ATI/NCLEX REVIEW QUESTIONS ON HEMATOLOGICAL DISORDERS

A nurse is caring for a patient with non-Hodgkin lymphoma (NHL) who is scheduled for chemotherapy. What is the priority nursing assessment before each chemotherapy administration?

An older adult patient is newly diagnosed with non-Hodgkin lymphoma. Which statement is important for the nurse to understand regarding this diagnosis?

A patient with aplastic anemia has a critically low platelet count. Which nursing intervention is the highest priority?

A patient with aplastic anemia is receiving a blood transfusion. Which sign or symptom should the nurse monitor for closely as a potential transfusion reaction?

A nurse is providing education to a patient newly diagnosed with immune thrombocytopenic purpura (ITP). Which instruction should the nurse include?

A patient with ITP is receiving corticosteroid therapy. What potential side effect should the nurse monitor for?

A patient with Hodgkin lymphoma is experiencing night sweats and unexplained weight loss. How should the nurse document these findings?

Following a lymph node biopsy that confirmed Hodgkin lymphoma, a patient asks the nurse about the next steps. What is an appropriate response?

A patient with anemia reports fatigue and shortness of breath. What physiological concept should the nurse understand as the primary cause of these symptoms?

A patient with iron deficiency anemia is prescribed oral iron supplements. What instruction should the nurse provide regarding the administration of this medication?

A patient with sickle cell anemia is admitted during a vaso-occlusive crisis reporting severe pain. What is the priority nursing intervention?

A patient with sickle cell anemia is at increased risk for infection. What is an important nursing action to prevent infection?

A child is diagnosed with acute lymphocytic leukemia (ALL). The parents are anxious about the prognosis. What information should the nurse provide?

A patient with leukemia has a critically low neutrophil count. What nursing intervention is essential to include in the care plan?

A patient with disseminated intravascular coagulation (DIC) is exhibiting both bleeding and thrombotic tendencies. What is the priority nursing assessment?

A patient with DIC has laboratory results indicating a prolonged PT and aPTT, decreased fibrinogen, and elevated D-dimer. How should the nurse interpret these findings?

A patient with hemophilia A is experiencing bleeding into a joint (hemarthrosis). What is an appropriate initial nursing intervention?

A patient with hemophilia is being discharged home. What important education should the nurse provide regarding injury prevention?

A nurse is caring for a patient with anemia who is complaining of severe fatigue. What nursing intervention is appropriate to address this symptom?

A patient with macrocytic anemia is being evaluated for vitamin B12 deficiency. What assessment finding would be consistent with this type of anemia?

A nurse is reviewing the complete blood count (CBC) of a patient with aplastic anemia. Which of the following findings would the nurse expect to see?

A patient with immune thrombocytopenic purpura (ITP) asks the nurse why their platelet count is low. What is the best explanation provided by the nurse?

A patient with Hodgkin lymphoma is receiving radiation therapy to the chest. What potential side effect should the nurse educate the patient about?

A nurse is caring for a patient with anemia who is experiencing dizziness. What safety precaution should the nurse implement?

A patient with sickle cell anemia reports a sudden onset of chest pain, fever, and cough. What complication should the nurse suspect?

A patient with leukemia is about to undergo a bone marrow aspiration. What information should the nurse provide to the patient about this procedure?

A patient with DIC is ordered to receive a platelet transfusion. What is the primary goal of this intervention?

A patient with hemophilia B is scheduled for surgery. What specific medication or blood product does the nurse anticipate administering prior to the procedure?

A nurse is teaching a patient with anemia about dietary modifications. Which food should the nurse recommend to increase iron intake?

A patient with non-Hodgkin lymphoma is experiencing mucositis as a side effect of chemotherapy. What nursing intervention is appropriate?

A patient with aplastic anemia is being discharged. What key point should the nurse emphasize in the discharge teaching regarding infection prevention?

A patient with ITP who is not actively bleeding has a very low platelet count. What activity should the nurse advise the patient to avoid?

A patient with Hodgkin lymphoma is experiencing fatigue. What nursing intervention can help manage this symptom?

A patient with anemia is reporting shortness of breath with minimal exertion. What nursing assessment is most important?

A patient with sickle cell anemia is receiving hydroxyurea. What is an important aspect of nursing education regarding this medication?

What is a critical nursing consideration when caring for a patient with severe thrombocytopenia?

A patient with polycythemia vera is at risk for developing thrombi. Which intervention is most important for the nurse to implement to prevent this complication?

What is the most appropriate way to manage a nosebleed (epistaxis) in a patient with a low platelet count?

A patient who has undergone a splenectomy is at increased risk for what type of complication?

What is the priority nursing intervention when a patient with leukemia develops tumor lysis syndrome?

A patient with a family history of hemophilia is undergoing genetic counseling. What is important for the nurse to understand about the inheritance pattern of hemophilia?

A patient with non-Hodgkin lymphoma (NHL) is undergoing evaluation to determine the stage of the disease. Which diagnostic test provides crucial information for staging NHL?

A patient with aplastic anemia is at high risk for developing an infection. Besides hand hygiene, what is another crucial measure to prevent infection in this patient population?

A patient with immune thrombocytopenic purpura (ITP) is prescribed prednisone. What information should the nurse prioritize when educating the patient about potential adverse effects?

A patient with Hodgkin lymphoma is undergoing chemotherapy and reports significant nausea and vomiting. Beyond prescribed antiemetics, what non-pharmacological intervention can the nurse suggest to help manage these symptoms?

A patient with iron deficiency anemia is started on ferrous sulfate. How should the nurse instruct the patient to take the medication to maximize absorption and minimize gastrointestinal side effects?