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NCLEX PN· Hematological · Hematology NCLEX Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client is diagnosed with leukemia and has leukocytosis. Which laboratory value would the nurse expect to assess?

A. An elevated hemoglobin.

B. A decreased sedimentation rate.

C. A decreased red cell distribution width.

D. An elevated white blood cell count.

Expert Explanatory Rationale

Correct Answer: An elevated white blood cell count.

Question 2 of 5

The 33-year-old client diagnosed with Stage IV Hodgkin's lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?

A. Instruct the client to continue scheduled screenings for cancer.

B. Discuss the need for follow-up appointments every five (5) years.

C. Teach the client that the cancer risk is the same as for the general population.

D. Have the client talk with the family about funeral arrangements.

Expert Explanatory Rationale

Correct Answer: Instruct the client to continue scheduled screenings for cancer.

Question 3 of 5

A child is being evaluated for possible leukemia. Which assessment finding is most likely to be present?

A. Numerous bruises on the child's body

B. Ruddy complexion

C. Diarrhea and vomiting

D. Chest pain

Expert Explanatory Rationale

Correct Answer: Numerous bruises on the child's body

Question 4 of 5

A toddler has been treated for sickle cell crisis. The crisis subsides, and the child improves. Which statement is essential for the nurse to include in the discharge teaching?

A. Your child will bruise easily. Do not let your child bump into things.

B. Notify the physician immediately if your child develops a fever.

C. Your child will need special help with feeding.

D. Observe your child frequently for difficulty breathing.

Expert Explanatory Rationale

Correct Answer: Notify the physician immediately if your child develops a fever.

Question 5 of 5

The client diagnosed with anemia is admitted to the emergency department with dyspnea, cool pale skin, and diaphoresis. Which assessment data warrant immediate intervention?

A. The vital signs are T 98.6Â°F, P 116, R 28, and BP 88/62.

B. The client is allergic to multiple antibiotic medications.

C. The client has a history of receiving chemotherapy.

D. ABGs are pH 7.35, Pco2 44, Hco3 22, Pao2 92.

Expert Explanatory Rationale

Correct Answer: The vital signs are T 98.6Â°F, P 116, R 28, and BP 88/62.

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