NCLEX Review - Week 06_Hematology

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See what you know about hematology disorders.

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Mrs. Ramos

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NCLEX Review - Week 06_Hematology


Froggy Jumps NCLEX Review - Week 06_HematologyVersión en línea See what you know about hematology disorders. por Mrs. Ramos 1 Which assessment finding is most indicative of iron-deficiency anemia? a Smooth, red tongue and fatigue b Petechiae and purpura c Weight gain and bradycardia 2 A client with pernicious anemia is prescribed vitamin B12 injections. What education should the nurse provide? a Expect temporary diarrhea and increased appetite b Switch to oral iron if symptoms improve c This injection will be needed for life 3 A client with iron-deficiency anemia reports fatigue and brittle nails. Which lab value confirms this diagnosis? a Serum iron 35 mcg/dL b Hemoglobin 14.2 g/dL c WBC 10,000/mm³ 4 A nurse is teaching about folate-rich foods for a client with folic acid deficiency. Which selection indicates understanding? a Red meat and poultry b Oranges, spinach, and legumes c Eggs, dairy, and whole milk 5 Which nursing diagnosis is most appropriate for a client with symptomatic anemia? a Impaired gas exchange b Activity intolerance c Excess fluid volume 6 Which symptom is most concerning during a blood transfusion? a Back pain and chills b Fatigue and dry mouth c Mild headache 7 What is the nurse's first action if a transfusion reaction is suspected? a Continue monitoring vitals b Slow the infusion rate c Stop the transfusion and maintain IV with saline 8 A febrile non-hemolytic reaction is most likely caused by: a Recipient antibodies reacting to donor WBCs b Incompatible blood types c Bacterial contamination 9 Which finding requires the nurse to hold a blood transfusion before starting? a Hemoglobin 8.5 g/dL b Blood unit has air bubbles and clots c Slightly pale skin 10 Which medication may be administered before a transfusion to prevent mild allergic reactions? a Acetaminophen b Ibuprofen c Diphenhydramine 11 Which medication is contraindicated for pain in a child with hemophilia? a Topical lidocaine b Acetaminophen c Ibuprofen 12 What is the priority intervention for joint swelling in a client with hemophilia? a Immobilize joint and apply cold b Elevate and apply warm compress c Initiate passive range-of-motion 13 A nurse is teaching a client with hemophilia about preventing bleeds. What should be included? a Take aspirin for fever b Use a soft-bristled toothbrush c Use razors instead of electric shavers 14 Which lab value is typically abnormal in hemophilia A? a Platelet count b aPTT c INR 15 Which medication replaces the missing clotting factor in Hemophilia A? a Desmopressin only b Factor IX c Factor VIII concentrate 16 What is the most likely cause of pain during a sickle cell crisis? a Anemia b Vaso-occlusion and ischemia c Infection 17 Which intervention is the highest priority in managing a sickle cell crisis? a Hydration and oxygen therapy b Administering corticosteroids c Encouraging ambulation 18 Which assessment finding requires immediate intervention in a client with sickle cell anemia? a Joint pain rating 7/10 b Hemoglobin 8.2 g/dL c Fever of 101.4°F 19 What type of medication is often used for pain in sickle cell crisis? a Beta-blockers b Opioid analgesics c NSAIDs only 20 Which teaching point is most important for a client with sickle cell anemia? a Avoid high-protein foods b Avoid infections and stay well-hydrated c Take iron daily

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NCLEX Review - Week 06_Hematology

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NCLEX Review - Week 06_HematologyVersión en línea

por Mrs. Ramos

Which assessment finding is most indicative of iron-deficiency anemia?

A client with pernicious anemia is prescribed vitamin B12 injections. What education should the nurse provide?

A client with iron-deficiency anemia reports fatigue and brittle nails. Which lab value confirms this diagnosis?

A nurse is teaching about folate-rich foods for a client with folic acid deficiency. Which selection indicates understanding?

Which nursing diagnosis is most appropriate for a client with symptomatic anemia?

Which symptom is most concerning during a blood transfusion?

What is the nurse's first action if a transfusion reaction is suspected?

A febrile non-hemolytic reaction is most likely caused by:

Which finding requires the nurse to hold a blood transfusion before starting?

Which medication may be administered before a transfusion to prevent mild allergic reactions?

Which medication is contraindicated for pain in a child with hemophilia?

What is the priority intervention for joint swelling in a client with hemophilia?

A nurse is teaching a client with hemophilia about preventing bleeds. What should be included?

Which lab value is typically abnormal in hemophilia A?

Which medication replaces the missing clotting factor in Hemophilia A?

What is the most likely cause of pain during a sickle cell crisis?

Which intervention is the highest priority in managing a sickle cell crisis?

Which assessment finding requires immediate intervention in a client with sickle cell anemia?

What type of medication is often used for pain in sickle cell crisis?

Which teaching point is most important for a client with sickle cell anemia?