Hematologic Disorders NCLEX Questions | Nurselytic

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Hematologic Disorders NCLEX Questions Questions

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Question 1 of 5

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

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 2 of 5

The nurse is discussing prevention of liver cancer with the client. Which vaccine should the nurse recommend?

Correct Answer: D

Rationale: A. The varicella vaccine is a live (attenuated) virus administered to protect against chicken pox. There is no evidence that it has an effect on preventing liver cancer. B. Hepatitis A vaccine is given to protect against hepatitis A virus (HAV). HAV can be spread by stool, blood, or food and water that is infected with HAV. There is no evidence that it has an effect on preventing liver cancer. C. Meningococcal vaccine is a vaccine used to prevent meningitis caused by Neisseria meningitidis. There is no evidence that it has an effect on preventing liver cancer. D. Hepatitis B vaccine dramatically reduces the incidence of hepatitis B virus (HBV) and, in turn, prevents liver cancer. HBV is transmitted through contact with blood or body fluids of an infected person, and it can survive outside the body for at least 7 days.

Question 3 of 5

The nurse is caring for the client who had a left modified radical mastectomy (a total mastectomy with axillary node dissection and removal of the lining over the pectoralis major muscle). Which action by the nurse is appropriate?

Correct Answer: B

Rationale: A. The arm on the operative side should be elevated on a pillow, but not above the head. B. All IV access sites should be located on the nonoperative side to prevent circulatory impairment. C. Having the client look at the incision should be at the client’s readiness, not as soon as possible. D. Only ROM to the lower arm should be carried out for the first few days after surgery, with exercises and ROM to the shoulder after the drains are removed.

Question 4 of 5

Which client should be assigned to the experienced medical-surgical nurse who is in the first week of orientation to the oncology floor?

Correct Answer: C

Rationale: Leukemia with extensive petechiae (
C) indicates severe thrombocytopenia, requiring experienced assessment for bleeding. Radiation (
A), chemotherapy (
B), and transfusions (
D) are less complex.

Question 5 of 5

The charge nurse is making assignments on a medical floor. Which client should be assigned to the most experienced nurse?

Correct Answer: C

Rationale: Aplastic anemia with pancytopenia (
C) is complex, risking bleeding/infection, requiring experienced care. Iron (
A), B12 (
B), and renal anemia (
D) are more stable.

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