NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client who had a left modified radical mastectomy (a total mastectomy with axillary node dissection and removal of the lining over the pectoralis major muscle). Which action by the nurse is appropriate?
Correct Answer: B
Rationale: A. The arm on the operative side should be elevated on a pillow, but not above the head. B. All IV access sites should be located on the nonoperative side to prevent circulatory impairment. C. Having the client look at the incision should be at the client’s readiness, not as soon as possible. D. Only ROM to the lower arm should be carried out for the first few days after surgery, with exercises and ROM to the shoulder after the drains are removed.
Question 2 of 5
Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
Correct Answer: D
Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.
Question 3 of 5
The nurse is teaching the client who is to undergo diagnostic testing for possible gastric cancer. Teaching the client about which specific diagnostic test would be most helpful?
Correct Answer: C
Rationale: A. Bronchoscopy includes insertion of a bronchoscope to examine the lungs. B. Colonoscopy is used to inspect the large intestines. C. EGD is an invasive procedure in which a lighted instrument (scope) is lowered into the stomach and duodenum to examine gastric tissues and obtain biopsies for cancer cell analysis. Because it is the preferred test to diagnose gastric cancer, the nurse should teach the client about this test. D. A MUGA scan creates video images of the ventricles of the heart to evaluate their correct function in pumping blood. A person who is to receive chemotherapy for cancer treatment may have a MUGA scan completed to identify preexisting heart conditions.
Question 4 of 5
Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?
Correct Answer: D
Rationale: Septicemia (
D) is a major DIC trigger due to systemic inflammation/coagulation. Placenta previa (
A), PE (
B), and dialysis (
C) are lower risk.
Question 5 of 5
The nurse is assessing a client diagnosed with acute myeloid leukemia. Which assessment data support this diagnosis?
Correct Answer: A
Rationale: AML causes neutropenia, leading to fever/infections (
A). Nausea (
B) is nonspecific, high platelets/energy (
C) are incorrect (AML causes thrombocytopenia/fatigue), and acid-fast bacillus (
D) indicates TB, not AML.