NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Which concepts could the nurse identify for a client diagnosed with lymphoma? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Lymphoma involves coping (
A) with diagnosis, hematologic regulation (
B) via lymph dysfunction, perfusion (
C) due to node obstruction, and clotting (
D) from thrombocytopenia. Clinical judgment (E) is a nursing process, not a patient concept.
Question 2 of 5
The client, who underwent a right mastectomy with lymph node dissection, is being admitted to a nursing unit from the PACU. When settling the client in bed, which action by the NA requires the nurse to intervene?
Correct Answer: C
Rationale: A. BPs, venipunctures, and injections should not be done on the affected arm, so taking the BP on the left arm would be appropriate. B. It would be appropriate for the NA to tape a sign at the side rail to remind others of the restrictions following a mastectomy. C. The client should be placed in a semi-Fowler’s position with the arm on the affected side elevated on a pillow to promote restoring arm function and to prevent arm edema. D. It would be beneficial for the NA and nurse to be sensitive to the client’s readiness for family presence.
Question 3 of 5
When planning care for a client who is HIV positive, the nurse should do what?
Correct Answer: B
Rationale: Wearing gloves when handling body fluids follows standard precautions to prevent HIV transmission. Gowns and masks are not always necessary, and restricting visitors or isolating the client is not required.
Question 4 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 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.