Hematology NCLEX Questions

Extract:

Question 1 of 5

Which test is considered diagnostic for Hodgkin's lymphoma?

Correct Answer: D

Rationale: Lymph node biopsy (
D) diagnoses Hodgkin’s via Reed-Sternberg cells. MRI/CT (A,
B) stage disease, ESR (
C) is nonspecific.

Question 2 of 5

The client diagnosed with anemia has an Hb of 6.1 g/dL. Which complication should the nurse assess for?

A. Decreased pulmonary functioning. B. Impaired muscle functioning. C. Congestive heart failure. D. Altered gastric secretions.

Correct Answer: C

Rationale: Severe anemia (Hb 6.1) reduces oxygen delivery, straining the heart and risking CHF (
C). Pulmonary (
A), muscle (
B), and gastric (
D) issues are less direct.

Question 3 of 5

In which order should the nurse address the assessment findings for the client who has undergone a total laryngectomy? Place the findings in the order of priority.

Correct Answer: B, A, D, C

Rationale: . Restless and has a mucus plug in the tracheostomy is priority requiring immediate attention due to the negative impact on air exchange. The client needs immediate suctioning. A. Copious oral secretions and nasal mucus draining from the nose should be next. After a total laryngectomy the mouth does not communicate with the trachea, so copious oral secretions and nasal drainage would not influence air exchange, but these create a source of discomfort for the client. D. Oozing serosanguineous drainage around the tracheostomy tube and saturated dressing should be addressed third. Changing the dressing now would allow the nurse to inspect the site and ensure tube patency. C. NG tube used for intermittent feedings pulled halfway out can be addressed last. There is no indication that a tube feeding is infusing. The HCP should be contacted to reinsert the NG tube to prevent disruption of the suture line in the esophagus.

Question 4 of 5

The charge nurse in the intensive care unit is making client assignments. Which client should the charge nurse assign to the graduate nurse who has just finished the three (3)-month orientation?

A. The client with an abdominal peritoneal resection who has a colostomy. B. The client diagnosed with pneumonia who has acute respiratory distress syndrome. C. The client with a head injury developing disseminated intravascular coagulation. D. The client admitted with a gunshot wound who has an H&H of 7 and 22.

Correct Answer: A

Rationale: Colostomy care (
A) is stable and suitable for a new graduate. ARDS (
B), DIC (
C), and severe anemia (
D) are critical, requiring experienced care.

Question 5 of 5

The client diagnosed with von Willebrand’s disease calls a clinic after experiencing hemarthrosis. The client states that factor concentrate is infusing. Which intervention should the nurse recommend now?

A. “Take two 325-mg aspirin tablets every 4 hours for pain.” B. “Apply a cold pack to the area for 30 minutes every 1 to 2 hours.” C. “Come to the clinic; you need an infusion of fresh frozen plasma.” D. “If wearing a splint, remove it to avoid compartment syndrome.”

Correct Answer: B

Rationale: A. Aspirin (Ecotrin) and NSAIDs are contraindicated because they interfere with platelet aggregation. B. Hemarthrosis is bleeding into the joint. The pressure of the ice pack and cold will reduce the bleeding and swelling. The ice pack should be covered with a cloth. C. The client and family are usually taught how to administer factor concentrates at home at the first sign of bleeding. D. The splint should be left on initially to control bleeding. The client should be instructed on how to assess for adequate tissue perfusion.

Hematology NCLEX Questions | Nurselytic

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