Hematology NCLEX Exam Questions
and Answers Graded A+
When assessing a patient's nutritional-metabolic pattern related to hematologic
health, what should the nurse do?
A. Inspect the skin for petechiae.
B. Ask the patient about joint pain.
C. Assess for vitamin C deficiency.
D. Determine if the patient can perform ADLs. - Correct answer-A. Inspect the
skin for petechiae.
Any changes in the skin's texture or color should be explored when assessing the
patient's nutritional-metabolic pattern related to hematologic health. The presence
of petechiae or ecchymotic areas could be indicative of hematologic deficiencies
related to poor nutritional intake or related causes. The other options are not
specific to the nutritional-metabolic pattern related to hematologic health.
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,When assessing laboratory values on a patient admitted with septicemia, what
should the nurse expect to find?
A. Increased platelets
B. Decreased red blood cells
C. Decreased erythrocyte sedimentation rate (ESR)
D. Increased bands in the white blood cell (WBC) differential (shift to the left) -
Correct answer-D. Increased bands in the white blood cell (WBC) differential
(shift to the left)
When infections are severe, such as in septicemia, more granulocytes are released
from the bone marrow as a compensatory mechanism. To meet the increased
demand, many young, immature polymorphonuclear neutrophils (bands) are
released into circulation. WBCs are usually reported in order of maturity (initially
with the less mature forms on the left side of a written report). Hence, the term
"shift to the left" is used to denote an increase in the number of bands.
Thrombocytosis occurs with inflammation and some malignant disorders.
Decreased red blood cells indicate anemia. Decreased ESR is not indicative of
septicemia.
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, Results of a patient's most recent blood work indicate an elevated neutrophil level.
The nurse should recognize that this diagnostic finding most likely suggests which
problem?
A. Hypoxemia
B. An infection
C. A risk of hypocoagulation
D. An acute thrombotic event - Correct answer-B. An infection
An increase in the neutrophil count most commonly occurs in response to infection
or inflammation. Hypoxemia and coagulation do not directly affect neutrophil
production.
A 30-year-old patient has undergone a splenectomy as a result of injuries suffered
in a motor vehicle accident. Which phenomena are likely to result from the absence
of the patient's spleen (select all that apply)?
A. Impaired fibrinolysis
B. Increased platelet levels
C. Increased eosinophil levels
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and Answers Graded A+
When assessing a patient's nutritional-metabolic pattern related to hematologic
health, what should the nurse do?
A. Inspect the skin for petechiae.
B. Ask the patient about joint pain.
C. Assess for vitamin C deficiency.
D. Determine if the patient can perform ADLs. - Correct answer-A. Inspect the
skin for petechiae.
Any changes in the skin's texture or color should be explored when assessing the
patient's nutritional-metabolic pattern related to hematologic health. The presence
of petechiae or ecchymotic areas could be indicative of hematologic deficiencies
related to poor nutritional intake or related causes. The other options are not
specific to the nutritional-metabolic pattern related to hematologic health.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,When assessing laboratory values on a patient admitted with septicemia, what
should the nurse expect to find?
A. Increased platelets
B. Decreased red blood cells
C. Decreased erythrocyte sedimentation rate (ESR)
D. Increased bands in the white blood cell (WBC) differential (shift to the left) -
Correct answer-D. Increased bands in the white blood cell (WBC) differential
(shift to the left)
When infections are severe, such as in septicemia, more granulocytes are released
from the bone marrow as a compensatory mechanism. To meet the increased
demand, many young, immature polymorphonuclear neutrophils (bands) are
released into circulation. WBCs are usually reported in order of maturity (initially
with the less mature forms on the left side of a written report). Hence, the term
"shift to the left" is used to denote an increase in the number of bands.
Thrombocytosis occurs with inflammation and some malignant disorders.
Decreased red blood cells indicate anemia. Decreased ESR is not indicative of
septicemia.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Results of a patient's most recent blood work indicate an elevated neutrophil level.
The nurse should recognize that this diagnostic finding most likely suggests which
problem?
A. Hypoxemia
B. An infection
C. A risk of hypocoagulation
D. An acute thrombotic event - Correct answer-B. An infection
An increase in the neutrophil count most commonly occurs in response to infection
or inflammation. Hypoxemia and coagulation do not directly affect neutrophil
production.
A 30-year-old patient has undergone a splenectomy as a result of injuries suffered
in a motor vehicle accident. Which phenomena are likely to result from the absence
of the patient's spleen (select all that apply)?
A. Impaired fibrinolysis
B. Increased platelet levels
C. Increased eosinophil levels
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
