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NCLEX PN· Hematological · Hematologic Disorders NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

A. The client will call the HCP if feeling ill.
B. The client will be compliant with medical regimen.
C. The client will live as normal a life as possible.
D. The client will verbalize understanding of treatments.

Expert Explanatory Rationale

Correct Answer: The client will live as normal a life as possible.

Question 2 of 5

Which situation might cause the nurse to think that the client has von Willebrand's (vW) disease?

A. The client has had unexplained episodes of hematemesis.
B. The client has microscopic blood in the urine.
C. The client has prolonged bleeding following surgery.
D. The client developed abruptio placentae.

Expert Explanatory Rationale

Correct Answer: The client has prolonged bleeding following surgery.

Question 3 of 5

The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?

A. The pain associated with the menorrhagia does not allow the client to rest.
B. The client's symptoms are unrelated to the diagnosis of menorrhagia.
C. The client probably has been exposed to a virus that causes chronic fatigue.
D. Menorrhagia has caused the client to have decreased levels of hemoglobin.

Expert Explanatory Rationale

Correct Answer: Menorrhagia has caused the client to have decreased levels of hemoglobin.

Question 4 of 5

The nurse is assessing a client diagnosed with acute myeloid leukemia. Which assessment data support this diagnosis?

A. Fever and infections.
B. Nausea and vomiting.
C. Excessive energy and high platelet counts.
D. Cervical lymph node enlargement and positive acid-fast bacillus.

Expert Explanatory Rationale

Correct Answer: Fever and infections.

Question 5 of 5

Laboratory tests are prescribed for the client who has a smooth and reddened tongue and ulcers at the corners of the mouth. Which result would the nurse find if the client has iron-deficiency anemia?

A. Low hemoglobin and hematocrit
B. Elevated red blood cells (RBCs)
C. Prolonged prothrombin time (PT)
D. Elevated white blood cells (WBCs)

Expert Explanatory Rationale

Correct Answer: Low hemoglobin and hematocrit

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