Hematologic Disorders NCLEX Questions

Extract:

Question 1 of 5

Which of the following would be the best lunch for a client with folic acid deficiency anemia?

Correct Answer: D

Rationale: Spinach and beans are rich in folate, making this lunch ideal for folic acid deficiency anemia.

Question 2 of 5

Which situation might cause the nurse to think that the client has von Willebrand’s (vW) disease?

A. The client has had unexplained episodes of hematemesis. B. The client has microscopic blood in the urine. C. The client has prolonged bleeding following surgery. D. The client developed abruptio placentae.

Correct Answer: C

Rationale: vWD impairs clotting, causing prolonged bleeding post-surgery (
C). Hematemesis (
A) and hematuria (
B) are less specific, and abruptio placentae (
D) is unrelated.

Question 3 of 5

The HCP orders two (2) units of blood to be administered over eight (8) hours each for a client diagnosed with heart failure. Which intervention(s) should the nurse implement?

A. Call the HCP to question the order because blood must infuse within four (4) hours. B. Retrieve the blood from the laboratory and run each unit at an eight (8)-hour rate. C. Notify the laboratory to split each unit into half-units and infuse each half for four (4) hours. D. Infuse each unit for four (4) hours, the maximum rate for a unit of blood.

Correct Answer: A

Rationale: Blood must infuse within 4 hours to prevent bacterial growth; 8-hour infusion (
B) is unsafe, requiring HCP clarification (
A). Splitting units (
C) is unnecessary, and 4 hours (
D) ignores heart failure needs.

Question 4 of 5

A 5-year-old boy is admitted because he bled profusely when he lost his first baby tooth. After a workup, he is diagnosed as having classic hemophilia. His mother asks the nurse if his two younger sisters will also develop hemophilia. What is the best answer for the nurse to give?

A. They will not develop the disease.' B. Statistically, one of them is likely to develop the disease.' C. They are not likely to get the disease, but they may be carriers.' D. If it doesn't show up by the time they start school, they are unlikely to develop the condition.'

Correct Answer: C

Rationale: Hemophilia is an X-linked recessive disorder. Females are unlikely to develop the disease but may be carriers, especially if the mother is a carrier.

Question 5 of 5

Which of the following would be the best lunch for a client with folic acid deficiency anemia?

A. Bologna sandwich and vegetable soup B. Grilled cheese sandwich and tomato soup C. Coleslaw and cream of mushroom soup D. Spinach salad and bean soup

Correct Answer: D

Rationale: Spinach and beans are rich in folate, making this lunch ideal for folic acid deficiency anemia.

Hematologic Disorders NCLEX Questions | Nurselytic

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