HEMATOLOGY NCLEX QUESTIONS WITH 100%
ACCURATE ANSWERS
HEMATOLOGY NCLEX
STUDYGLOBAL 5/18/25 HEM NCLEX
,A nurse in a clinic is caring for a client who has suspected anemia. Which of the following laboratory test
results should the nurse expect?
A. Iron 90 mcg/dL
B. RBC 6.5 million/uL
C. WBC 4,800 mm3
D. Hgb 10 g/dL - Accurate answers A. An iron level of 90 mcg/dL is within the expected reference
range and is not an expected finding of anemia.
B. RBC count of 6.5 million/uL is above the expected reference
range. A decreased RBC count is an expected finding of anemia.
C. WBC count of 4800 mm3
is below the expected reference
range and is not an expected finding of anemia.
D. CORRECT: Hgb of 10 g/dL is below the expected
reference range and is an expected finding of anemia.
A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the
following laboratory test results indicates to the nurse that the client needs an increase in the dosage?
A. aPTT 38 seconds
B. INR 1.1
C. PT 22 seconds
D. D-dimer negative - Accurate answers A. aPTT is monitored for clients receiving heparin therapy.
An aPTT of 38 seconds is within the expected reference range for clients not receiving heparin therapy.
B. CORRECT: INR of 1.1 is within the expected reference range for a client who is not receiving warfarin.
However, this value is subtherapeutic for anticoagulation therapy. The nurse should expect the client to
receive an increased dosage of warfarin until the INR is 2 to 3.
C. PT of 22 seconds is above the expected reference range for a client receiving warfarin therapy. This
result indicates the client is at an increased risk for bleeding.
D. A negative D-dimer test indicates the absence of a pulmonary embolus or deep vein thrombosis and
is not used to determine the dosage needs for warfarin therapy.
A nurse is providing teaching for a client who is scheduled for a bone marrow biopsy of the iliac crest.
Which of the following statements made by the client indicates an understanding of the teaching?
A. "This test will be performed while I am lying flat on my back."
B. "I will need to stay in bed for about an hour after the test."
C."This test will determine which antibiotic I should take for treatment."
D."I will receive general anesthesia for the test." - Accurate answers A. The nurse should inform
the client that he will be placed in a prone or side-lying position during the test in order to expose the
iliac crest.
B. CORRECT: The nurse should inform the client of the need to stay on bed rest for 30 to 60 min
following the test to reduce the risk for bleeding.
C. The nurse should inform the client that a culture and sensitivity test determines the type of antibiotics
needed to treat an infection.
D. The nurse should inform the client that he will receive a sedative prior to the test and that a local
anesthetic will be used at the site.
, 1. A nurse is preparing to administer
packed RBCs to a client who
has a Hgb of 8 g/dL. Which of
the following actions should the
nurse plan to take during the
first 15 min of the transfusion?
A. Obtain consent from the
client for the transfusion.
B. Assess for an acute
hemolytic reaction.
C. Explain the transfusion
procedure to the client.
D. Obtain blood culture
specimens to send to the lab - Accurate answers A. The nurse should obtain consent from the
client for
the transfusion prior to initiating the transfusion.
B. CORRECT: The nurse should assess for an acute hemolytic reaction
during the first 15 min of the transfusion. This form of a reaction can
occur following the transfusion of as little as 10 mL of blood product.
C. The nurse should explain the transfusion procedure
to the client prior to initiating the transfusion.
D. The nurse should obtain blood culture specimens
2. A nurse is caring for a client who
is receiving a blood transfusion.
Which of the following actions
should the nurse expect if an
allergic transfusion reaction is
suspected? (Select all that apply.)
A. Stop the transfusion.
B. Monitor for hypertension.
C. Maintain an IV infusion with
0.9% sodium chloride.
D. Position the client in an
upright position with the
feet lower than the heart.
E. Administer diphenhydramine. - Accurate answers A. CORRECT: The nurse should immediately
stop the infusion if an allergic transfusion reaction is suspected.
B. The nurse should monitor for hypotension if an allergic transfusion reaction is suspected due to the
risk for shock.
C. CORRECT: The nurse should administer 0.9% sodium chloride solution through new IV tubing if an
allergic transfusion reaction is suspected.
D. The nurse should position the client in an upright position with the feet lower than the level of the
heart if a circulatory overload is suspected.
E. CORRECT: The nurse should administer an antihistamine, such as diphenhydramine, if an allergic
transfusion reaction is suspected.
ACCURATE ANSWERS
HEMATOLOGY NCLEX
STUDYGLOBAL 5/18/25 HEM NCLEX
,A nurse in a clinic is caring for a client who has suspected anemia. Which of the following laboratory test
results should the nurse expect?
A. Iron 90 mcg/dL
B. RBC 6.5 million/uL
C. WBC 4,800 mm3
D. Hgb 10 g/dL - Accurate answers A. An iron level of 90 mcg/dL is within the expected reference
range and is not an expected finding of anemia.
B. RBC count of 6.5 million/uL is above the expected reference
range. A decreased RBC count is an expected finding of anemia.
C. WBC count of 4800 mm3
is below the expected reference
range and is not an expected finding of anemia.
D. CORRECT: Hgb of 10 g/dL is below the expected
reference range and is an expected finding of anemia.
A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the
following laboratory test results indicates to the nurse that the client needs an increase in the dosage?
A. aPTT 38 seconds
B. INR 1.1
C. PT 22 seconds
D. D-dimer negative - Accurate answers A. aPTT is monitored for clients receiving heparin therapy.
An aPTT of 38 seconds is within the expected reference range for clients not receiving heparin therapy.
B. CORRECT: INR of 1.1 is within the expected reference range for a client who is not receiving warfarin.
However, this value is subtherapeutic for anticoagulation therapy. The nurse should expect the client to
receive an increased dosage of warfarin until the INR is 2 to 3.
C. PT of 22 seconds is above the expected reference range for a client receiving warfarin therapy. This
result indicates the client is at an increased risk for bleeding.
D. A negative D-dimer test indicates the absence of a pulmonary embolus or deep vein thrombosis and
is not used to determine the dosage needs for warfarin therapy.
A nurse is providing teaching for a client who is scheduled for a bone marrow biopsy of the iliac crest.
Which of the following statements made by the client indicates an understanding of the teaching?
A. "This test will be performed while I am lying flat on my back."
B. "I will need to stay in bed for about an hour after the test."
C."This test will determine which antibiotic I should take for treatment."
D."I will receive general anesthesia for the test." - Accurate answers A. The nurse should inform
the client that he will be placed in a prone or side-lying position during the test in order to expose the
iliac crest.
B. CORRECT: The nurse should inform the client of the need to stay on bed rest for 30 to 60 min
following the test to reduce the risk for bleeding.
C. The nurse should inform the client that a culture and sensitivity test determines the type of antibiotics
needed to treat an infection.
D. The nurse should inform the client that he will receive a sedative prior to the test and that a local
anesthetic will be used at the site.
, 1. A nurse is preparing to administer
packed RBCs to a client who
has a Hgb of 8 g/dL. Which of
the following actions should the
nurse plan to take during the
first 15 min of the transfusion?
A. Obtain consent from the
client for the transfusion.
B. Assess for an acute
hemolytic reaction.
C. Explain the transfusion
procedure to the client.
D. Obtain blood culture
specimens to send to the lab - Accurate answers A. The nurse should obtain consent from the
client for
the transfusion prior to initiating the transfusion.
B. CORRECT: The nurse should assess for an acute hemolytic reaction
during the first 15 min of the transfusion. This form of a reaction can
occur following the transfusion of as little as 10 mL of blood product.
C. The nurse should explain the transfusion procedure
to the client prior to initiating the transfusion.
D. The nurse should obtain blood culture specimens
2. A nurse is caring for a client who
is receiving a blood transfusion.
Which of the following actions
should the nurse expect if an
allergic transfusion reaction is
suspected? (Select all that apply.)
A. Stop the transfusion.
B. Monitor for hypertension.
C. Maintain an IV infusion with
0.9% sodium chloride.
D. Position the client in an
upright position with the
feet lower than the heart.
E. Administer diphenhydramine. - Accurate answers A. CORRECT: The nurse should immediately
stop the infusion if an allergic transfusion reaction is suspected.
B. The nurse should monitor for hypotension if an allergic transfusion reaction is suspected due to the
risk for shock.
C. CORRECT: The nurse should administer 0.9% sodium chloride solution through new IV tubing if an
allergic transfusion reaction is suspected.
D. The nurse should position the client in an upright position with the feet lower than the level of the
heart if a circulatory overload is suspected.
E. CORRECT: The nurse should administer an antihistamine, such as diphenhydramine, if an allergic
transfusion reaction is suspected.
