NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer the chemotherapeutic agent cisplatin IV to the client with ovarian cancer. The dose is 100 mg/m2 in 2 liters of DSW to be infused over 8 hours. What is the rate in milliliters (mL) per hour that the nurse should set the infusion pump to deliver the medication? __________ mL/hour (Record your answer as a whole number.)
Correct Answer: 250
Rationale: first convert liters to milliliters: 1000 mL/1L= XmL/2L. 1000mL* 2L= 1L * x mL;
2000 mL = X. Next ,CALCULATE the mL per hour 2000 mL /8 Hours =250mL/hour
Question 2 of 5
A child with leukemia bruises easily. This is most likely due to which of the following?
Correct Answer: C
Rationale: Leukemia causes bone marrow failure, leading to decreased platelets, which results in easy bruising.
Question 3 of 5
Which statement is the scientific rationale for infusing a unit of blood in less than four (4) hours?
Correct Answer: B
Rationale: Blood must infuse within 4 hours (
B) to minimize bacterial growth risk. Coagulation (
A) is not primary, components (
C) degrade minimally, and lab procedure (
D) is incorrect.
Question 4 of 5
The nurse explains “watchful waiting” (ongoing visits to a physician for observation of signs and symptoms without treatment) to the client with prostate cancer. Which client is a candidate for “watchful waiting”?
Correct Answer: B
Rationale: A. The client with prostate cancer that has metastasized to the bone generally requires aggressive therapy. B. The client is a candidate for “watchful waiting” when older than age 70 with a life expectancy of less than 10 years and with low-grade disease. C. The client with extension of the tumor outside of the prostate generally requires aggressive therapy. D. The client who is asymptomatic with an elevated prostate-specific antigen generally requires aggressive therapy.
Question 5 of 5
The HCP has ordered one (1) unit of packed RBCs for the client who is right-handed. Which area would be the best place to insert the intravenous catheter?
Correct Answer: C
Rationale: For a right-handed client, the non-dominant (left) arm is preferred for IV access (
C) to maintain function. Specific sites (A, B,
D) depend on image, but C is typically left forearm/antecubital.