Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for the client receiving combination chemotherapy of oxaliplatin, fluorouracil, and leucovorin. The nurse should assess the client for which common side effects of this chemotherapy regimen?

Correct Answer: A

Rationale: A. Neurotoxicity and diarrhea occur frequently in clients receiving the medication regimen of oxaliplatin (Eloxatin), fluorouracil (5-FU), and leucovorin (Wellcovorin). B. Cardiomyopathy and dysphagia are not common side effects of these chemotherapy agents. C. Renal insufficiency and gastritis are not common side effects of these chemotherapy agents. D. Photophobia and stomatitis are not common side effects of these chemotherapy agents.

Question 2 of 5

The female client, who has Hodgkin’s lymphoma with cervical and axillary node involvement, is to receive chemotherapy and radiation. The nurse evaluates that the client is coping positively when the client makes which statement?

A. “I’ve a wig that matches my hair color, but I’ll miss my own hair.” B. “I am so glad that the treatments won’t cause me to lose my hair.” C. “I’m happy that the drug-radiation combination prevents mucositis.” D. “I’ve faith that my doctor will cure me and I’ll never have cancer again.”

Correct Answer: A

Rationale: A. The client is expressing feelings about hair loss but has acted positively related to her feelings and obtained a wig. This statement indicates positive coping. B. This statement reflects that either the client is in denial or is uninformed regarding the effects of chemotherapy and radiation treatments. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include alopecia. C. Chemotherapy and radiation will involve the cervical lymph nodes; side effects will include mucositis. D. The risk for other cancers is increased after chemotherapy and radiation for Hodgkin’s lymphoma, so long-term surveillance is crucial.

Question 3 of 5

Laboratory tests are prescribed for the client who has a smooth and reddened tongue and ulcers at the corners of the mouth. Which result would the nurse find if the client has iron-deficiency anemia?

A. Low hemoglobin and hematocrit B. Elevated red blood cells (RBCs) C. Prolonged prothrombin time (PT) D. Elevated white blood cells (WBCs)

Correct Answer: A

Rationale: A. A smooth, red tongue, ulcers at the corners of the mouth (angular cheilosis), and a low Hgb are signs of iron-deficiency anemia. B. Excess RBCs are associated with polycythemia vera. C. Prolonged PT is seen with clients taking antico-agulants or experiencing a coagulation disorder. D. Elevated WBCs are not associated with iron-deficiency anemia but with an infection. Ulcers, if infected, would elevate the WBCs.

Question 4 of 5

The client is admitted to the emergency department after a motor-vehicle accident. The nurse notes profuse bleeding from a right-sided abdominal injury. Which intervention should the nurse implement first?

A. Type and crossmatch for red blood cells immediately (STAT). B. Initiate an IV with an 18-gauge needle and hang normal saline. C. Have the client sign a consent for an exploratory laparotomy. D. Notify the significant other of the client’s admission.

Correct Answer: B

Rationale: Profuse bleeding requires immediate IV access with 18-gauge and NS (
B) to stabilize hemodynamics. Crossmatch (
A), consent (
C), and notification (
D) follow.

Question 5 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

A. The client will call the HCP if feeling ill. B. The client will be compliant with medical regimen. C. The client will live as normal a life as possible. D. The client will verbalize understanding of treatments.

Correct Answer: C

Rationale: The primary goal for SCA is to live normally (
C), managing crises. Calling HCP (
A), compliance (
B), and understanding (
D) are secondary.

Hematologic Disorders NCLEX Questions | Nurselytic

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