NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
The student nurse asks the nurse, 'What is sickle cell anemia?' Which statement by the nurse would be the best answer to the student’s question?
Correct Answer: D
Rationale: Sickle cell anemia causes RBCs to sickle under low oxygen, thickening blood (
D). Written material (
A) avoids teaching, clotting (
B) is incorrect (SCD causes occlusion), and synovial fluid (
C) is unrelated.
Question 2 of 5
The nurse assesses that the client who is receiving radiation for cervical cancer continues to have diarrhea. Which nursing advice is most appropriate for this client?
Correct Answer: A
Rationale: A. The client with diarrhea should eat a low-residue diet to decrease roughage and bowel irritability and take sitz (or tub) baths twice daily to increase comfort. B. Intake of fluids that are high in potassium (not low) is recommended to replace electrolytes lost through diarrhea. C. Milk products are discouraged because they increase bowel irritability. D. Intake of fluids high in sodium should be avoided because it contributes to water retention, but hydrocolloid pads may be used on reddened areas to promote healing.
Question 3 of 5
The nurse is preparing to administer the chemotherapeutic agent cisplatin IV to the client with ovarian cancer. The dose is 100 mg/m2 in 2 liters of DSW to be infused over 8 hours. What is the rate in milliliters (mL) per hour that the nurse should set the infusion pump to deliver the medication? __________ mL/hour (Record your answer as a whole number.)
Correct Answer: 250
Rationale: first convert liters to milliliters: 1000 mL/1L= XmL/2L. 1000mL* 2L= 1L * x mL;
2000 mL = X. Next ,CALCULATE the mL per hour 2000 mL /8 Hours =250mL/hour
Question 4 of 5
The nurse is preparing the client for a bone marrow biopsy of the iliac crest. Place the nurse’s actions in order of priority.
Order the Items
Source Container
Correct Answer: D, F, B, A, C, E:
Rationale: Verify that the HCP has explained the procedure. The HCP should include the purpose, intended outcomes, and potential complications. F. Teach what may be expected during the procedure, including that pressure or discomfort may be experienced. B. Obtain a signed informed consent. This is obtained only after the HCP has met with the client and teaching is completed. A. Premedicate with lorazepam (Ativan). Midazolam (Versed) is another option for sedation. A local anesthetic is used at the site, and some clients may not need sedation. C. Position prone and provide emotional support. The client should be prone because the iliac crest is the site being used for this biopsy, but the position will vary with the site. Holding the client’s hand and using guided imagery help support the client. E. Check for signs of bleeding every 2 hours for 24 hours. A pressure dressing is applied by the HCP after the procedure. Ice can be applied to reduce bruising and for comfort.
Question 5 of 5
The student nurse asks the nurse, 'What is sickle cell anemia?' Which statement by the nurse would be the best answer to the student’s question?
Correct Answer: D
Rationale: Sickle cell anemia causes RBCs to sickle under low oxygen, thickening blood (
D). Written material (
A) avoids teaching, clotting (
B) is incorrect (SCD causes occlusion), and synovial fluid (
C) is unrelated.