Hematology NCLEX Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the emergency department (ED) is caring for a 12-year-old client. Item 1 of 1 History And Physical Orders Vital Signs A 12-year-old male with sickle cell anemia presents with his father with generalized pain that worsened overnight. The client stated his pain is in his knees and ankles. His knees and ankles had a full range of motion on exam and were tender to the touch. Slight swelling in the ankles and knees was observed. The client states that the pain hurts a lot, and he has difficulty sleeping because of the pain. He rates his pain as a '7' on a scale from 0-10. The father denies any recent illnesses or any strenuous activity. The child's vaccines are current, and he takes no medication daily. The nurse is implementing care for this client
Click to specify if each nursing action is appropriate or not appropriate for a 12-year-old client with sickle cell anemia presenting with generalized pain: E. Apply cold compresses to the ankle and knees
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Explanation: Cold compresses may worsen vaso-occlusion; warm compresses are preferred.
Question 2 of 5.
The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented?
A. Hold all venipuncture sites for at least five (5) minutes.
B. Limit fresh fruits and flowers.
C. Place all clients in reverse isolation.
D. Have the clients use a soft-bristle toothbrush.
Explanation: Neutropenia increases infection risk; limiting fresh fruits/flowers (B) reduces microbial exposure. Holding venipuncture (A) prevents bleeding, reverse isolation (C) is excessive, and soft toothbrushes (D) prevent gum trauma but are secondary.
Question 3 of 5.
Which medication is contraindicated for a client diagnosed with leukemia?
A. Bactrim, a sulfa antibiotic.
B. Morphine, a narcotic analgesic.
C. Epogen, a biologic response modifier.
D. Gleevec, a genetic blocking agent.
Explanation: Epogen (C) stimulates RBC production, risky in leukemia due to blast proliferation. Bactrim (A) treats infections, morphine (B) manages pain, and Gleevec (D) targets CML.
Question 4 of 5.
The client diagnosed with non-Hodgkin's lymphoma is scheduled for a lymphangiogram. Which information should the nurse teach?
A. The scan will identify any malignancy in the vascular system.
B. Radiopaque dye will be injected between the toes.
C. The test will be done similar to a cardiac angiogram.
D. The test will be completed in about five (5) minutes.
Explanation: 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.
Which test is considered diagnostic for Hodgkin's lymphoma?
A. A magnetic resonance image (MRI) of the chest.
B. A computed tomography (CT) scan of the cervical area.
C. An erythrocyte sedimentation rate (ESR).
D. A biopsy of the cervical lymph nodes.
Explanation: Lymph node biopsy (D) diagnoses Hodgkin's via Reed-Sternberg cells. MRI/CT (A, B) stage disease, ESR (C) is nonspecific.
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