NCLEX Questions Hematology

by: Daisy Jane, RN

1.    Ms. X is diagnosed with acquired immunodeficiency syndrome (AIDS). The nurse caring for this patient is aware that for a patient to be diagnosed with HIV she should have which condition?
a.    Infection of HIV, have a CD4+ T-cell count of 500 cells/microliter, history of acute HIV infection
b.    Infection with Tuberculosis, HIV and cytomegalovirus
c.    Infection of HIV, have a CD4+ T-cell count of >200 cells/microliter, history of acute HIV infection
d.    Infection with HIV, history of HIV infection and T-cell count below 200 cells/microliter

2.    The nurse observes precaution in caring for Mr. X as HIV is most easily transmitted in:
a.    Vaginal secretions and urine
b.    Breast milk and tears
c.    Feces and saliva
d.    Blood and semen

3.    Nurse Jaja is giving an injection to Ms. X. After giving an injection, the nurse accidentally stuck her finger with the needle when the client became very agitated. To determine if the nurse became infected with HIV when is the best time to test her for HIV antibodies?
a.    Immediately and repeat the test after 12 weeks
b.    Immediately and repeat the test after 4 weeks
c.    After  a week and repeat the test in 4 months
d.    After a weeks and repeat the test in 6 months

4.    The blood test first used to identify  a response to HIV infection is:
a.    Western blot
b.    ELISA test
c.    CD4+ T-cell count
d.    CBC

5.    What is the main reason why it is difficult to develop a vaccine against HIV?
a.    HIV is still unknown to human
b.    HIV mutates easily
c.    HIV spreads rapidly throughout the body
d.    HIV matures easily

6.    Human Immunodeficiency virus belongs to which classifications?
a.    Rhabdovirus
b.    Rhinovirus
c.    Retrovirus
d.    Rotavirus

7.    Which organ is responsible for stimulating the production of red blood cells?
a.    Yellow marrow
b.    Red marrow
c.    Spleen
d.    Kidney

8.    In anemia, which of the following blood components is decreased?
a.    Erythrocytes
b.    Granulocytes
c.    Leukocytes
d.    Platelets

9.    The precursor of red blood cells is called:
a.    T cells
b.    B cells
c.    Stem cells
d.    Macrophage

10.    In erythropoiesis, the sequence of erythrocyte formation is chronologically described in which option?
a.    Stem cells, erythroblast, reticulocyte, erythrocytes
b.    Stem cells, reticulocyte, erythroblast, erythrocytes
c.    Erythroblast, stem cells, reticulocyte, erythrocytes
d.    Erythroblast, reticulocyte, stem cells, erythrocytes

11.    Which of the following is true of red blood cell?
a.    It is nucleated.
b.    It has a lifespan of 100 days
c.    It’s production and formation depends on the action of the kidney
d.    It is produced in the yellow marrow

12.    Which type of immunoglobulin passes or crosses the placenta starting at the first trimester of pregnancy?
a.    IgG
b.    IgA
c.    IgM
d.    All of these

13.    The first immunoglobulin produced by the body when the neonate is distressed, has acquired an infection or is challenged is:
a.    IgG
b.    IgA
c.    IgM
d.    All of these

14.    Which of the following is essential for the hemoglobin synthesis during RBC production?
a.    Folic Acid
b.     Iron
c.    Vitamin B12
d.    All of these

15.    The age group most at risk for developing anemia is:
a.    20-25 years old
b.    26-32 years old
c.    40-50 years old
d.    >65 years old

16.    Decreased number of platelets is called:
a.    Thrombectomy
b.    Thrombocytopenia
c.    Thrombocytopathy
d.    Thrombocytosis

17.    To improve the platelet count of a patient with an idiopathic thrombocytopenic purpura, this medication should be given:
a.    Vitamin K
b.    Methotrexate
c.    Corticosteroid
d.    Acetylsalicylic Acid

18.    B-cells are involved in which of the following types of immunity?
a.    Humoral immunity
b.    Cell-mediated immunity
c.    Antigen-mediated immunity
d.    All of these

19.    What is the life span of normal platelets?
a.    3-4 months
b.    1-2 months
c.    1-3 days
d.    7-10 days

20.    A patient is diagnosed with a systematic lupus erythematous (SLE). SLE primarily attacks which tissues?
a.    Heart
b.    Lung
c.    Nerve
d.    Connective

21.    A sign of neurologic involvement in SLE is manifested by:
a.    CVA
b.    Infection
c.    Psychosis
d.    Facial tic

22.    A classic sign of SLE is:
a.    Rashes over the cheeks and nose
b.    Weight loss
c.    Vomiting
d.    Difficulty urinating

23.    A laboratory test result that supports the diagnosis of SLE is:
a.    Leukocytosis, elevated BUN and CREA
b.    Pancytopenia, elevated antinuclear antibody (ANA) titer
c.    Thrombocytosis, elevated ESR
d.    None of these

24.    Which food should a client with leukemia avoid?
a.    Wheat bread
b.    Steak
c.    Orange
d.    All of these

25.    The average length of time from HIV infection to the development of AIDS is?
a.    Less than 3 years
b.    5-7 years
c.    10 years
d.    More than 10 years

Answers and Rationale will be posted soon…

 
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