NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse writes a diagnosis of altered tissue perfusion for a client diagnosed with anemia. Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Monitoring Hb/Hct (
A), assessing numbness/tingling (
D), and rest periods (E) address perfusion in anemia. Proximity to desk (
B) is nonspecific, and limiting greens (
C) is for anticoagulation, not anemia.
Question 2 of 5
The nurse identified clotting as a concept related to sickle cell disease. Which intervention should the nurse implement?
Correct Answer: A
Rationale: SCD causes vaso-occlusion; assessing cerebrovascular symptoms (
A) detects stroke risk. HOB elevation (
B) is for ICP, sodium diet (
C) is for hypertension, and stockings (
D) are for DVT.
Question 3 of 5
The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?
Correct Answer: A
Rationale: Night sweats and fever (
A) are classic Hodgkin’s B symptoms. Edematous nodes (
B) are not typical (firm, non-tender), malaise/stomach (
C) is nonspecific, and neck pain (
D) suggests gallbladder issues.
Question 4 of 5
The client receiving a unit of PRBCs begins to chill and develops hives. Which action should be the nurse’s first response?
Correct Answer: D
Rationale: Chills/hives suggest a transfusion reaction; stopping the transfusion at the hub (
D) prevents further reaction. Assessment (
C), Benadryl (
B), and notification (
A) follow.
Question 5 of 5
A home-care nurse is following up with the client who was diagnosed with liver cancer 3 months ago. Which assessment information should the nurse communicate to the HCP?
Correct Answer: D
Rationale: A. Finding that the client with liver cancer is weak and pale would be important to document, but it does not warrant immediate communication to the HCP because it may be expected. B. The client’s weight being stable would not necessitate communication to the HCP, but a significant decrease would. C. Abdominal itching may occur with liver cancer, but the fact that it is relieved with diphenhydramine (Benadryl) is positive and would not necessitate a call to the HCP. D. The client’s pain level is high and does not seem to be controlled with the current opioid schedule. The nurse should notify the HCP to request a change in analgesic medication, dosing schedule, or administration route.