Hematology NCLEX | Nurselytic

Extract:

Question 1 of 5

The nurse is teaching self-care measures to the client hospitalized with HP. Which measures should the nurse plan to include?

Correct Answer: B, C, D

Rationale: Dental floss can traumatize the gums and increase the risk for bleeding. B. Because the client is at risk for bleeding due to low platelet counts, measures to decrease the risk of bleeding should be implemented, such as using an electric razor. C. Throw rugs and clutter increase the risk for falls with subsequent bleeding. D. Fiber and fluids help prevent constipation. Constipation can lead to hemorrhoids and increase the risk for bleeding. E. Platelet transfusions are usually avoided because the person’s antiplatelet antibodies bind with the transfused platelets, causing them to be destroyed.

Question 2 of 5

The nurse is caring for clients on a medical floor. After the shift report, which client should be assessed first?

A. The client who is two-thirds of the way through a blood transfusion and has no complaints of dyspnea or hives. B. The client diagnosed with leukemia who has a hematocrit of 18% and petechiae covering the body. C. The client with peptic ulcer disease who called over the intercom to say that he is vomiting blood. D. The client diagnosed with Crohn’s disease who is complaining of perineal discomfort.

Correct Answer: C

Rationale: Vomiting blood (
C) indicates active GI bleeding, a life-threatening emergency. Low Hct/petechiae (
B) is urgent but stable, transfusion (
A) is uneventful, and perineal discomfort (
D) is least urgent.

Question 3 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?

A. Place the client in reverse isolation. B. Discontinue treatments until blood count improves. C. Monitor CBC daily to assess for bleeding. D. Give client erythropoietin, a biologic response modifier.

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 4 of 5

A young man who has infectious mononucleosis asks what the treatment is for his condition. What is the best response for the nurse to make?

A. You will receive large doses of antibiotics for the next 10 days.' B. Rest and good nutrition are the best things you can do.' C. You will be given an antiviral agent that will help to control the symptoms.' D. You will probably be given steroid medications for several months.'

Correct Answer: B

Rationale: Rest and good nutrition support recovery from infectious mononucleosis, a viral illness with no specific antiviral or steroid treatment.

Question 5 of 5

The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. Which is the nurse’s best response?

A. Survival for Hodgkin’s disease is relatively good with standard therapy. B. Survival depends on becoming involved in an investigational therapy program. C. Survival is poor, with more than 50% of clients dying within six (6) months. D. Survival is fine for primary Hodgkin’s, but secondary cancers occur within a year.

Correct Answer: A

Rationale: Hodgkin’s has a good prognosis with standard therapy (
A) (5-year survival >85%). Investigational therapy (
B) isn’t required, survival isn’t poor (
C), and secondary cancers (
D) are long-term risks.

Hematology NCLEX | Nurselytic

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Hematology NCLEX Questions

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Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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