NCLEX-PN
Hematologic System NCLEX Questions Questions
Extract:
Question 1 of 5
Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP)?
Correct Answer: A
Rationale: ITP causes low platelets, leading to petechiae (
A). Capillary refill (
B) is normal, splenomegaly (
C) is not primary, and SpO2 95% (
D) is normal.
Question 2 of 5
Which action should the nurse expect to perform after a client has a bone marrow biopsy taken from the iliac crest?
Correct Answer: C
Rationale: Applying an adhesive bandage to the site after a bone marrow biopsy prevents bleeding and protects the area. Pressure is typically applied for longer, narcotics are not routine, and recumbent positioning is not required.
Question 3 of 5
The client diagnosed with leukemia is scheduled for bone marrow transplantation. Which interventions should be implemented to prepare the client for this procedure? Select all that apply.
Correct Answer: A,C,D,E
Rationale: High-dose chemotherapy (
A) ablates marrow, HLA typing (
C) identifies donors, CBC monitoring (
D) tracks counts, and central line care (E) prevents infection. Autologous transfusions (
B) are irrelevant (donor marrow used).
Question 4 of 5
The nurse is assisting the HCP with a bone marrow biopsy. Which intervention postprocedure has priority?
Correct Answer: A
Rationale: Applying pressure for 5–10 minutes (
A) prevents bleeding post-biopsy, a priority. Pain meds (
B), HOB (
C), and oxygen (
D) are secondary or unrelated.
Question 5 of 5
The client diagnosed with sickle cell anemia is experiencing a vaso-occlusive sickle cell crisis secondary to an infection. Which medical treatment should the nurse anticipate the HCP ordering for the client?
Correct Answer: C
Rationale: Hydration with IV fluids (
C) prevents sickling in vaso-occlusive crisis. Meperidine (
A) is avoided (risks seizures), isolation (
B) is excessive, and Foley (
D) is unnecessary.