GRADE A+ Hematology NCLEX style questions and ans 2025
In evaluating a young woman, the following laboratory result the ANS: B
nurse recognizes as abnormal is
Normal platelet count is 150,000/mm3.
a. hemoglobin 13 g/dl.
b. platelet count 20,000/mm3.
c. red blood cell count 5 million/mm3.
d. white blood cell count 6000/mm3.
ANS: B
A client has a hematocrit (Hct) of 30%. The nurse interprets this Hematocrit measures the percent volume of red cells in whole
to mean blood. The normal value in adult women is 37% to 45%.
a. 30% of the blood will be plasma and plasma products.
b.bleeding disorders are possible.
c. the blood is viscous and concentrated.
d. the individual has fewer red blood cells than normal.
The 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 thrombo-
cytopenia.
A nurse is explaining that a bone marrow biopsy is done to
evaluate??
Platelet count--it is a key role in blood clotting. An abnormal
The laboratory test result that would be most helpful to the nurse
platelet count would indicate bleeding problems originating from
in the assessment of a client with a bleeding disorder is
a platelet disorder.
A client has severe anemia and is being treated with transfusion
therapy. The nurse should be alert for a complication of transfu-
sion, such as ANS: A
a. flank pain.
Reactions to blood products include fever, chills, back or flank
b. hearing loss. pain, shock, wheezing, headache, vomiting, or urticaria (hives).
c. liver damage.
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
ANS: C
(NOTE: keywords "receiving anticoag therapy!)
For most clinical conditions that necessitate anticoagulation, the
a.less than 1.
recommended INR is 2 to 3.5.
b. 1 to 2.
c. 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
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, GRADE A+ Hematology NCLEX style questions and ans 2025
describe as being high in iron is
ANS: C
a.citrus fruits.
Encourage foods cooked in iron pots and ingestion of foods such
b.grains.
as liver (the richest source), oysters, lean meats, kidney beans,
whole wheat bread, kale, spinach, egg yolk, turnip tops, beet
c.green leafy vegetables.
greens, carrots, apricots, and raisins.
d.milk products.
The nurse recognizes that the laboratory finding indicative of
polycythemia vera is
ANS: B
a. erythrocyte count of 5 million/mm3.
Diagnostic findings include RBC count as high as 8 to 12 mil-
lion/mm3, hemoglobin level of 18 to 25 g/dl, and a hematocrit level
b. hemoglobin level of 22 g/100 ml.
greater than 54% in men and 49% in women.
**break down the word poly=many, cy=cell, emia=blood vera=vi-
c. leukocyte count of 6000/mm3.
cous---think ALOE VERA!***
d. platelets of 50,000/mm3.
The nurse assessing a client with sickle cell anemia would recog-
nize the common manifestation of the disease is
ANS: D
a.
Leg ulcers are found in about 75% of older children and adults with
confusion. the disease. Diarrhea is not seen. The most common cardiovas-
cular manifestation is heart failure. Stroke is a common neurologic
b. outcome.
diarrhea.
c.
hypertension.
d.
leg ulcers.
The nursing intervention that is the priority when preparing to
ANS: B
administer blood is
All options are reasonable. Baseline vitals are important to com-
a. administration of pretransfusion antihistamines.
pare against subsequent ones. There will be a written order for
the transfusion at some point; either the physician or the nurse
b. asking a second health care professional to confirm blood
will write the order. Some clients will need premedication before a
acceptability.
transfusion, but the most critical phase of transfusion is confirming
product compatibility and verifying client identity. Most transfusion
c. establishing baseline vital signs.
reactions can be traced to improper product-to-patient identifica-
tion. Two professional nurses are required to perform that task.
d. obtaining a written order for the transfusion.
The nurse can decrease the danger of transfusion reactions in a
client by
ANS: C
a. adding sterile saline to the blood transfusion.
It is recommended that the transfusion begin slowly and that the
b.forcing fluids. client be closely monitored. If no evidence of a reaction is noted
within the first 15 minutes, flow can then be increased to the
c.infusing the blood slowly during the first 15 minutes. prescribed rate.
d.monitoring the urine output.
The nurse is caring for a patient with chronic kidney disease. On The patient will likely be prescribed a synthetic erythropoietin
reviewing the patient's laboratory results, the nurse finds that the like epoetin alfa to stimulate the production of RBCs. The patient
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In evaluating a young woman, the following laboratory result the ANS: B
nurse recognizes as abnormal is
Normal platelet count is 150,000/mm3.
a. hemoglobin 13 g/dl.
b. platelet count 20,000/mm3.
c. red blood cell count 5 million/mm3.
d. white blood cell count 6000/mm3.
ANS: B
A client has a hematocrit (Hct) of 30%. The nurse interprets this Hematocrit measures the percent volume of red cells in whole
to mean blood. The normal value in adult women is 37% to 45%.
a. 30% of the blood will be plasma and plasma products.
b.bleeding disorders are possible.
c. the blood is viscous and concentrated.
d. the individual has fewer red blood cells than normal.
The 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 thrombo-
cytopenia.
A nurse is explaining that a bone marrow biopsy is done to
evaluate??
Platelet count--it is a key role in blood clotting. An abnormal
The laboratory test result that would be most helpful to the nurse
platelet count would indicate bleeding problems originating from
in the assessment of a client with a bleeding disorder is
a platelet disorder.
A client has severe anemia and is being treated with transfusion
therapy. The nurse should be alert for a complication of transfu-
sion, such as ANS: A
a. flank pain.
Reactions to blood products include fever, chills, back or flank
b. hearing loss. pain, shock, wheezing, headache, vomiting, or urticaria (hives).
c. liver damage.
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
ANS: C
(NOTE: keywords "receiving anticoag therapy!)
For most clinical conditions that necessitate anticoagulation, the
a.less than 1.
recommended INR is 2 to 3.5.
b. 1 to 2.
c. 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
1/8
, GRADE A+ Hematology NCLEX style questions and ans 2025
describe as being high in iron is
ANS: C
a.citrus fruits.
Encourage foods cooked in iron pots and ingestion of foods such
b.grains.
as liver (the richest source), oysters, lean meats, kidney beans,
whole wheat bread, kale, spinach, egg yolk, turnip tops, beet
c.green leafy vegetables.
greens, carrots, apricots, and raisins.
d.milk products.
The nurse recognizes that the laboratory finding indicative of
polycythemia vera is
ANS: B
a. erythrocyte count of 5 million/mm3.
Diagnostic findings include RBC count as high as 8 to 12 mil-
lion/mm3, hemoglobin level of 18 to 25 g/dl, and a hematocrit level
b. hemoglobin level of 22 g/100 ml.
greater than 54% in men and 49% in women.
**break down the word poly=many, cy=cell, emia=blood vera=vi-
c. leukocyte count of 6000/mm3.
cous---think ALOE VERA!***
d. platelets of 50,000/mm3.
The nurse assessing a client with sickle cell anemia would recog-
nize the common manifestation of the disease is
ANS: D
a.
Leg ulcers are found in about 75% of older children and adults with
confusion. the disease. Diarrhea is not seen. The most common cardiovas-
cular manifestation is heart failure. Stroke is a common neurologic
b. outcome.
diarrhea.
c.
hypertension.
d.
leg ulcers.
The nursing intervention that is the priority when preparing to
ANS: B
administer blood is
All options are reasonable. Baseline vitals are important to com-
a. administration of pretransfusion antihistamines.
pare against subsequent ones. There will be a written order for
the transfusion at some point; either the physician or the nurse
b. asking a second health care professional to confirm blood
will write the order. Some clients will need premedication before a
acceptability.
transfusion, but the most critical phase of transfusion is confirming
product compatibility and verifying client identity. Most transfusion
c. establishing baseline vital signs.
reactions can be traced to improper product-to-patient identifica-
tion. Two professional nurses are required to perform that task.
d. obtaining a written order for the transfusion.
The nurse can decrease the danger of transfusion reactions in a
client by
ANS: C
a. adding sterile saline to the blood transfusion.
It is recommended that the transfusion begin slowly and that the
b.forcing fluids. client be closely monitored. If no evidence of a reaction is noted
within the first 15 minutes, flow can then be increased to the
c.infusing the blood slowly during the first 15 minutes. prescribed rate.
d.monitoring the urine output.
The nurse is caring for a patient with chronic kidney disease. On The patient will likely be prescribed a synthetic erythropoietin
reviewing the patient's laboratory results, the nurse finds that the like epoetin alfa to stimulate the production of RBCs. The patient
2/8
