Hematology NCLEX style Questions and Answers

Hematology NCLEX style Questions and Answers

In evaluating a young woman, the following laboratory result the nurse recognizes as abnormal is

• hemoglobin 13 g/dl.

• platelet count 20,000/mm3.

• red blood cell count 5 million/mm3.

d. white blood cell count 6000/mm3. - answerANS: B

Normal platelet count is 150,000/mm3.

A client has a hematocrit (Hct) of 30%. The nurse interprets this to mean

• 30% of the blood will be plasma and plasma products.

b.bleeding disorders are possible.

• the blood is viscous and concentrated.

d. the individual has fewer red blood cells than normal. - answerANS: B

Hematocrit measures the percent volume of red cells in whole blood. The normal value in adult women is 37% to 45%.

A nurse is explaining that a bone marrow biopsy is done to evaluate?? - answerThe biopsy reveals the number, size, and shape of the RBCs, WBCs, and platelet precursors. This can diagnose disorders such as aplastic anemia, leukemia, pernicious anemia, and thrombocytopenia.

The laboratory test result that would be most helpful to the nurse in the assessment of a client with a bleeding disorder is - answerPlatelet count--it is a key role in blood clotting. An abnormal platelet count would indicate bleeding problems originating from a platelet disorder.

A client has severe anemia and is being treated with transfusion therapy. The nurse should be alert for a complication of transfusion, such as

• flank pain.

• hearing loss.

c. liver damage. - answerANS: A

Reactions to blood products include fever, chills, back or flank pain, shock, wheezing, headache, vomiting, or urticaria (hives).

The nurse is monitoring the laboratory test results for a client receiving anticoagulation therapy.The nurse is aware that the International Normalized Ratio (INR) for most clinical conditions requiring anticoagulation is

(NOTE: keywords "receiving anticoag therapy!)

a.less than 1.

• 1 to 2.

c. 2 to 3.5. - answerANS: C

For most clinical conditions that necessitate anticoagulation, the recommended INR is 2 to 3.5.

A nurse is conducting a wellness seminar on healthy eating and prevention of iron deficiency anemia. The food the nurse would describe as being high in iron is

a.citrus fruits.

b.grains.

c.green leafy vegetables.

d.milk products. - answerANS: C

Encourage foods cooked in iron pots and ingestion of foods such as liver (the richest source), oysters, lean meats, kidney beans, whole wheat bread, kale, spinach, egg yolk, turnip tops, beet greens, carrots, apricots, and raisins.

The nurse recognizes that the laboratory finding indicative of polycythemia vera is

• erythrocyte count of 5 million/mm3.

• hemoglobin level of 22 g/100 ml.

• leukocyte count of 6000/mm3.

d. platelets of 50,000/mm3. - answerANS: B

Diagnostic findings include RBC count as high as 8 to 12 million/mm3, hemoglobin level of 18 to 25 g/dl, and a hematocrit level greater than 54% in men and 49% in women.**break down the word poly=many, cy=cell, emia=blood vera=vicous---think ALOE VERA!***

The nurse assessing a client with sickle cell anemia would recognize the common manifestation of the disease is

a.

confusion.

b.

diarrhea.

c.

hypertension.

d.

leg ulcers. - answerANS: 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.