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NCLEX PN· Hematological · Hematologic Disorders NCLEX Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is teaching the client who is a strict vegetarian how to decrease the risk of developing megaloblastic anemia. Which information should the nurse provide?

A. Undergo an annual Schilling test.
B. Increase intake of foods high in iron.
C. Supplement the diet with vitamin B12.
D. Have a hemoglobin level drawn monthly.

Expert Explanatory Rationale

Correct Answer: Supplement the diet with vitamin B12.

Question 2 of 5

A Schilling test has been ordered for a client suspected of having pernicious anemia. What is the nurse's primary responsibility in relation to this test?

A. Collect the blood samples
B. Collect a 24-hour urine sample
C. Assist the client to x-ray
D. Administer an enema

Expert Explanatory Rationale

Correct Answer: Collect a 24-hour urine sample

Question 3 of 5

The client admitted with full-thickness burns may be developing DIC. Which signs/symptoms would support the diagnosis of DIC?

A. Oozing blood from the IV catheter site.
B. Sudden onset of chest pain and frothy sputum.
C. Foul-smelling, concentrated urine.
D. A reddened, inflamed central line catheter site.

Expert Explanatory Rationale

Correct Answer: Oozing blood from the IV catheter site.

Question 4 of 5

The nurse identified clotting as a concept related to sickle cell disease. Which intervention should the nurse implement?

A. Assess for cerebrovascular symptoms.
B. Keep the head of the bed elevated.
C. Order a 2,000-mg sodium diet.
D. Apply antiembolism stockings.

Expert Explanatory Rationale

Correct Answer: Assess for cerebrovascular symptoms.

Question 5 of 5

The client who was recently admitted with gastric cancer appears pale and weak and states feeling fatigued. In reviewing the client's laboratory results, which component of the CBC should the nurse most associate with the client's gastric cancer and identify as the causative factor for the fatigue?

A. White blood cell 12,200/mm3
B. Hemoglobin 7.9 g/dL
C. Serum protein 5.9 g/dL
D. Blood urea nitrogen 22 mg/dL

Expert Explanatory Rationale

Correct Answer: Hemoglobin 7.9 g/dL

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