NCLEX-PN
Hematologic Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is discussing prevention of liver cancer with the client. Which vaccine should the nurse recommend?
Correct Answer: D
Rationale: A. The varicella vaccine is a live (attenuated) virus administered to protect against chicken pox. There is no evidence that it has an effect on preventing liver cancer. B. Hepatitis A vaccine is given to protect against hepatitis A virus (HAV). HAV can be spread by stool, blood, or food and water that is infected with HAV. There is no evidence that it has an effect on preventing liver cancer. C. Meningococcal vaccine is a vaccine used to prevent meningitis caused by Neisseria meningitidis. There is no evidence that it has an effect on preventing liver cancer. D. Hepatitis B vaccine dramatically reduces the incidence of hepatitis B virus (HBV) and, in turn, prevents liver cancer. HBV is transmitted through contact with blood or body fluids of an infected person, and it can survive outside the body for at least 7 days.
Question 2 of 5
When assessing the client who is recovering from a radical hysterectomy with vulvectomy, the nurse notes lymphedema of the lower extremities. Which intervention should be implemented by the nurse?
Correct Answer: C
Rationale: A. Elevating the head of the bed to a 45-degree angle may increase lymphedema of the lower extremities. B. Intake of fluids high in sodium will cause fluid retention. C. Leg exercises will improve drainage when lymphedema is present. D. Lower-extremity splints can cause skin breakdown of edematous tissue.
Question 3 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 4 of 5
A 5-year-old boy is admitted because he bled profusely when he lost his first baby tooth. After a workup, he is diagnosed as having classic hemophilia. His mother asks the nurse if his two younger sisters will also develop hemophilia. What is the best answer for the nurse to give?
Correct Answer: C
Rationale: Hemophilia is an X-linked recessive disorder. Females are unlikely to develop the disease but may be carriers, especially if the mother is a carrier.
Question 5 of 5
A child who is being treated for leukemia develops stomatitis. Which of the following nursing care measures is essential?
Correct Answer: D
Rationale: Swabbing the mouth with moistened cotton swabs gently cleans the mouth without irritating stomatitis. Flossing or astringent mouthwash may worsen irritation, and an overbed cradle is unrelated.