NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for the following clients. Which client should the nurse assess first?
Correct Answer: C
Rationale: Platelets 75,000 (
C) indicate thrombocytopenia, risking bleeding, a priority. PTT 38 (
A) is therapeutic, Hb/Hct (
B) are normal, and RBC 4.8 (
D) is normal.
Question 2 of 5
The nurse is discharging a client diagnosed with anemia. Which discharge instruction should the nurse teach?
Correct Answer: C
Rationale: Multiple
Choice CBC checks (
C) monitor anemia recovery. Taking iron indefinitely (
A) depends on cause, BP/pulse checks (
B) are nonspecific, and isometric exercise (
D) may strain low oxygen capacity.
Question 3 of 5
The nurse completed teaching the client who had a bone marrow transplant (BMT). Which statement by the client indicates the client misunderstood the expected changes following a BMT?
Correct Answer: D
Rationale: A. A common side effect of immunosuppressant medications is weight gain. B. Sterility can occur as a result of chemotherapy and the total body irradiation after BMT. C. Changes in vision are common as a result of the total body irradiation after BMT. D. A white, patchy tongue is a sign of a fungal infection with Candidiasis albicans and would not be an expected change.
Question 4 of 5
Which of the following would be the most appropriate snack for a client who has iron deficiency anemia?
Correct Answer: B
Rationale: Carrot raisin salad contains raisins, which are a good source of iron, making it appropriate for iron deficiency anemia.
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.