NCLEX-PN
Hematology NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is planning the care of a client diagnosed with aplastic anemia. Which interventions should be taught to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Avoiding alcohol (
A), pacing activities (
B), stopping smoking (
C), and balanced diet (
D) support aplastic anemia management. Safety razors (E) risk bleeding due to thrombocytopenia.
Question 2 of 5
The client received two (2) units of packed red blood cells of 250 mL with 63 mL of preservative each during the shift. There was 240 mL of saline remaining in the 500-mL bag when the nurse discarded the blood tubing. How many milliliters of fluid should be documented on the intake and output record?
Correct Answer: 886
Rationale: Each unit = 250 mL RBC + 63 mL preservative = 313 mL. Two units = 313 × 2 = 626 mL. Saline used = 500 – 240 = 260 mL.
Total intake = 626 + 260 = 886 mL.
Question 3 of 5
The nurse writes a client problem of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pacing activities (
A) conserves energy in anemia-related activity intolerance. Supplements (
B) and transfusions (
C) are medical, and vitals (
D) are routine, not primary.
Question 4 of 5
The nurse is planning the care of a client diagnosed with aplastic anemia. Which interventions should be taught to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Avoiding alcohol (
A), pacing activities (
B), stopping smoking (
C), and balanced diet (
D) support aplastic anemia management. Safety razors (E) risk bleeding due to thrombocytopenia.
Question 5 of 5
The nurse is caring for a client diagnosed with acute myeloid leukemia. Which assessment data warrant immediate intervention?
Correct Answer: D
Rationale: Left upper quadrant pain (
D) suggests splenic rupture, a life-threatening AML complication. Vitals (
A) are stable, gum hyperplasia (
B) is expected, and fatigue (
C) is common.