Hematologic System NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Hematological
Question 1 of 5.
The client with a primary diagnosis of liver cancer with metastases to the lung is hospitalized with severe dyspnea. The nurse is preparing the client for radiation of the upper chest. Which nursing conclusion about the purpose of radiation therapy for this client is correct?
A. Radiation therapy is used to cure and control liver cancer.
B. Radiation therapy is used to prevent future cancer development.
C. Radiation therapy is used to cure and control lung cancer.
D. Radiation therapy is used to prevent or relieve distressing symptoms.
Explanation: A. Radiation of the upper chest would have no effect on the liver located in the abdominal cavity. B. Preventing future cancer development is not the intention of radiation therapy for this client. C. Radiation therapy reduces size of tumors but would not be expected to cure cancer in this client. D. Primary liver tumors commonly metastasize to the lung, which can cause obstructive symptoms. In this client, radiation therapy to the lung would be used as a palliative care modality to help relieve distressing symptoms such as dyspnea.
Question 2 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.
A. Administer high-dose chemotherapy.
B. Teach the client about autologous transfusions.
C. Have the family members' HLA typed.
D. Monitor the complete blood cell count daily.
E. Provide central line care per protocol.
Explanation: 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 3 of 5.
The nurse and the licensed practical nurse (LPN) are caring for clients on an oncology floor. Which client should not be assigned to the LPN?
A. The client newly diagnosed with chronic lymphocytic leukemia.
B. The client who is four (4) hours postprocedure bone marrow biopsy.
C. The client who received two (2) units of (PRBCs) on the previous shift.
D. The client who is receiving multiple intravenous piggyback medications.
Explanation: IV piggyback medications (D) require complex assessment (e.g., chemotherapy), beyond LPN scope. New diagnosis (A), post-biopsy (B), and post-transfusion (C) are stable for LPN care.
Question 4 of 5.
Which client is at highest risk for developing a lymphoma?
A. The client diagnosed with chronic lung disease who is taking a steroid.
B. The client diagnosed with breast cancer who has extensive lymph involvement.
C. The client who received a kidney transplant several years ago.
D. The client who has had ureteral stent placements for a neurogenic bladder.
Explanation: Immunosuppression post-transplant (C) increases lymphoma risk (e.g., PTLD). Steroids (A) are lower risk, breast cancer (B) involves metastasis, and stents (D) are unrelated.
Question 5 of 5.
Which clinical manifestation of Stage I non-Hodgkin's lymphoma would the nurse expect to find when assessing the client?
A. Enlarged lymph tissue anywhere in the body.
B. Tender left upper quadrant.
C. No symptom in this stage.
D. Elevated B-cell lymphocytes on the CBC.
Explanation: Stage I NHL is often asymptomatic (C), with localized node involvement. Enlarged nodes (A) are later, LUQ tenderness (B) suggests spleen, and B-cell elevation (D) is lab-based, not clinical.