PAC Practice Exam Questions and Answers
Question 1
Which of the following could be responsible for a rapid decrease in HCT?
A. Hemorrhage
B. Administration of IV fluid
C. A negative guaiac
D. an injection of Epoetin alfa
Correct Answer
B. Administration of IV fluid
Rationale: hemodilution occurs when non-blood products are administered via IV.
Hemorrhage does not lower HCT since you lose RBCs and plasma
Question 2
An increase in bands indicates which of the following?
A. An iron deficiency
B. An infection
C. An increased bleeding risk
D. Hemolysis
Correct Answer
B. An infection
Rationale: Bands are "baby neutrophils" and when increasing, indicate the body is
replacing WBCs used to fight bacterial infections (neutrophils) BANDS=BAD
Page 1 of 48
,Question 3
Bone marrow suppression will result in:
A. Leukopenia
B. Hypochromic
C. Pancytopenia
D. Hemostasis
Correct Answer
C. Pancytopenia
Rationale: Pancytopenia literally breaks down to mean pan-all cyto-cell penia-
deficiency. Since blood cells (RBC & WBC) are produced in the bone marrow,
suppression causes a drop in the number of all blood cells.
Question 4
MCV refers to:
A. RBC cell size
B. Hgb concentration
C. RBC cell number
D. RBC cell color
Correct Answer
A. RBC cell size
Question 5
How can we promote hemostasis?
A. Applying pressure to a bleeding site
B. Checking vital signs
C. Encouraging open communication
D. Conducting a cultural assessment
Correct Answer
A. applying pressure to a bleeding site
Page 2 of 48
,Question 6
Which of the following will lower reticulocyte count.
A. Bone marrow suppression
B. Chronic blood loss
C. Intake of vitamin k
D. Exposure to sunlight
Correct Answer
A. bone marrow suppression
Question 7
Which of the following lab values are abnormal?
MCV 100
Hgb 11
HCT 40
Platelet 100,000
WBC 14
RBC 3.5
Correct Answer
Hgb 11
Platelet 100,000
WBC 14
RBC 3.5
Question 8
Which of the following is the antidote to Heparin?
A. Tyramine
B. Vitamin K
C. Protamine sulfate
D. Naloxone
E. Activated charcoal
Correct Answer
C. protamine sulfate
Page 3 of 48
, Question 9
When providing education to a patient taking Warfarin, which of the following
statements is appropriate?
A. It is important to keep your intake of green leafy vegetables the same during
treatment.
B. You will need to test your blood sugar after each meal and at bedtime.
C. Take with vitamin C to enhance absorption.
D. Tolerance will develop over time and your dose will need to be adjusted.
Correct Answer
A. It is important to keep your intake of green leafy vegetables the same during
treatment.
Question 10
When referring to elderly patient what does the term "atypical presentation" refer to?
A. A lack of the usual signs and symptoms characterizing a particular condition or
diagnosis
B. Signs and symptoms that are exaggerated beyond what is expected for a particular
diagnosis
C. No signs and symptoms at all
D. A paradoxical presentation with signs and symptoms opposite of what is expected.
Correct Answer
A. A lack of the usual signs and symptoms characterizing a particular condition or
diagnosis
Question 11
The healthcare provider is caring for a patient with a history of fatigue, dyspnea, and
dark stools. The patient states "My stools are very smelly." The patient's complete
blood count (CBC) reveals a hemoglobin of 7g/dl. Based on this patient's history, the
healthcare provider anticipates an order to prepare the patient for a:
A. Comprehensive dietary inventory
B. Upper gastrointestinal endoscopy
C. Bone marrow aspiration
D. Computed tomography (CT) scan
Correct Answer
B. Upper gastrointestinal endoscopy
Page 4 of 48
Question 1
Which of the following could be responsible for a rapid decrease in HCT?
A. Hemorrhage
B. Administration of IV fluid
C. A negative guaiac
D. an injection of Epoetin alfa
Correct Answer
B. Administration of IV fluid
Rationale: hemodilution occurs when non-blood products are administered via IV.
Hemorrhage does not lower HCT since you lose RBCs and plasma
Question 2
An increase in bands indicates which of the following?
A. An iron deficiency
B. An infection
C. An increased bleeding risk
D. Hemolysis
Correct Answer
B. An infection
Rationale: Bands are "baby neutrophils" and when increasing, indicate the body is
replacing WBCs used to fight bacterial infections (neutrophils) BANDS=BAD
Page 1 of 48
,Question 3
Bone marrow suppression will result in:
A. Leukopenia
B. Hypochromic
C. Pancytopenia
D. Hemostasis
Correct Answer
C. Pancytopenia
Rationale: Pancytopenia literally breaks down to mean pan-all cyto-cell penia-
deficiency. Since blood cells (RBC & WBC) are produced in the bone marrow,
suppression causes a drop in the number of all blood cells.
Question 4
MCV refers to:
A. RBC cell size
B. Hgb concentration
C. RBC cell number
D. RBC cell color
Correct Answer
A. RBC cell size
Question 5
How can we promote hemostasis?
A. Applying pressure to a bleeding site
B. Checking vital signs
C. Encouraging open communication
D. Conducting a cultural assessment
Correct Answer
A. applying pressure to a bleeding site
Page 2 of 48
,Question 6
Which of the following will lower reticulocyte count.
A. Bone marrow suppression
B. Chronic blood loss
C. Intake of vitamin k
D. Exposure to sunlight
Correct Answer
A. bone marrow suppression
Question 7
Which of the following lab values are abnormal?
MCV 100
Hgb 11
HCT 40
Platelet 100,000
WBC 14
RBC 3.5
Correct Answer
Hgb 11
Platelet 100,000
WBC 14
RBC 3.5
Question 8
Which of the following is the antidote to Heparin?
A. Tyramine
B. Vitamin K
C. Protamine sulfate
D. Naloxone
E. Activated charcoal
Correct Answer
C. protamine sulfate
Page 3 of 48
, Question 9
When providing education to a patient taking Warfarin, which of the following
statements is appropriate?
A. It is important to keep your intake of green leafy vegetables the same during
treatment.
B. You will need to test your blood sugar after each meal and at bedtime.
C. Take with vitamin C to enhance absorption.
D. Tolerance will develop over time and your dose will need to be adjusted.
Correct Answer
A. It is important to keep your intake of green leafy vegetables the same during
treatment.
Question 10
When referring to elderly patient what does the term "atypical presentation" refer to?
A. A lack of the usual signs and symptoms characterizing a particular condition or
diagnosis
B. Signs and symptoms that are exaggerated beyond what is expected for a particular
diagnosis
C. No signs and symptoms at all
D. A paradoxical presentation with signs and symptoms opposite of what is expected.
Correct Answer
A. A lack of the usual signs and symptoms characterizing a particular condition or
diagnosis
Question 11
The healthcare provider is caring for a patient with a history of fatigue, dyspnea, and
dark stools. The patient states "My stools are very smelly." The patient's complete
blood count (CBC) reveals a hemoglobin of 7g/dl. Based on this patient's history, the
healthcare provider anticipates an order to prepare the patient for a:
A. Comprehensive dietary inventory
B. Upper gastrointestinal endoscopy
C. Bone marrow aspiration
D. Computed tomography (CT) scan
Correct Answer
B. Upper gastrointestinal endoscopy
Page 4 of 48
