NRSG 2630 Exam 5 – Hematology Exam Questions And Answers Latest Updated 2025 |100% Verified.

©EVERLY 2025 ALL RIGHTS RESERVED




NRSG 2630 Exam 5 – Hematology Exam
Questions And Answers Latest Updated 2025
|100% Verified.




What is the normal lab value for red blood cells (RBC)? - Answer✔3.8-5.7 (million)


What is the normal lab value for hematocrit (HCT)? - Answer✔37-52 (%)


What is the normal lab value for hemoglobin (Hgb)? - Answer✔12-18 (g/dL)


What is the normal lab value for reticulocyte count? - Answer✔0.5-2.5 (%)


What are reticulocytes? - Answer✔Baby RBCs


What is the normal lab value for white blood cells (WBC)? - Answer✔5,000-10,000


What is the normal lab value for platelets? - Answer✔150,000-400,000


What are megakaryocytes? - Answer✔Baby platelets / fragments of platelets


What is anemia? Which lab value(s) are used to diagnose/assess anemia? - Answer✔Deficiency
in the number of erythrocytes (RBCs), the quantity of hemoglobin, and/or the volume of packed
RBCs (hematocrit) which can lead to tissue hypoxia
1

, ©EVERLY 2025 ALL RIGHTS RESERVED




*Hemoglobin/hematocrit* levels are often used to determine the severity of anemia. High
bilirubin and high retic counts may also indicate anemia.


What are common causes of anemia? - Answer✔- blood loss
- decrease in production of RBCs
- alteration in production of RBCs
- increased destruction of RBCs
- bone marrow damage or suppression


What is hypochromic anemia? - Answer✔Iron or vitamin deficiency


What is pernicious anemia? - Answer✔Vitamin B12 deficiency


What hemoglobin value indicated severe anemia? - Answer✔<6


What are s/s of anemia (in general)? - Answer✔- yellowing of the eyes
- pale, cold, yellow skin
- fatigue, dizziness, fainting
- hypotension
- palpitations, tachycardia, chest pain, angina, MI
- SOB
- weak muscles
- enlarged spleen
- abnormal stool color


What are common age related changes that may be masking symptoms of anemia? - Answer✔-
pallor
- confusion

2

, ©EVERLY 2025 ALL RIGHTS RESERVED


- ataxia
- fatigue
- worsening angina
- heart failure


What type of anemia is most common? - Answer✔Iron deficiency


What is iron deficiency anemia? - Answer✔The supply of iron in the body is inadequate for
optimal RBC production. The body cannot synthesize hemoglobin without iron.


What are possible causes of iron deficiency anemia? - Answer✔- inadequate dietary intake
- malabsorption
- *bleeding / blood loss* (ex: trauma, GI bleed, *menstruation*)
- hemolysis
- pregnancy (diversion of iron to the fetus for erythropoiesis, blood loss at delivery, lactation)


What are s/s of iron deficiency anemia? - Answer✔- pica
- fatigue
- tachycardia, palpitations
- tachypnea on exertion
- pallor
- smooth tongue
- glossitis
- koilonychia (spoon nails)
- cheilosis (inflammatory lesions at the labial commmissure of the mouth)


What is glossitis? - Answer✔Red, beefy, swollen tongue




3

, ©EVERLY 2025 ALL RIGHTS RESERVED


What are teaching interventions for glossitis? - Answer✔- soft toothbrush
- increase water intake
- use lubricant / artificial saliva / chapstick
- no alcohol


What are diagnostic tests for iron deficiency anemia? - Answer✔- *low serum iron level*
- *elevated serum iron-binding capacity*
- low ferritin/transferrin
- bone marrow biopsy
- stool guaiac test, endoscopy/colonoscopy


What foods are high in iron? - Answer✔- green leafy vegetables
- liver
- meat
- fish
- legumes
- whole grains
- orange juice
- peanuts
- avocado


What are nursing implications for oral ferrous sulfate administration? - Answer✔- give 1 hour
before meals (not with food) with orange juice or vitamin C (to increase absorption)
- IF iron elixir, use straw to prevent staining of teeth
- constipation is a major complication so patient should start stool softener or laxative
- no antacids or dairy products at the same time as iron
- IF oral meds are not tolerated, iron is given IV or IM (z-track method)


SE: heartburn, diarrhea, dark/black stools
4