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NCLEX PN· Hematological · Hematology NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which test is considered diagnostic for Hodgkin's lymphoma?

A. A magnetic resonance image (MRI) of the chest.
B. A computed tomography (CT) scan of the cervical area.
C. An erythrocyte sedimentation rate (ESR).
D. A biopsy of the cervical lymph nodes.

Expert Explanatory Rationale

Correct Answer: A biopsy of the cervical lymph nodes.

Question 2 of 5

A child with leukemia bruises easily. This is most likely due to which of the following?

A. Decreased fibrinogen levels
B. Excessive clotting elsewhere in the body
C. Decreased platelets
D. Decreased erythrocytes

Expert Explanatory Rationale

Correct Answer: Decreased platelets

Question 3 of 5

The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?

A. Frequent aspirin (acetylsalicylic acid) and a nonnarcotic analgesic.
B. Motrin (ibuprofen), a nonsteroidal anti-inflammatory drug (NSAID), prn.
C. Demerol (meperidine), a narcotic analgesic, every four (4) hours.
D. Morphine, a narcotic analgesic, every two (2) to three (3) hours prn.

Expert Explanatory Rationale

Correct Answer: Morphine, a narcotic analgesic, every two (2) to three (3) hours prn.

Question 4 of 5

The student nurse asks the nurse, 'What is sickle cell anemia?' Which statement by the nurse would be the best answer to the student's question?

A. There is some written material at the desk that will explain the disease.'
B. It is a congenital disease of the blood in which the blood does not clot.'
C. The client has decreased synovial fluid that causes joint pain.'
D. The blood becomes thick when the client is deprived of oxygen.'

Expert Explanatory Rationale

Correct Answer: The blood becomes thick when the client is deprived of oxygen.'

Question 5 of 5

The client diagnosed with von Willebrand's disease calls a clinic after experiencing hemarthrosis. The client states that factor concentrate is infusing. Which intervention should the nurse recommend now?

A. “Take two 325-mg aspirin tablets every 4 hours for pain.”
B. “Apply a cold pack to the area for 30 minutes every 1 to 2 hours.”
C. “Come to the clinic; you need an infusion of fresh frozen plasma.”
D. “If wearing a splint, remove it to avoid compartment syndrome.”

Expert Explanatory Rationale

Correct Answer: “Apply a cold pack to the area for 30 minutes every 1 to 2 hours.”

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