MedSurg Test Hematology Questions with
Correct Answers
The nurse is caring for a patient who is being discharged after an
emergency splenectomy following an automobile accident. Which
instructions should the nurse include in the discharge teaching?
a. Watch for excess bruising.
b. Check for swollen lymph nodes.
c. Take iron supplements to prevent anemia.
d. Wash hands and avoid persons who are ill. Correct Answer-D
The nurse assesses a patient who has numerous petechiae on both arms.
Which question should the nurse ask the patient?
a. Do you take salicylates?
b. Are you taking any oral contraceptives?
c. Have you been prescribed antiseizure drugs?
d. How long have you taken antihypertensive drugs? Correct Answer-A
A nurse reviews the laboratory data for an older patient. The nurse
would be most concerned about which finding?
a. Hematocrit of 35%
b. Hemoglobin of 11.8 g/dL
c. Platelet count of 400,000/L
d. White blood cell (WBC) count of 2800/L Correct Answer-D
,A patient with pancytopenia has a bone marrow aspiration from the left
posterior iliac crest. Which action would be important for the nurse to
take after the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile 2-inch gauze dressing to the site.
c. Use a half-inch sterile gauze to pack the wound.
d. Have the patient lie on the left side for 1 hour. Correct Answer-D
The nurse assesses a patient with pernicious anemia. Which assessment
finding would the nurse expect?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness Correct Answer-C
A patients complete blood count (CBC) shows a hemoglobin of 19 g/dL
and a hematocrit of 54%. Which question should the nurse ask to
determine possible causes of this finding?
a. Have you had a recent weight loss?
b. Do you have any history of lung disease?
c. Have you noticed any dark or bloody stools?
d. What is your dietary intake of meats and protein? Correct Answer-B
, The nurse is reviewing laboratory results and notes an aPTT level of 28
seconds. The nurse should notify the health care provider in anticipation
of adjusting which medication?
a. Aspirin
b. Heparin
c. Warfarin
d. Erythropoietin Correct Answer-B
When assessing a newly admitted patient, the nurse notes pallor of the
skin and nail beds. The nurse should ensure that which laboratory test
has been ordered?
a. Platelet count
b. Neutrophil count
c. White blood cell count
d. Hemoglobin (Hgb) level Correct Answer-D
The nurse examines the lymph nodes of a patient during a physical
assessment. Which assessment finding would be of most concern to the
nurse?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a patient with an infected foot Correct Answer-
A
Correct Answers
The nurse is caring for a patient who is being discharged after an
emergency splenectomy following an automobile accident. Which
instructions should the nurse include in the discharge teaching?
a. Watch for excess bruising.
b. Check for swollen lymph nodes.
c. Take iron supplements to prevent anemia.
d. Wash hands and avoid persons who are ill. Correct Answer-D
The nurse assesses a patient who has numerous petechiae on both arms.
Which question should the nurse ask the patient?
a. Do you take salicylates?
b. Are you taking any oral contraceptives?
c. Have you been prescribed antiseizure drugs?
d. How long have you taken antihypertensive drugs? Correct Answer-A
A nurse reviews the laboratory data for an older patient. The nurse
would be most concerned about which finding?
a. Hematocrit of 35%
b. Hemoglobin of 11.8 g/dL
c. Platelet count of 400,000/L
d. White blood cell (WBC) count of 2800/L Correct Answer-D
,A patient with pancytopenia has a bone marrow aspiration from the left
posterior iliac crest. Which action would be important for the nurse to
take after the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile 2-inch gauze dressing to the site.
c. Use a half-inch sterile gauze to pack the wound.
d. Have the patient lie on the left side for 1 hour. Correct Answer-D
The nurse assesses a patient with pernicious anemia. Which assessment
finding would the nurse expect?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness Correct Answer-C
A patients complete blood count (CBC) shows a hemoglobin of 19 g/dL
and a hematocrit of 54%. Which question should the nurse ask to
determine possible causes of this finding?
a. Have you had a recent weight loss?
b. Do you have any history of lung disease?
c. Have you noticed any dark or bloody stools?
d. What is your dietary intake of meats and protein? Correct Answer-B
, The nurse is reviewing laboratory results and notes an aPTT level of 28
seconds. The nurse should notify the health care provider in anticipation
of adjusting which medication?
a. Aspirin
b. Heparin
c. Warfarin
d. Erythropoietin Correct Answer-B
When assessing a newly admitted patient, the nurse notes pallor of the
skin and nail beds. The nurse should ensure that which laboratory test
has been ordered?
a. Platelet count
b. Neutrophil count
c. White blood cell count
d. Hemoglobin (Hgb) level Correct Answer-D
The nurse examines the lymph nodes of a patient during a physical
assessment. Which assessment finding would be of most concern to the
nurse?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a patient with an infected foot Correct Answer-
A
