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NCLEX PN· Hematological · Hematology NCLEX

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client who received 50 mL from a unit of whole blood has low back pain. In response to this client's symptom, which action should be taken by the nurse first?

A. Reposition the client.
B. Assess the pain further.
C. Administer an analgesic.
D. Stop the blood transfusion.

Expert Explanatory Rationale

Correct Answer: Stop the blood transfusion.

Question 2 of 5

Which collaborative treatment would the nurse anticipate for the client diagnosed with DIC?

A. Administer oral anticoagulants.
B. Prepare for plasmapheresis.
C. Administer frozen plasma.
D. Calculate the intake and output.

Expert Explanatory Rationale

Correct Answer: Administer frozen plasma.

Question 3 of 5

Fifteen minutes after the nurse has initiated a transfusion of packed red blood cells, the client becomes restless and complains of itching on the trunk and arms. Which intervention should the nurse implement first?

A. Collect urine for analysis.
B. Notify the laboratory of the reaction.
C. Administer diphenhydramine, an antihistamine.
D. Stop the transfusion at the hub.

Expert Explanatory Rationale

Correct Answer: Stop the transfusion at the hub.

Question 4 of 5

The client is scheduled to have a total hip replacement in two (2) months and has chosen to prepare for autologous transfusions. Which medication would the nurse administer to prepare the client?

A. Prednisone, a glucocorticoid.
B. Zithromax, an antibiotic.
C. Ativan, a tranquilizer.
D. Epogen, a biologic response modifier.

Expert Explanatory Rationale

Correct Answer: Epogen, a biologic response modifier.

Question 5 of 5

The client diagnosed with esophageal cancer is having work-related problems that are interfering with the client's treatment. Which organization should the nurse advise the client to contact for assistance with these issues?

A. National Cancer Institute
B. Leukemia Society of America
C. Corporate Angel Network
D. Patient Advocate Foundation

Expert Explanatory Rationale

Correct Answer: Patient Advocate Foundation

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