Hematology NCLEX Questions

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Question 1 of 5.

The nurse is discussing dietary sources of iron with a client who has iron deficiency anemia. Which menu, if selected by the client, indicates the best understanding of the diet?

A. Milkshake, hot dog, and beets

B. Beef steak, spinach, and grape juice

C. Chicken salad, green peas, and coffee

D. Macaroni and cheese, coleslaw, and lemonade

Explanation: Beef, spinach, and grape juice contain iron. Milk contains no iron, and the other options have lower iron content.

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.