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HEMATOLOGY NCLEX-STYLE
PRACTICE
QUESTIONS AND ANSWERS
WITH RATIONALES | RN & PN
EXAM PREP LATEST EXAM
The nurse assessing a client with sickle cell anemia would recognize the
common manifestation of the disease is
a.
confusion.
b.
diarrhea.
c.
hypertension.
Page 1 of 27
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d.
leg ulcers. --Correct-Answer✅✅✅....ANS: D
Leg ulcers are found in about 75% of older children and adults with the
disease. Diarrhea is not seen. The most common cardiovascular
manifestation is heart failure. Stroke is a common neurologic outcome.
The nursing intervention that is the priority when preparing to
administer blood is
a. administration of pretransfusion antihistamines.
b. asking a second health care professional to confirm blood
acceptability.
c. establishing baseline vital signs.
d. obtaining a written order for the transfusion. --Correct-
Answer✅✅✅....ANS: B
All options are reasonable. Baseline vitals are important to compare
against subsequent ones. There will be a written order for the transfusion
at some point; either the physician or the nurse will write the order.
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Some clients will need premedication before a transfusion, but the most
critical phase of transfusion is confirming product compatibility and
verifying client identity. Most transfusion reactions can be traced to
improper product-to-patient identification. Two professional nurses are
required to perform that task.
The nurse can decrease the danger of transfusion reactions in a client by
a. adding sterile saline to the blood transfusion.
b.forcing fluids.
c.infusing the blood slowly during the first 15 minutes.
d.monitoring the urine output. --Correct-Answer✅✅✅....ANS: C
It is recommended that the transfusion begin slowly and that the client
be closely monitored. If no evidence of a reaction is noted within the
first 15 minutes, flow can then be increased to the prescribed rate.
The nurse is caring for a patient with chronic kidney disease. On
reviewing the patient's laboratory results, the nurse finds that the red
blood cell (RBC) count is greatly reduced. Which drug does the nurse
anticipate the health care provider prescribing? --Correct-
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HEMATOLOGY NCLEX-STYLE
PRACTICE
QUESTIONS AND ANSWERS
WITH RATIONALES | RN & PN
EXAM PREP LATEST EXAM
The nurse assessing a client with sickle cell anemia would recognize the
common manifestation of the disease is
a.
confusion.
b.
diarrhea.
c.
hypertension.
Page 1 of 27
,2 | Page
d.
leg ulcers. --Correct-Answer✅✅✅....ANS: D
Leg ulcers are found in about 75% of older children and adults with the
disease. Diarrhea is not seen. The most common cardiovascular
manifestation is heart failure. Stroke is a common neurologic outcome.
The nursing intervention that is the priority when preparing to
administer blood is
a. administration of pretransfusion antihistamines.
b. asking a second health care professional to confirm blood
acceptability.
c. establishing baseline vital signs.
d. obtaining a written order for the transfusion. --Correct-
Answer✅✅✅....ANS: B
All options are reasonable. Baseline vitals are important to compare
against subsequent ones. There will be a written order for the transfusion
at some point; either the physician or the nurse will write the order.
Page 2 of 27
, 3 | Page
Some clients will need premedication before a transfusion, but the most
critical phase of transfusion is confirming product compatibility and
verifying client identity. Most transfusion reactions can be traced to
improper product-to-patient identification. Two professional nurses are
required to perform that task.
The nurse can decrease the danger of transfusion reactions in a client by
a. adding sterile saline to the blood transfusion.
b.forcing fluids.
c.infusing the blood slowly during the first 15 minutes.
d.monitoring the urine output. --Correct-Answer✅✅✅....ANS: C
It is recommended that the transfusion begin slowly and that the client
be closely monitored. If no evidence of a reaction is noted within the
first 15 minutes, flow can then be increased to the prescribed rate.
The nurse is caring for a patient with chronic kidney disease. On
reviewing the patient's laboratory results, the nurse finds that the red
blood cell (RBC) count is greatly reduced. Which drug does the nurse
anticipate the health care provider prescribing? --Correct-
Page 3 of 27
