NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse writes a nursing problem of 'altered nutrition' for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?
Correct Answer: B
Rationale: Altered nutrition requires monitoring serum albumin (
B) to assess protein status. Antidiarrheals (
A) are symptom-specific, infection (
C) is unrelated, and skin care (
D) addresses radiation effects.
Question 2 of 5
The client diagnosed with leukemia has central nervous system involvement. Which instruction should the nurse teach?
Correct Answer: D
Rationale: CNS leukemia risks cognitive decline; discussing end-of-life decisions (
D) is critical before deterioration. HOB elevation (
A) is for ICP, not routine, analgesics (
B) should be proactive, and hair loss (
C) is secondary.
Question 3 of 5
The nurse is working in a blood bank facility procuring units of blood from donors. Which client would not be a candidate to donate blood?
Correct Answer: C
Rationale: Recent childbirth (
C) (within 6 months) disqualifies blood donation due to anemia risk. Wisdom teeth (
A), immunization (
B), and aspirin allergy (
D) are not contraindications.
Question 4 of 5
The client has undergone a lymph node biopsy to differentiate between Hodgkin’s and non-Hodgkin’s lymphoma. After reviewing the client’s lymph node biopsy results, which revealed that the client has Hodgkin’s lymphoma, the nurse should obtain which educational brochure?
Correct Answer: D
Rationale: A. Reticulocytes are found in a CBC, not from a lymph node biopsy, and are not indicative of either Hodgkin’s or non-Hodgkin’s lymphoma. B. CA-125 tumor markers are sometimes used in the management of ovarian cancer. C. WBCs are collected from a complete blood panel, not a lymph node biopsy, and could be indicative of other lymphomas and/or leukemia. D. The nurse should obtain the brochure that explains about Reed-Sternberg cells. The main diagnostic feature of Hodgkin’s lymphoma is the presence of Reed-Sternberg cells in a lymph node biopsy.
Question 5 of 5
The nurse receives orders after notifying an HCP about the client who has tachycardia, diaphoresis, and an elevated temperature after treatments for ALL. Which order should be the nurse’s priority?
Correct Answer: B
Rationale: A. The results of the portable CXR will help determine if the cause is a respiratory infection. It will not change the treatment. B. Urine and blood cultures are priority; these should be obtained before antibiotics are administered. C. National recommendations are to administer broad-spectrum antibiotics such as vancomycin (Vancocin) within 1 hour of a suspected infection diagnosis. The antibiotics may be changed after culture and sensitivity reports are available (usually 24 to 48 hours). D. It takes 4 days for filgrastim (Neupogen) to return the neutrophil count to baseline, so this is not priority. Filgrastim should not be given within 24 hours of cytotoxic chemotherapy.