Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

Correct Answer: C

Rationale: The primary goal for SCA is to live normally (
C), managing crises. Calling HCP (
A), compliance (
B), and understanding (
D) are secondary.

Question 2 of 5

The client asks the nurse, 'They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?' The nurse’s answer is based on which scientific rationale?

A. Biopsies are nuclear medicine scans that can detect cancer. B. A biopsy is a laboratory test that detects cancer cells. C. It determines which kind of cancer the client has. D. The HCP takes a small piece out of the tumor and looks at the cells.

Correct Answer: C

Rationale: A biopsy identifies Hodgkin’s via Reed-Sternberg cells (
C). It’s not a scan (
A), not just a lab test (
B), and involves microscopic cell analysis (D is partial but less precise).

Question 3 of 5

The nurse is caring for the client placed on neutropenic precautions. Which interventions should the nurse implement?

A. Apply pressure for at least 5 minutes to any site that is bleeding. B. Prevent anyone from bringing fresh flowers into the client’s room. C. Teach the client to avoid eating unwashed fruit and vegetables. D. Perform hand hygiene before touching any of the client’s belongings. E. Inform the client that fresh water will be delivered every hour. F. Stop visitors from entering the room if observed to be coughing.

Correct Answer: B, C, D, F, A.

Rationale: Pressure should be applied to an area that is bleeding when the client has thrombocytopenia, not neutropenia. B. Fresh flowers harbor microorganisms that can cause an infection. C. Unwashed fruits and vegetables have been found to be colonized with various bacteria, particularly gram-negative enteric organisms, as well as pseudomonas and fungi. Recent research indicates that well-washed fresh fruits and vegetables may be eaten. D. Hand hygiene reduces microbial counts on hands and helps to prevent the transmission of microorganisms to the client’s belongings. E. The client should not consume any liquids that have been standing at room temperature for longer than an hour due to risk of microbial colonization. F. Visitors with a transmittable infection place the client at a high risk for becoming infected due to the client’s depressed immune system.

Question 4 of 5

The client diagnosed with sickle cell anemia asks the nurse, 'Why should I take those shots? I hate shots.' Which statement by the nurse is the best response?

A. These vaccines promote health in clients with chronic illnesses.' B. You are susceptible to infections. These shots may help prevent a crisis.' C. The vaccines will help your blood from sickling secondary to viruses.' D. The doctor wanted to make sure that I discussed the vaccines with you.'

Correct Answer: B

Rationale: Flu/pneumonia vaccines (
B) reduce infection risk, a common SCA crisis trigger. General health (
A) is vague, sickling (
C) is indirect, and HCP mention (
D) avoids explanation.

Question 5 of 5

The new nurse requests information about chronic lymphocytic leukemia (CLL). Which statements should an experienced nurse include?

A. CLL is a malignancy of activated B lymphocytes. B. CLL is the most common malignancy of older adults. C. CLL is unresponsive to chemotherapy treatment. D. Clients are monitored in its early stages and often not treated. E. In CLL immature lymphocytes accumulate in the bone marrow. F. Clients with CLL often have no symptoms of the disorder.

Correct Answer: A, B, D, F

Rationale: CLL derives from a malignant clone of B lymphocytes. T-lymphocytic CLL is rare. B. Two-thirds of all persons with CLL are older than 60 years at diagnosis. C. Treatment for CLL includes chemotherapy with fludarabine (Fludara), but a major side effect is prolonged bone marrow suppression. D. Clients with CLL are monitored, and treatment is initiated when symptoms are severe (night sweats, painful lymphadenopathy) or the disease progresses to later stages. E. In CLL there is an accumulation of mature-appearing but functionally inactive lymphocytes, and not immature lymphocytes. Excessive accumulation of immature lymphocytes occurs in ALL. F. Because many persons are asymptomatic, it is often diagnosed during a routine physical or during treatment for another condition.

Hematologic Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN