NCLEX - HEMATOLOGY Day1
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22 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is caring for clients who are receiving chemotherapy. Which client should the nurse assess first?
Client with a hemoglobin of 8 g/dL (80 g/L)
Client with alopecia and oral mucositis noted during the previous shift
Client with new-onset back pain and weakness in the legs
Client with persistent vomiting and a potassium of 3.4 mEq/L (3.4 mmol/L)
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2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse has been made aware of laboratory test results for assigned clients. Which of the following test results would require immediate follow-up?
a decrease in platelet count from 175,000/mm3 to 86,000/mm3 for a client receiving a heparin infusion
a BUN of 24 mg/dL for a client with dehydration
a WBC count of 2000/mm3 for a client with myelodysplastic syndrome
a decrease in hemoglobin from 8.1 g/dL to 7.9 g/dL for a client with sickle cell disease
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3.
MULTIPLE SELECT QUESTION
1 min • 1 pt
The nurse is screening clients for those at risk for developing oral cancer. Which of the following factors would increase a client's risk for developing oral cancer? Select all that apply.
tobacco use
chronic gingivitis
impetigo infection
persistent mucosal irritation
consumption of high-fat foods
4.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is screening clients for those at risk for developing cervical cancer. The nurse should recognize the client at highest risk for developing cervical cancer is the client who
gave birth to her first child at age 16 and has multiple sexual partners
has had 1 spontaneous abortion and has been treated for chlamydia
takes immunosuppressants and uses a diaphragm for birth control
took oral contraceptives for 7 years and has never been pregnant
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5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is caring for a client with sickle cell disease who is experiencing an episode of acute pain and is receiving IV morphine every 4 hours. The client states, "The morphine has not helped my pain at all. I need stronger medication." Which of the following actions should the nurse take?
Give the client ice packs to apply to painful areas.
Provide the client with resources for substance use rehabilitation.
Request a prescription for patient-controlled analgesia for the client.
Recommend changing the client's prescription from morphine to meperidine.
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6.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is teaching a client who had a total knee replacement and has a new prescription for enoxaparin. Which of the following information should the nurse include?
Take over-the-counter medications such as ibuprofen to relieve mild discomfort
Black stools are a common, harmless side effect of the medication.
Eliminate green, leafy, vitamin K-rich vegetables from your diet.
Mild bruising or redness may occur at the injection site.
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7.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is assessing a 5-year-old client with sickle cell disease who is experiencing an episode of acute pain. The client has shortness of breath, nausea with vomiting, and generalized body and joint pain. Which finding requires immediate intervention?
enlarged spleen on palpation
hemoglobin level of 9.0 g/dL (90 g/L)
pain rated as 8 on the Wong-Baker FACES Scale
bilateral swelling of the hands and feet
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