NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 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 2 of 5
The client is scheduled to have a total hip replacement in two (2) months and has chosen to prepare for autologous transfusions. Which medication would the nurse administer to prepare the client?
Correct Answer: D
Rationale: Epogen (
D) stimulates RBC production for autologous donation. Prednisone (
A), Zithromax (
B), and Ativan (
C) are unrelated.
Question 3 of 5
The client who is receiving doxorubicin for the first time to treat multiple myeloma develops flushing, facial swelling, headache, chills, and back pain. Which statement made by the nurse is best?
Correct Answer: A
Rationale: A. This response is best. The nurse informs the client correctly that the symptoms of doxorubicin (Adriamycin) are limited to the first dose. B. The nurse is providing unsolicited advice. C. Ondansetron (Zofran) is an antiemetic and will not alleviate all of the symptoms. D. This response belittles the client’s symptoms. There is no cure for multiple myeloma. Treatment will control the illness and maintain the client’s level of functioning for several years or more.
Question 4 of 5
The client diagnosed with end-stage renal disease (ESRD) has developed anemia. Which would the nurse anticipate the HCP prescribing for this client?
Correct Answer: D
Rationale: ESRD causes erythropoietin deficiency; prescribing erythropoietin (
D) treats anemia. Isolation (
A), stopping treatment (
B), and daily CBC (
C) are inappropriate.
Question 5 of 5
The nurse is discussing the prevention of bladder cancer with the client. Which factors that increase the client’s risk for bladder cancer should the nurse emphasize?
Correct Answer: B, D, E, A
Rationale: Consumption of caffeine is not associated with an increased risk for bladder cancer. B. Smoking is the number one cause of bladder cancer in the world. C. Studies show a protective effect with an increased intake of vitamins A, B6, and E. D. Exposure to aromatic amines in the textile and paint industries is clearly associated with bladder cancer. E. Exposure to aromatic amines in the rubber industry is clearly associated with bladder cancer.