NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
Which client is at highest risk for developing a lymphoma?
Correct Answer: C
Rationale: Immunosuppression post-transplant (
C) increases lymphoma risk (e.g., PTL
D). Steroids (
A) are lower risk, breast cancer (
B) involves metastasis, and stents (
D) are unrelated.
Question 2 of 5
The client is diagnosed with Hodgkin’s disease. Which data are diagnostic for Hodgkin’s disease?
Correct Answer: C
Rationale: Reed-Sternberg cells on biopsy (
C) are diagnostic for Hodgkin’s. Night sweats/fever (
A) and weight loss/nodes (
D) are supportive, and cavitation (
B) suggests TB.
Question 3 of 5
A client who receives a diagnosis of pernicious anemia asks why she must receive vitamin shots. What is the best answer for the nurse to give?
Correct Answer: B
Rationale: In pernicious anemia, the lack of intrinsic factor prevents absorption of vitamin B12 from foods, necessitating injections.
Question 4 of 5
Which laboratory result would the nurse expect in the client diagnosed with DIC?
Correct Answer: B
Rationale: DIC consumes clotting factors, lowering fibrinogen (
B). PT is prolonged (
A), platelets decrease (
C), and WBCs (
D) are nonspecific.
Question 5 of 5
The nurse is transcribing the HCP’s order for an iron supplement on the MAR. At which time should the nurse schedule the daily dose?
Correct Answer: A
Rationale: Iron supplements are best taken in the morning (0900,
A) with food to reduce GI upset and enhance absorption. Later times (B, C,
D) are less optimal.