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NCLEX Hematology Chapter 34 Review | Blood Disorders Nursing Questions | 2026/2027 Edition

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Concise NCLEX review covering hematology (Chapter 34). Includes blood disorders, anemias, coagulation abnormalities, leukemia, lymphoma, diagnostic tests, clinical manifestations, pharmacology, and priority nursing interventions for exam preparation.

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Nclex Rn Ngn
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Nclex rn ngn

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When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following
assessments is most essential?

a) Lifestyle assessments, such as exercise routines
b) Age and gender
c) Menstrual history
d) Health history, such as bleeding, fatigue, or fainting


d) Health history, such as bleeding, fatigue, or fainting

Explanation:
When assessing a patient with a disorder of the hematopoietic or the lymphatic system, it is essential to assess the patient's
health history. An assessment of drug history is essential because some antibiotics and cancer drugs contribute to
hematopoietic dysfunction. Aspirin and anticoagulants may contribute to bleeding and interfere with clot formation. Because
industrial materials, environmental toxins, and household products may affect blood-forming organs, the nurse needs to
explore exposure to these agents. Age, gender, menstrual history, or lifestyle assessments, such as exercise routines and
habits, do not directly affect the hematopoietic or lymphatic system.

, Which of the following statements best describes the function of stem cells in the bone marrow?

a) They defend against bacterial infection.
b) They produce antibodies against foreign antigens.
c) They produce all blood cells.
d) They are active against hypersensitivity reactions.


c) They produce all blood cells.

Explanation:
All blood cells are produced from undifferentiated precursors called pluripotential stem cells in the bone marrow. Other cells
produced from the pluripotential stem cells help defend against bacterial infection, produce antibodies against foreign
antigens, and are active against hypersensitivity reactions.


Which of the following nursing interventions should be incorporated into the plan of care to manage the delayed clotting
process in a patient with leukemia?

a) Eliminate direct contact with others who are infectious.
b) Implement neutropenic precautions.
c) Apply prolonged pressure to needle sites or other sources of external bleeding.
d) Apply prolonged pressure to needle sites or other sources of external bleeding.


c) Apply prolonged pressure to needle sites or other sources of external bleeding.

Explanation:
For a patient with leukemia, the nurse should apply prolonged pressure to needle sites or other sources of external bleeding.
Reduced platelet production results in a delayed clotting process and increases the potential for hemorrhage. Implementing
neutropenic precautions and eliminating direct contact with others are interventions to address the risk for infection.

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Uploaded on
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