NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
Which medication is contraindicated for a client diagnosed with leukemia?
Correct Answer: C
Rationale: Epogen (
C) stimulates RBC production, risky in leukemia due to blast proliferation. Bactrim (
A) treats infections, morphine (
B) manages pain, and Gleevec (
D) targets CML.
Question 2 of 5
The young adult, diagnosed with hemophilia A, is receiving a monthly scheduled dose of factor VIII cryoprecipitate. The client begins to cry during administration. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: A. Asking a “why” question challenges the client’s feelings. B. This response seeks information but is not most appropriate. It is unlikely that the initial response from an adult would not be crying if the administration of IV factor VIII cryoprecipitate by IV push were painful. C. This response ignores the client’s feelings and presumes that the nurse knows what initiated the client’s crying. D. The nurse is offering self, which is a therapeutic communication technique.
Question 3 of 5
The nurse explains “watchful waiting” (ongoing visits to a physician for observation of signs and symptoms without treatment) to the client with prostate cancer. Which client is a candidate for “watchful waiting”?
Correct Answer: B
Rationale: A. The client with prostate cancer that has metastasized to the bone generally requires aggressive therapy. B. The client is a candidate for “watchful waiting” when older than age 70 with a life expectancy of less than 10 years and with low-grade disease. C. The client with extension of the tumor outside of the prostate generally requires aggressive therapy. D. The client who is asymptomatic with an elevated prostate-specific antigen generally requires aggressive therapy.
Question 4 of 5
Which test is considered diagnostic for Hodgkin's lymphoma?
Correct Answer: D
Rationale: Lymph node biopsy (
D) diagnoses Hodgkin’s via Reed-Sternberg cells. MRI/CT (A,
B) stage disease, ESR (
C) is nonspecific.
Question 5 of 5
Which statement is the scientific rationale for infusing a unit of blood in less than four (4) hours?
Correct Answer: B
Rationale: Blood must infuse within 4 hours (
B) to minimize bacterial growth risk. Coagulation (
A) is not primary, components (
C) degrade minimally, and lab procedure (
D) is incorrect.