Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

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

Correct Answer: B

Rationale: Assisting with ADLs (
B) conserves energy in anemia-related activity intolerance. Isometric exercises (
A) strain oxygen capacity, diet (
C) is medical, and PT (
D) is collaborative.

Question 2 of 5

The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?

A. The client has petechiae on the trunk and extremities. B. The client complains of pain and swelling in the joints. C. The client has an Hbg of 9.7 and Hct of 32%. D. The client complains of a headache and slurred speech.

Correct Answer: A,C

Rationale: Petechiae (
A) and low Hb/Hct (
C) reflect leukemia’s impact on hematologic regulation (thrombocytopenia, anemia). Joint pain (
B) is less common, and headache/slurred speech (
D) suggest stroke.

Question 3 of 5

The new nurse requests information about chronic lymphocytic leukemia (CLL). Which statements should an experienced nurse include?

A. CLL is a malignancy of activated B lymphocytes. B. CLL is the most common malignancy of older adults. C. CLL is unresponsive to chemotherapy treatment. D. Clients are monitored in its early stages and often not treated. E. In CLL immature lymphocytes accumulate in the bone marrow. F. Clients with CLL often have no symptoms of the disorder.

Correct Answer: A, B, D, F

Rationale: CLL derives from a malignant clone of B lymphocytes. T-lymphocytic CLL is rare. B. Two-thirds of all persons with CLL are older than 60 years at diagnosis. C. Treatment for CLL includes chemotherapy with fludarabine (Fludara), but a major side effect is prolonged bone marrow suppression. D. Clients with CLL are monitored, and treatment is initiated when symptoms are severe (night sweats, painful lymphadenopathy) or the disease progresses to later stages. E. In CLL there is an accumulation of mature-appearing but functionally inactive lymphocytes, and not immature lymphocytes. Excessive accumulation of immature lymphocytes occurs in ALL. F. Because many persons are asymptomatic, it is often diagnosed during a routine physical or during treatment for another condition.

Question 4 of 5

The client’s nephew has just been diagnosed with sickle cell anemia (SCA). The client asks the nurse, 'How did my nephew get this disease?' Which statement would be the best response by the nurse?

A. Sickle cell anemia is an inherited autosomal recessive disease.' B. He was born with it and both his parents were carriers of the disease.' C. At this time, the cause of sickle cell anemia is unknown.' D. Your sister was exposed to a virus while she was pregnant.'

Correct Answer: A

Rationale: SCA is an autosomal recessive disorder (
A), the most precise explanation. Parents as carriers (
B) is partial, cause is known (
C), and viral exposure (
D) is incorrect.

Question 5 of 5

Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?

A. The client's cheeks are flushed. B. The client reports having more energy. C. The client complains of nausea. D. The client's stools are light brown.

Correct Answer: D

Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.

Hematologic Disorders NCLEX Questions | Nurselytic

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