Evolve Hematologic Problems NCLEX Questions with
correct answers
The patient is being treated for non-Hodgkin's lymphoma (NHL). What
should the nurse first teach the patient about the treatment?
Skin care that will be needed
Method of obtaining the treatment
Gastrointestinal tract effects of treatment
Treatment type and expected side effects Correct Answer-Treatment
type and expected side effects
The patient should first be taught about the type of treatment and the
expected and potential side effects. Nursing care is related to the area
affected by the disease and treatment. Skin care will be affected if
radiation is used. Not all patients will have gastrointestinal tract effects
of NHL or treatment. The method of obtaining treatment will be
included in the teaching about the type of treatment.
An older patient relates that she has increased fatigue and a headache.
The nurse identifies pale skin and glossitis on assessment. In response to
these findings, which teaching will be helpful to the patient if she has
microcytic, hypochromic anemia?
,Take enteric-coated iron with each meal.
Take cobalamin with green leafy vegetables.
Take the iron with orange juice one hour before meals.
Decrease the intake of the antiseizure medications to improve. Correct
Answer-Take the iron with orange juice one hour before meals.
With microcytic, hypochromic anemia, there may be an iron, B6, or
copper deficiency, thalassemia, or lead poisoning. The iron prescribed
should be taken with orange juice one hour before meals as it is best
absorbed in an acid environment. Megaloblastic anemias occur with
cobalamin (vitamin B12) and folic acid deficiencies. Vitamin B12 may
help RBC maturation if the patient has the intrinsic factor in the
stomach. Green leafy vegetables provide folic acid for RBC maturation.
Antiseizure drugs may contribute to aplastic anemia or folic acid
deficiency, but the patient should not stop taking the medications.
Changes in medications will be prescribed by the health care provider.
The nurse notes a physician's order written at 10:00 AM for two units of
packed red blood cells to be administered to a patient who is anemic as a
result of chronic blood loss. If the transfusion is picked up at 11:30 AM,
the nurse should plan to hang the unit no later than what time?
11:45 AM
, 12:00 noon
12:30 PM
3:30 PM Correct Answer-12:00 noon
The nurse must hang the unit of packed red blood cells within 30
minutes of signing them out from the blood bank.
What nursing intervention should be the priority in the care of a 30-year-
old woman who has a diagnosis of immune thrombocytopenic purpura
(ITP)?
Administration of packed red blood cells
Administration of oral or IV corticosteroids
Administration of clotting factors VIII and IX
Maintenance of reverse isolation and application of standard precautions
Correct Answer-Administration of oral or IV corticosteroids
Common treatment modalities for ITP include corticosteroid therapy to
suppress the phagocytic response of splenic macrophages. Blood
transfusions, administration of clotting factors, and reverse isolation are
correct answers
The patient is being treated for non-Hodgkin's lymphoma (NHL). What
should the nurse first teach the patient about the treatment?
Skin care that will be needed
Method of obtaining the treatment
Gastrointestinal tract effects of treatment
Treatment type and expected side effects Correct Answer-Treatment
type and expected side effects
The patient should first be taught about the type of treatment and the
expected and potential side effects. Nursing care is related to the area
affected by the disease and treatment. Skin care will be affected if
radiation is used. Not all patients will have gastrointestinal tract effects
of NHL or treatment. The method of obtaining treatment will be
included in the teaching about the type of treatment.
An older patient relates that she has increased fatigue and a headache.
The nurse identifies pale skin and glossitis on assessment. In response to
these findings, which teaching will be helpful to the patient if she has
microcytic, hypochromic anemia?
,Take enteric-coated iron with each meal.
Take cobalamin with green leafy vegetables.
Take the iron with orange juice one hour before meals.
Decrease the intake of the antiseizure medications to improve. Correct
Answer-Take the iron with orange juice one hour before meals.
With microcytic, hypochromic anemia, there may be an iron, B6, or
copper deficiency, thalassemia, or lead poisoning. The iron prescribed
should be taken with orange juice one hour before meals as it is best
absorbed in an acid environment. Megaloblastic anemias occur with
cobalamin (vitamin B12) and folic acid deficiencies. Vitamin B12 may
help RBC maturation if the patient has the intrinsic factor in the
stomach. Green leafy vegetables provide folic acid for RBC maturation.
Antiseizure drugs may contribute to aplastic anemia or folic acid
deficiency, but the patient should not stop taking the medications.
Changes in medications will be prescribed by the health care provider.
The nurse notes a physician's order written at 10:00 AM for two units of
packed red blood cells to be administered to a patient who is anemic as a
result of chronic blood loss. If the transfusion is picked up at 11:30 AM,
the nurse should plan to hang the unit no later than what time?
11:45 AM
, 12:00 noon
12:30 PM
3:30 PM Correct Answer-12:00 noon
The nurse must hang the unit of packed red blood cells within 30
minutes of signing them out from the blood bank.
What nursing intervention should be the priority in the care of a 30-year-
old woman who has a diagnosis of immune thrombocytopenic purpura
(ITP)?
Administration of packed red blood cells
Administration of oral or IV corticosteroids
Administration of clotting factors VIII and IX
Maintenance of reverse isolation and application of standard precautions
Correct Answer-Administration of oral or IV corticosteroids
Common treatment modalities for ITP include corticosteroid therapy to
suppress the phagocytic response of splenic macrophages. Blood
transfusions, administration of clotting factors, and reverse isolation are
