Hematologic System NCLEX Questions

Hematologic System NCLEX Questions Related

Review Hematologic System NCLEX Questions related questions and content

The client undergoing intensive chemotherapy for Hodgkin’s lymphoma (HL) is hospitalized with fever and depressed immune system functioning. The nurse is administering filgrastim subcutaneously daily. Which laboratory value should the nurse monitor to determine the medication’s effectiveness?

  • A. Hemoglobin
  • B. Platelet count
  • C. Absolute neutrophil count (ANC)
  • D. Reed-Sternberg cells
Correct Answer: C

Rationale: A. Epoetin alfa, not filgrastim, is used to treat anemia that is associated with cancer, and its effectiveness would be reflected in the Hgb values. B. Oprelvekin (Neumega), not filgrastim, enhances the synthesis of platelets. C. The nurse should monitor the ANC. Filgrastim (Neupogen) is usually discontinued when the client’s absolute neutrophil count (ANC) is above 1000 cells/mm3. Filgrastim, a granulocyte colony-stimulating factor (G-CSF) analog, is used to stimulate the proliferation and differentiation of granulocytes and treat neutropenia. D. Reed-Sternberg cells are found in lymph node biopsy cells and are indicative of Hodgkin’s lymphoma; they are not monitored to determine the effectiveness of filgrastim, which is used to treat neutropenia.

You may also like to solve these questions

The client is diagnosed with severe iron-deficiency anemia. Which statement is the scientific rationale regarding oral replacement therapy?

  • A. Iron supplements are well tolerated without side effects.
  • B. There is no benefit from oral preparations; the best route is IV.
  • C. Oral iron preparations cause diarrhea if not taken with food.
  • D. Very little of the iron supplement will be absorbed by the body.
Correct Answer: D

Rationale: Oral iron has low absorption (D), requiring high doses. Side effects (A) include GI upset, IV (B) is for severe cases, and diarrhea (C) is not primary (constipation is common).

The client’s CBC indicates an RBC 6 (x106/mm3), Hb 14.2 g/dL, Hct 42%, and platelets 69 (x103/mm3). Which intervention should the nurse implement?

  • A. Teach the client to use a soft-bristle toothbrush.
  • B. Monitor the client for elevated temperature.
  • C. Check the client’s blood pressure.
  • D. Hold venipuncture sites for one (1) minute.
Correct Answer: A

Rationale: Platelets 69,000 indicate thrombocytopenia; a soft-bristle toothbrush (A) prevents gum bleeding. Fever (B), BP (C), and brief pressure (D) are insufficient for bleeding risk.

The client diagnosed with atrial fibrillation is admitted with warfarin (Coumadin) toxicity. Which HCP order would the nurse anticipate?

  • A. Protamine sulfate, an anticoagulant antidote.
  • B. Heparin sodium, an anticoagulant.
  • C. Lovenox, a low molecular weight anticoagulant.
  • D. Vitamin K, an anticoagulant agonist.
Correct Answer: D

Rationale: Warfarin toxicity causes bleeding; vitamin K (D) reverses it. Protamine (A) reverses heparin, heparin/Lovenox (B, C) worsen bleeding.

The client diagnosed with sickle cell anemia is experiencing a vaso-occlusive sickle cell crisis secondary to an infection. Which medical treatment should the nurse anticipate the HCP ordering for the client?

  • A. Administer meperidine (Demerol) intravenously.
  • B. Admit the client to a private room and keep in reverse isolation.
  • C. Infuse D5W 0.33% NS at 150 mL/hr via pump.
  • D. Insert a 22-French Foley catheter with a urimeter.
Correct Answer: C

Rationale: Hydration with IV fluids (C) prevents sickling in vaso-occlusive crisis. Meperidine (A) is avoided (risks seizures), isolation (B) is excessive, and Foley (D) is unnecessary.

Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP)?

  • A. Petechiae on the anterior chest, arms, and neck.
  • B. Capillary refill of less than three (3) seconds.
  • C. An enlarged spleen.
  • D. Pulse oximeter reading of 95%.
Correct Answer: A

Rationale: ITP causes low platelets, leading to petechiae (A). Capillary refill (B) is normal, splenomegaly (C) is not primary, and SpO2 95% (D) is normal.

Copyright © 2025 Nokea. All rights reserved.