NCLEX-PN
Hematology NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement made by the parent of a child newly diagnosed with sickle cell anemia indicates a need for more teaching?
Correct Answer: A
Rationale: High altitudes, like mountains, have lower oxygen levels, which can precipitate a sickle cell crisis, indicating a need for more teaching. Drinking juices, using acetaminophen, and avoiding chills are appropriate.
Question 2 of 5
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
Correct Answer: D
Rationale: Morphine PRN (
D) is preferred for severe SCA crisis pain, titrated to relief. Aspirin (
A) and ibuprofen (
B) are insufficient and risk bleeding, and meperidine (
C) risks seizures.
Question 3 of 5
The client has a hematocrit of 22.3% and a hemoglobin of 7.7 g/dL. The HCP has ordered two (2) units of packed red blood cells to be transfused. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D
Rationale: Consent (
A), lung assessment (
C), and allergy checks (
D) ensure safe transfusion. A 22-gauge IV (
B) is too small (18-gauge preferred), and D5W (E) is incompatible (use NS).
Question 4 of 5
The client diagnosed with non-Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?
Correct Answer: B
Rationale: Lymphangiogram involves dye injection between toes (
B) to visualize lymphatics. It’s not vascular (
A), unlike cardiac angiogram (
C), and takes longer than 5 minutes (
D).
Question 5 of 5
An elderly client who is being treated for pernicious anemia needs to be monitored periodically for which of the following conditions?
Correct Answer: B
Rationale: Pernicious anemia is associated with an increased risk of stomach cancer due to chronic gastritis, requiring periodic monitoring.