Hematology NCLEX Practice Questions | Nurselytic

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Hematology NCLEX Practice Questions Questions

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Question 1 of 5

The nurse is caring for the client experiencing superior vena cava syndrome secondary to lung cancer. Which problem should be the nurse’s priority?

Correct Answer: A

Rationale: A. Ineffective breathing pattern occurs with superior vena cava syndrome because the superior vena cava is located next to the main stem bronchus and causes compression of the intrathoracic structures. B. Ineffective tissue perfusion may occur with superior vena cava syndrome, but ineffective breathing pattern is priority. C. Risk for infection occurs with chemotherapy treatment and not from superior vena cava syndrome. D. Impaired skin integrity occurs with malignant skin conditions and usually not from lung cancer.

Question 2 of 5

The unlicensed assistive personnel (UAP) asks the primary nurse, 'How does someone get hemophilia A?' Which statement would be the primary nurse’s best response?

Correct Answer: A

Rationale: Hemophilia A is an X-linked recessive disorder (
A), the most precise explanation. Factor VIII deficiency (
B) is a result, born with it (
C) is vague, and mother-to-son (
D) is partial.

Question 3 of 5

A toddler is diagnosed with sickle cell anemia. Her mother is four months pregnant with her second child. The mother asks if there is any chance the new baby will have sickle cell anemia. She says that neither she nor her husband has sickle cell anemia. What is the best response for the nurse to make?

Correct Answer: C

Rationale: Sickle cell anemia is autosomal recessive. If both parents are carriers (trait), there is a 25% chance each child will have the disease.

Question 4 of 5

The nurse has identified the concept of cellular deviation for a client diagnosed with chronic myelogenous leukemia. Which intervention should the nurse implement? Select all that apply.

Correct Answer: A,C,D

Rationale: Screening visitors (
A), avoiding fresh produce (
C), and monitoring WBCs (
D) reduce infection risk in CML. Vitals (
B) are routine, droplet isolation (E) is excessive, and daily bone marrow (F) is impractical.

Question 5 of 5

Which nursing interventions should the nurse implement when caring for a client diagnosed with hemophilia A? Select all that apply.

Correct Answer: B,C,D

Rationale: Avoiding enemas (
B), noncontact sports (
C), and teaching pressure (
D) prevent bleeding in hemophilia. Razor blades (
A) and avoiding flossing (E) increase bleeding risk.

Similar Questions

The client is hospitalized with a diagnosis of sickle cell crisis. Which findings should prompt the nurse to consider that the client is ready for discharge?
Which of the following assessment findings should alert the nurse that the elderly client should be evaluated for pernicious anemia?
The nurse is planning the care of a client diagnosed with aplastic anemia. Which interventions should be taught to the client? Select all that apply.
An 8-year-old boy is admitted to the unit with a diagnosis of acute lymphocytic leukemia. During a routine physical exam, numerous ecchymotic areas were noted on his body. The parent reported that the child has been more tired than usual personally more tired than usual lately. The parent says that the child has had a cold for the last several weeks and asks if this is related to the leukemia. The nurse's response is based on the knowledge that:
The nurse writes a client problem of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?

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