Hematology NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Hematological
Question 1 of 5.
Extract:The nurse in the oncology clinic is caring for a 55-year-old female client Item 1 of 1 Nurses' Notes 1300 - Client is here for a prescribed chemotherapy infusion (four of eight infusions). Client receiving treatment for stage IV breast cancer with metastasis to the liver. Client reports significant fatigue, which has caused her to nap more and procrastinate on her activities of daily living. She reports that no matter how much she sleeps, she never feels rested. The client stated that her hands and feet feel like 'pins and needles' and have worsened since the previous treatment. She reports using topical ointments and creams with no relief. Finally, the client reports experiencing night sweats that started last night and feeling 'hot' today. On assessment, the client is alert and completely oriented. Lung sounds are clear bilaterally, and respirations are unlabored. Skin hot and pale pink in tone; peripheral pulses 2+ and regular. Capillary refill is 3 seconds. Vital signs: T 101.1° F (38.4° C), P 92, RR 18, BP 133/76, pulse oximetry reading 95% on room air.
The nurse is highly concerned about the client's risk for ……….. based on the client's ………..
A. neuropathic pain
B. infection
C. Fatigue
D. reports of peripheral sensations
E. vital signs
F. altered sleep pattern
Explanation: The client's elevated temperature (101.1°F) indicates a potential infection, which is a significant risk in chemotherapy patients due to immunosuppression.
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.