Nclex-Rn Practice Questions-Care Of The Adult - Hematologic & İmmune Disorders Part 2
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Adult - Hematologic & İmmune Disorders Part 2.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
A nurse suspects a diagnosis of systemic lupus erythematosus (SLE). The nurse is most concerned when lab results identify:
A | elevated serum complement level. |
B | thrombocytosis, elevated sedimentation rate. |
C | pancytopenia, elevated antinuclear antibody (ANA) titer. |
D | leukocytosis, elevated blood urea nitrogen (BUN) and creatinine levels. |
Question 2 |
A nurse is aware that which of the following is a classic symptom of systemic lupus erythematosus (SLE)?
A | Fatigue and fever |
B | Weight loss |
C | Shortness of breath |
D | Superficial lesions over the cheeks and nose |
Question 3 |
A nurse is reviewing the physician’s orders for a client with systemic lupus erythematosus (SLE). The nurse determines that the medication most appropriate for the treatment plan is:
A | morphine. |
B | ketoconazole. |
C | hydroxychloroquine. |
D | dimenhydrinate. |
Question 4 |
The nurse is caring for a client with systemic lupus erythematosus (SLE). The nurse is aware that a sign of neurologic involvement in SLE would be?
A | Facial tic |
B | Psychosis |
C | Extremity weakness |
D | Cerebrovascular accidents |
Question 5 |
The nurse explains to the client that a common but life-threatening complication of systemic lupus erythematosus (SLE) is:
A | arthritis. |
B | nephritis. |
C | pericarditis. |
D | pleural effusion. |
Question 6 |
A client has experienced an exacerbation of systemic lupus erythematosus (SLE). The nurse determines further teaching is necessary when the client makes which statement?
A | “I need to stay away from sunlight.” |
B | “I don’t have to worry if I get a strep throat.” |
C | “I need to work on managing stress in my life.” |
D | “I don’t have to worry about changing my diet.” |
Question 7 |
The nurse is assessing a client with an early diagnosis of stage I Hodgkin’s disease. Which finding is the nurse likely to document?
A | Pericarditis |
B | Night sweats |
C | Splenomegaly |
D | Persistent hypothermia |
Question 8 |
The nurse is caring for a client newly diagnosed with systemic lupus erythematosus (SLE). Which system is most affected by the disease?
A | Connective |
B | Heart |
C | Lung |
D | Nerve |
Question 9 |
The nurse is providing information to a client diagnosed with systemic lupus erythematosus (SLE). The client asks the nurse if any type of blood dyscrasia may develop. What is the best response by the nurse?
A | Dressler’s syndrome |
B | Polycythemia |
C | Essential thrombocytopenia |
D | von Willebrand’s disease |
Question 10 |
The nurse is reviewing laboratory values of a client recently diagnosed with chronic lymphocytic leukemia. The nurse would anticipate the results to include which of the following?
A | Elevated sedimentation rate |
B | Uncontrolled proliferation of granulocytes |
C | Thrombocytopenia and increased lymphocytes |
D | Elevated aspartate aminotransferase and alanine aminotransferase levels |
Question 11 |
According to a standard staging classification of Hodgkin’s disease, which criterion reflects stage II?
A | Involvement of extralymphatic organs or tissues |
B | Involvement of a single lymph node region or structure |
C | Involvement of two or more lymph node regions or structures |
D | Involvement of lymph node regions or structures on both sides of the diaphragm |
Question 12 |
A nurse is documenting care for a client with iron deficiency anemia. What is the most appropriate nursing diagnosis?
A | Impaired gas exchange |
B | Deficient fluid volume |
C | Ineffective airway clearance |
D | Ineffective breathing pattern |
Question 13 |
A client diagnosed with acute lymphocytic leukemia is about to begin chemotherapy. The nurse recognizes that further teaching is necessary when the client makes which statement?
A | “I’ll have treatments only once a month.” |
B | “I’ll be getting high doses of chemotherapy.” |
C | “I won’t get sick at this stage of the treatment.” |
D | “The purpose of these treatments is to induce a remission.” |
Question 14 |
The nurse is providing preoperative teaching for a client scheduled to receive a porcine heart valve replacement. The nurse determines that the client has an understanding of the type of replacement he will receive when the client describes the replacement as what?
A | Allogeneic |
B | Autologous |
C | Syngeneic |
D | Xenogeneic |
Question 15 |
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse would instruct the client to:
A | lie supine with his neck extended. |
B | sit upright, leaning slightly forward. |
C | blow his nose and then put lateral pressure on it. |
D | hold his nose while bending forward at the waist. |
Question 16 |
The nurse is caring for a client with idiopathic thrombocytopenic purpura. The client asks the nurse what medication the doctor ordered to improve his platelet count. What is the best response by the nurse?
A | Acetylsalicylic acid (ASA) |
B | Corticosteroids |
C | Methotrexate |
D | Vitamin K |
Question 17 |
The nurse is aware that in addition to the client’s platelet count, the best test to confirm the diagnosis of essential thrombocytopenia would be?
A | Bleeding time |
B | White blood cell (WBC) count |
C | Immunoglobulin (Ig) G level |
D | Prothrombin time (PT) and international normalized ratio (INR) |
Question 18 |
Which statement is correct about the rate of cell growth in relation to chemotherapy?
A | Faster growing cells are less susceptible to chemotherapy. |
B | Nondividing cells are more susceptible to chemotherapy. |
C | Faster growing cells are more susceptible to chemotherapy. |
D | Slower growing cells are more susceptible to chemotherapy. |
Question 19 |
While assessing a client with disseminated intravascular coagulation (DIC), the nurse suspects the client has developed internal bleeding. The nurse should assess the client for:
A | hypertension. |
B | petechiae. |
C | increasing abdominal girth. |
D | bradycardia. |
Question 20 |
The nurse determines that teaching was effective when the client with thrombocytopenia makes which statement?
A | “Platelets regulate acid–base balance.” |
B | “Platelets regulate the immune response.” |
C | “Platelets protect the body from infection.” |
D | “Platelets stop the bleeding when arteries and veins are injured.” |
Question 21 |
A nurse is assessing a client newly diagnosed with stage I Hodgkin’s lymphoma. Which area of the body is most likely to be involved?
A | Back |
B | Chest |
C | Groin |
D | Neck |
Question 22 |
A nurse is teaching a client about idiopathic thrombocytopenia and explains that the average normal life span of a platelet is:
A | 1 to 3 days. |
B | 3 to 5 days. |
C | 7 to 10 days. |
D | 3 to 4 months. |
Question 23 |
A client with sickle cell disease is discussing his therapeutic regimen. Which statement by the client indicates further teaching is needed?
A | “I should avoid vacationing or traveling in areas of high altitude.” |
B | “Cigarette smoking can cause a sickle cell crisis.” |
C | “I should drink 4 to 6 L of fluid each day.” |
D | “I should take one baby aspirin daily to help prevent sickle cell crisis.” |
Question 24 |
A 16-year-old client involved in a motor vehicle collision arrives in the emergency department unconscious and severely hypotensive. He has several possible fractures of the pelvis and legs. Which parenteral fluid would the nurse expect to administer to this client?
A | Fresh frozen plasma |
B | Normal saline solution |
C | Lactated Ringer’s solution |
D | Packed red blood cells (RBCs) |
Question 25 |
The nurse is attending the annual neighborhood picnic. A neighbor tells the nurse that a friend was recently diagnosed with systemic lupus erythematosus (SLE) and she is afraid she will contract it. Which of the following clients is most at risk for SLE?
A | A 20-year-old White man |
B | A 25-year-old Black woman |
C | A 45-year-old Hispanic man |
D | A 65-year-old Black woman |
Question 26 |
The nurse is reviewing assessment data of clients who may be at risk for developing malignant lymphoma. The nurse determines that the client at highest risk would be?
A | A 22-year-old man with a history of mononucleosis |
B | A 25-year-old man who smokes a pack of cigarettes a day |
C | A 33-year-old man with a cousin with Hodgkin’s lymphoma |
D | A 40-year-old woman with a history of human immunodeficiency virus (HIV) infection |
Question 27 |
A pregnant client arrives at the emergency department with abruptio placentae at 34 weeks’ gestation. The nurse is aware that the client is at risk for developing:
A | thrombocytopenia. |
B | idiopathic thrombocytopenic purpura (ITP). |
C | disseminated intravascular coagulation (DIC). |
D | heparin-associated thrombosis and thrombocytopenia (HATT). |
Question 28 |
A 36-year-old client complains of fatigue, weight loss, and a low-grade fever. He also has pain in his fingers, elbows, and ankles. The nurse identifies these symptoms as indicative of:
A | anemia. |
B | leukemia. |
C | rheumatic arthritis. |
D | systemic lupus erythematosus (SLE). |
Question 29 |
A 43-year-old client undergoing colon cancer treatment has developed thrombocytopenia. The nurse should assess the client for:
A | diarrhea. |
B | thin, brittle hair. |
C | bruises on the skin. |
D | urinary urgency. |
Question 30 |
A client receiving chemotherapy is considered at high risk for developing lysis syndrome. The nurse would anticipate monitoring the client 48 to 72 hours after the infusion and assessing which laboratory values?
A | Complete blood count, prothrombin time, and partial thromboplastin time |
B | Myoglobin, troponin, and creatine kinase |
C | Glucose, bilirubin, and alanine aminotransferase |
D | Electrolytes, blood urea nitrogen (BUN), and creatinine |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Child – Hematologic & İmmune Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Gastrointestinal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of Adult – Endocrine Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult -Cardiovascular Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 1
- Nclex-Rn Practice Questions-Care of Adults-Adult and Older Adult Development