NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
The nurse is completing a care plan for a client diagnosed with leukemia. Which independent problem should be addressed?
Correct Answer: A
Rationale: Infection (
A) is critical in leukemia due to neutropenia, requiring independent nursing actions (e.g., hygiene). Anemia (
B), nutrition (
C), and grieving (
D) are collaborative or secondary.
Question 2 of 5
The client is diagnosed with chronic lymphocytic leukemia (CLL) after routine laboratory tests during a yearly physical. Which is the scientific rationale for the random nature of discovering the illness?
Correct Answer: D
Rationale: Early CLL is often asymptomatic (
D), detected via routine labs. CLL is serious (
A), has symptoms later (
B), and is adult-onset (
C), not self-limiting.
Question 3 of 5
The client who received 50 mL from a unit of whole blood has low back pain. In response to this client’s symptom, which action should be taken by the nurse first?
Correct Answer: D
Rationale: A. Repositioning focuses on treating the client’s back pain and not on the blood transfusion, which could be the cause of the back pain. B. Further assessment should occur after stopping the blood transfusion. C. The client may need an analgesic for pain control, but this should occur after stopping the blood transfusion. D. Low back pain is a symptom of a potentially life-threatening acute hemolytic reaction. The pain is caused from agglutination of RBCs in the kidneys and renal vasoconstriction. Hemolytic reactions occur most often within the first 50 mL of the infusion.
Question 4 of 5
The nurse is assessing an African American client diagnosed with sickle cell crisis. Which assessment datum is most pertinent when assessing for cyanosis in clients with dark skin?
Correct Answer: A
Rationale: Oral mucosa (
A) is the best site to assess cyanosis in dark skin, showing dusky color. Metatarsals (
B) and sclera (
D) are less reliable, and capillary refill (
C) assesses perfusion.
Question 5 of 5
The client’s laboratory values are RBCs 5.5 (x106/mm3), WBCs 8.9 (x103/mm3), and platelets 189 (x103/mm3). Which intervention should the nurse implement?
Correct Answer: B
Rationale: Labs are normal (RBC 5.5, WBC 8.9, platelets 189); continue monitoring (
B). Transfusions (
A), Neupogen (
C), and bleeding precautions (
D) are unnecessary.