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ATI RN · ATI Medical Surgical · Hematology NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Unexplained anemia in a patient with suspected idiopathic thrombocytopenic purpura should suggest all of the following EXCEPT

A. leukemia

B. drug exposure

C. Evans syndrome

D. tuberculosis

Expert Explanatory Rationale

Correct Answer: tuberculosis

Question 2 of 5

A client comes to the clinic and the nurse inspects the client's mouth and throat. The nurse documents that the tonsil size is 2+. What does this mean?

A. Tonsils touch the uvula

B. Tonsils extend medially toward the uvula

C. Tonsils touch each other

D. Tonsils are visible

Expert Explanatory Rationale

Correct Answer: Tonsils extend medially toward the uvula

Question 3 of 5

A nurse is assisting a client with Hodgkin's lymphoma and has assessed shallow respirations associated with enlarged cervical lymph nodes. What would be the best nursing intervention to assist the client to avoid unnecessary pressure on the trachea and provide for increased lung expansion and improved air exchange?

A. Encourage the use of incentive spirometry.

B. Monitor the pulse oximetry and keep at 90% or greater.

C. Place the client in high Fowler's position.

D. Keep the environment quiet and free of distraction.

Expert Explanatory Rationale

Correct Answer: Place the client in high Fowler's position.

Question 4 of 5

The patient's laboratory results show a marked decrease in RBCs, WBCs, and platelets. What term should the nurse use when reporting the results to the physician?

A. Hemolysis

B. Leukopenia

C. Pancytopenia

D. Thrombocytosis

Expert Explanatory Rationale

Correct Answer: Pancytopenia

Question 5 of 5

All the following are true regarding physiologic anemia of infancy EXCEPT

A. it is exaggerated in premature infants

B. the hemoglobin concentration range is between 9-11 g/dL

C. the hemoglobin concentration rarely falls below $10 \mathrm{~g} / \mathrm{dL}$ in healthy infants

D. iron deficiency is a contributing factor

Expert Explanatory Rationale

Correct Answer: iron deficiency is a contributing factor

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