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Exam (elaborations)

HEMATOLOGY NCLEX QUESTIONS WITH COMPLETE ANSWERS

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HEMATOLOGY NCLEX QUESTIONS WITH COMPLETE ANSWERS

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HEMATOLOGY
Course
HEMATOLOGY










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Institution
HEMATOLOGY
Course
HEMATOLOGY

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Uploaded on
April 19, 2025
Number of pages
21
Written in
2024/2025
Type
Exam (elaborations)
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When assessing a patient's nutritional-metabolic pattern related to hematologic health,
what should the nurse do?
A. Inspect the skin for petechiae.
B. Ask the patient about joint pain.
C. Assess for vitamin C deficiency.
D. Determine if the patient can perform ADLs.


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, A. Inspect the skin for petechiae.

Any changes in the skin's texture or color should be explored when assessing
the patient's nutritional-metabolic pattern related to hematologic health. The
presence of petechiae or ecchymotic areas could be indicative of
hematologic deficiencies related to poor nutritional intake or related causes.
The other options are not specific to the nutritional-metabolic pattern related
to hematologic health.




The patient is being treated for non-Hodgkin's lymphoma (NHL). What should the nurse
first teach the patient about the treatment?
A. Skin care that will be needed
B. Method of obtaining the treatment
C. Gastrointestinal tract effects of treatment
D. Treatment type and expected side effects


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D. 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.




The patient is admitted with hypercalcemia, polyuria, and pain in the pelvis, spine, and
ribs with movement. Which hematologic problem is likely to display these manifestations
in the patient?
A. Multiple myeloma

, B. Thrombocytopenia
C. Megaloblastic anemia
D. Myelodysplastic syndrome


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A. Multiple myeloma


Multiple myeloma typically manifests with skeletal pain and osteoporosis that
may cause hypercalcemia, which can result in polyuria, confusion, or cardiac
problems. Serum hyperviscosity syndrome can cause renal, cerebral, or
pulmonary damage. Thrombocytopenia, megaloblastic anemia, and
myelodysplastic syndrome are not characterized by these manifestations.




A 62-year-old male patient with disseminated intravascular coagulation (DIC) after
urosepsis has a platelet count of 48,000/μL. The nurse should assess the patient for
which abnormality?
A. Pain
B. Purpura
C. Pruritus
D. Palpitation


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B. Purpura

The normal range for a platelet count is 150,000 to 400,000/μL. Purpura is
caused by decreased platelets or clotting factors, resulting in small
hemorrhages into the skin and/or mucous membranes. Pain is not a
manifestation of low platelet counts. Pruritus is an intense itching sensation.
Palpitation is a sensation of feeling the heart beat, flutter, or pound in the
chest.

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