NCLEX-PN
Hematology NCLEX Questions
Extract:
Question 1 of 5
Which interrelated psychological concept is priority for the nurse caring for a client diagnosed with leukemia?
Correct Answer: C
Rationale: Leukemia’s life-threatening nature makes grieving (
C) a priority, addressing loss of health. Comfort (
A), stress (
B), and coping (
D) are secondary.
Question 2 of 5
The client is diagnosed with chronic lymphocytic leukemia (CLL) after routine laboratory tests during a yearly physical. Which is the scientific rationale for the random nature of discovering the illness?
Correct Answer: D
Rationale: Early CLL is often asymptomatic (
D), detected via routine labs. CLL is serious (
A), has symptoms later (
B), and is adult-onset (
C), not self-limiting.
Question 3 of 5
The client diagnosed with esophageal cancer is having work-related problems that are interfering with the client's treatment. Which organization should the nurse advise the client to contact for assistance with these issues?
Correct Answer: D
Rationale: A. The National Cancer Institute answers questions and has free information about cancer. B. The Leukemia Society of America provides education regarding leukemia. C. The Corporate Angel Network provides free plane transportation for cancer clients going to and from treatment centers. D. The Patient Advocate Foundation provides counseling to resolve job-related problems.
Question 4 of 5
The nurse is discharging a client diagnosed with anemia. Which discharge instruction should the nurse teach?
Correct Answer: C
Rationale: Multiple
Choice CBC checks (
C) monitor anemia recovery. Taking iron indefinitely (
A) depends on cause, BP/pulse checks (
B) are nonspecific, and isometric exercise (
D) may strain low oxygen capacity.
Question 5 of 5
The client who received 50 mL from a unit of whole blood has low back pain. In response to this client’s symptom, which action should be taken by the nurse first?
Correct Answer: D
Rationale: A. Repositioning focuses on treating the client’s back pain and not on the blood transfusion, which could be the cause of the back pain. B. Further assessment should occur after stopping the blood transfusion. C. The client may need an analgesic for pain control, but this should occur after stopping the blood transfusion. D. Low back pain is a symptom of a potentially life-threatening acute hemolytic reaction. The pain is caused from agglutination of RBCs in the kidneys and renal vasoconstriction. Hemolytic reactions occur most often within the first 50 mL of the infusion.