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NCLEX PN· Hematological · Hematologic System NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which client is at highest risk for developing a lymphoma?

A. The client diagnosed with chronic lung disease who is taking a steroid.
B. The client diagnosed with breast cancer who has extensive lymph involvement.
C. The client who received a kidney transplant several years ago.
D. The client who has had ureteral stent placements for a neurogenic bladder.

Expert Explanatory Rationale

Correct Answer: The client who received a kidney transplant several years ago.

Question 2 of 5

The nurse knows that infectious mononucleosis is caused by which of the following?

A. Cytomegalovirus
B. Beta-hemolytic Streptococcus
C. Epstein-Barr virus
D. Herpes simplex virus I

Expert Explanatory Rationale

Correct Answer: Epstein-Barr virus

Question 3 of 5

A client who receives a diagnosis of pernicious anemia asks why she must receive vitamin shots. What is the best answer for the nurse to give?

A. Shots work faster than pills.'
B. Your body cannot absorb vitamin B12 from foods.'
C. Vitamins are necessary to make the blood cells.'
D. You can get more vitamins in a shot than a pill.'

Expert Explanatory Rationale

Correct Answer: Your body cannot absorb vitamin B12 from foods.'

Question 4 of 5

The nurse assesses that the client with hemolytic anemia has weakness, fatigue, malaise, and skin and mucous membrane pallor. Which finding should the nurse also associate with hemolytic anemia?

A. Scleral jaundice
B. A smooth, red tongue
C. A craving for ice to chew
D. A poor intake of fresh vegetables

Expert Explanatory Rationale

Correct Answer: Scleral jaundice

Question 5 of 5

The client is diagnosed with severe iron-deficiency anemia. Which statement is the scientific rationale regarding oral replacement therapy?

A. Iron supplements are well tolerated without side effects.
B. There is no benefit from oral preparations; the best route is IV.
C. Oral iron preparations cause diarrhea if not taken with food.
D. Very little of the iron supplement will be absorbed by the body.

Expert Explanatory Rationale

Correct Answer: Very little of the iron supplement will be absorbed by the body.

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