cancer. Which common findings would the nurse expect?
Correct Answer: A
Rationale: A. Abnormal vaginal bleeding and pain in the pelvic region appear as the most common presenting symptoms in the client with endometrial cancer. B. Weight loss is not a common presenting symptom unless the cancer is advanced. Night sweats may occur with hormone changes. C. Supraclavicular lymph nodes are located just above the clavicle, lateral to where it joins the sternum, and not near the uterus. D. Unexplained temperature spikes and splenomegaly are not common presenting symptoms.