Hematology NCLEX Practice Questions | Nurselytic

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Hematology NCLEX Practice Questions Questions

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Question 1 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 2 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 3 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 4 of 5

The nurse teaches a coworker about the treatment for hemophilia. The nurse instructs that the treatment will likely include periodic self-administration of which component?

Correct Answer: C

Rationale: A. Platelets do not contain the deficient clotting factors. B. Although whole blood contains the deficient factors, periodic administration of factor concentrates are safer. C. A person with hemophilia A is deficient in factor VIII; hemophilia B, factor IX; and von Willebrand’s hemophilia, the von Willebrand’s factor and factor VIII. Recombinant forms of the factors are available for the client to self-administer intravenously at home. D. Although fresh frozen plasma contains the deficient factors, periodic administration of factor concentrates are safer.

Question 5 of 5

The unlicensed assistive personnel (UAP) asks the primary nurse, 'How does someone get hemophilia A?' Which statement would be the primary nurse’s best response?

Correct Answer: A

Rationale: Hemophilia A is an X-linked recessive disorder (
A), the most precise explanation. Factor VIII deficiency (
B) is a result, born with it (
C) is vague, and mother-to-son (
D) is partial.

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The nurse writes a client problem of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?

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