Hematology NCLEX Practice Questions

Extract:

Question 1 of 5

Which nursing interventions should the nurse implement when caring for a client diagnosed with hemophilia A? Select all that apply.

Correct Answer: B,C,D

Rationale: Avoiding enemas (
B), noncontact sports (
C), and teaching pressure (
D) prevent bleeding in hemophilia. Razor blades (
A) and avoiding flossing (E) increase bleeding risk.

Question 2 of 5

The client is diagnosed with hemophilia. Which safety precaution should the nurse encourage?

A. Wear helmets and pads during contact sports. B. Take antibiotics prior to any dental work. C. Keep clotting factor VIII on hand at all times. D. Use ibuprofen, an NSAID, for mild pain.

Correct Answer: C

Rationale: Hemophilia requires factor VIII availability (
C) for bleeding emergencies. Contact sports (
A) are risky, antibiotics (
B) are for endocarditis, and ibuprofen (
D) increases bleeding.

Question 3 of 5

The 33-year-old client diagnosed with Stage IV Hodgkin’s lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?

A. Instruct the client to continue scheduled screenings for cancer. B. Discuss the need for follow-up appointments every five (5) years. C. Teach the client that the cancer risk is the same as for the general population. D. Have the client talk with the family about funeral arrangements.

Correct Answer: A

Rationale: Post-remission Hodgkin’s requires ongoing cancer screenings (
A) due to recurrence/second cancer risk. Follow-ups are more frequent than 5 years (
B), risk remains elevated (
C), and funeral plans (
D) are premature.

Question 4 of 5

The unlicensed assistive personnel (UAP) asks the primary nurse, 'How does someone get hemophilia A?' Which statement would be the primary nurse’s best response?

A. It is an inherited X-linked recessive disorder.' B. There is a deficiency of the clotting factor VIII.' C. The person is born with hemophilia A.' D. The mother carries the gene and gives it to the son.'

Correct Answer: A

Rationale: Hemophilia A is an X-linked recessive disorder (
A), the most precise explanation. Factor VIII deficiency (
B) is a result, born with it (
C) is vague, and mother-to-son (
D) is partial.

Question 5 of 5

The client is diagnosed with congestive heart failure and anemia. The HCP ordered a transfusion of two (2) units of packed red blood cells. The unit has 250 mL of red blood cells plus 45 mL of additive. At what rate should the nurse set the IV pump to infuse each unit of packed red blood cells?

Your Answer:

Correct Answer: 74

Rationale: Each unit = 250 mL RBC + 45 mL additive = 295 mL. Standard transfusion time is 4 hours max. 295 mL ÷ 4 hr = 73.75 mL/hr, rounded to 74 mL/hr for pump precision.

Hematology NCLEX Practice Questions | Nurselytic

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