NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse knows that infectious mononucleosis is caused by which of the following?
Correct Answer: C
Rationale: Infectious mononucleosis is caused by the Epstein-Barr virus.
Question 2 of 5
The nurse is transcribing the HCP’s order for an iron supplement on the MAR. At which time should the nurse schedule the daily dose?
Correct Answer: A
Rationale: Iron supplements are best taken in the morning (0900,
A) with food to reduce GI upset and enhance absorption. Later times (B, C,
D) are less optimal.
Question 3 of 5
Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP)?
Correct Answer: A
Rationale: ITP causes low platelets, leading to petechiae (
A). Capillary refill (
B) is normal, splenomegaly (
C) is not primary, and SpO2 95% (
D) is normal.
Question 4 of 5
The client with a primary diagnosis of liver cancer with metastases to the lung is hospitalized with severe dyspnea. The nurse is preparing the client for radiation of the upper chest. Which nursing conclusion about the purpose of radiation therapy for this client is correct?
Correct Answer: D
Rationale: A. Radiation of the upper chest would have no effect on the liver located in the abdominal cavity. B. Preventing future cancer development is not the intention of radiation therapy for this client. C. Radiation therapy reduces size of tumors but would not be expected to cure cancer in this client. D. Primary liver tumors commonly metastasize to the lung, which can cause obstructive symptoms. In this client, radiation therapy to the lung would be used as a palliative care modality to help relieve distressing symptoms such as dyspnea.
Question 5 of 5
The nurse assesses the client diagnosed with acute myeloid leukemia. Which finding should be the nurse’s priority for implementing interventions?
Correct Answer: A
Rationale: A. Pain control is priority. The altered VS (other than temperature) could be related to pain. B. Weakness and fatigue are due to anemia and also the disease process. It is important to allow rest, but if pain is not controlled the client may not be able to rest. C. The temperature warrants further monitoring because it could indicate a developing infection; the other VS may decrease if pain is controlled. D. Ecchymosis and petechiae are associated with low platelet counts. The nurse should check the laboratory report for the platelet level, but this is an assessment and not an intervention.