Hematology NCLEX Questions
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Question 1 of 5.
The nurse is assessing a client diagnosed with vaso-occlusive crisis. Which indicates the client is not meeting an appropriate stage of growth and development according to Erikson?
A. The 32-year-old client does not have a significant other and is on disability.
B. The 28-year-old client is actively involved in the care of a six (6)-year-old child.
C. The 40-year-old client has a full-time job and cares for an aged parent.
D. The 19-year-old client is a full-time college student and has many friends.
Explanation: At 32 (Intimacy vs. Isolation), lack of a significant other and disability (A) suggest isolation, not meeting Erikson's stage. Parenting (B), caregiving (C), and socializing (D) align with Generativity, Generativity, and Identity stages.
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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