NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is collecting data from the client undergoing testing for possible basal cell carcinoma (BCC). Which information in the client’s health history should the nurse identify as risk factors for BCC?
Correct Answer: A, C, E
Rationale: Immune-suppressing drugs weaken the immune system, and cellular changes can occur more aggressively. B. Smoking history is a risk factor for lung cancer, not BCC. C. Persons with fair skin, blond or red hair, and blue, green, or gray eyes have a higher risk for BCC due to the ease of sunburn with sun exposure if the skin is not protected. D. Exposure to indoor radon gas is a risk factor for lung cancer, not BCC. Radon is a radioactive colorless, odorless, tasteless, and chemically inert gas. It is formed by the natural radioactive decay of uranium in rock, soil, and water. E. Frequent participation in outdoor activities with exposure to sunlight is a risk for BCC due to the damage caused by UV light. UV light damages DNA.
Question 2 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on an oncology floor. Which nursing task would be delegated to the UAP?
Correct Answer: B
Rationale: Taking initial vital signs (
B) during transfusion is within UAP scope. Assessing urine (
A), lung sounds (
C), and brushing teeth post-platelets (
D) require nursing judgment.
Question 3 of 5
A client who receives a diagnosis of pernicious anemia asks why she must receive vitamin shots. What is the best answer for the nurse to give?
Correct Answer: B
Rationale: In pernicious anemia, the lack of intrinsic factor prevents absorption of vitamin B12 from foods, necessitating injections.
Question 4 of 5
The client is symptomatic with a Hgb of 7.8 g/dL, but refuses blood and blood products transfusions for religious reasons. The nurse should prepare the client that the HCP may prescribe which alternatives?
Correct Answer: A, B,
Rationale: Epoetin alfa (erythropoietin growth factor; Procrit) promotes erythropoiesis (production of RBCs), thus decreasing the need for transfusions. B. Folic acid promotes erythropoiesis and production of WBCs and platelets. C. Albumin is a blood product. D. Platelets are blood products. E. Plasma is a blood product. F. Granulocytes are blood products.
Question 5 of 5
The client is experiencing pain due to cancer treatment- The client tells the nurse, “Methadone has always worked well for me in the past.” Which effects of methadone should the nurse consider when administering methadone?
Correct Answer: A
Rationale: bg