1
HEMATOLOGIC DISORDERS NURSING EXAM –
COAGULATION & BLOOD TRANSFUSIONS 2026-27 JUST
RELEASED VERSION
Exam Structure
• Total Questions: 100
• Format: Multiple Choice (Single Best Answer)
• Level: University / RN–BSN / Post-RN
Introduction
This exam evaluates the nurse’s ability to provide safe and evidence-based care for patients with
hematologic disorders, focusing on:
• Coagulation disorders (bleeding, thrombocytopenia, clotting abnormalities)
• Blood transfusions and transfusion reactions
• Recognition and management of anemia, hemophilia, DIC, and other blood disorders
• Monitoring laboratory values and patient safety
• Patient education related to medications, lifestyle, and transfusion care
Questions are scenario-based, priority-focused, and designed to assess clinical judgment and decision-
making.
Question Format
• Four options (A–D)
• One best correct answer
• Case-based and clinical scenario emphasis
Answer & Rationale Format
• Correct Answer: Letter
• Rationale: Concise explanation referencing hematology standards, transfusion protocols, and
safety principles
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SECTION I: COAGULATION DISORDERS & BLEEDING (Q1–30)
Q1.
A patient with thrombocytopenia (platelets 25,000/mm³) is
scheduled for an IM injection. The nurse should:
A. Administer the injection as usual
B. Use a subcutaneous route or avoid injections
C. Increase needle size
D. No precautions needed
Correct Answer: B
Rationale: Low platelet count increases bleeding risk; IM
injections may cause hematomas.
Q2.
Which lab indicates risk for bleeding?
A. Platelets <50,000/mm³
B. WBC 7,000/mm³
C. Hemoglobin 14 g/dL
D. Sodium 140 mEq/L
,3
Correct Answer: A
Rationale: Platelets <50,000 increase risk of spontaneous
bleeding or prolonged bleeding with minor trauma.
Q3.
A patient with hemophilia A is prescribed factor VIII
replacement. Nursing priority:
A. Monitor for bleeding and signs of hypersensitivity
B. Encourage strenuous activity
C. Skip doses
D. Restrict fluids
Correct Answer: A
Rationale: Factor replacement prevents bleeding; monitor for
allergic reactions.
Q4.
A patient presents with bruising, petechiae, and nosebleeds.
Lab shows platelets 20,000/mm³. Priority nursing action:
A. Implement bleeding precautions
B. Encourage exercise
C. Administer IV fluids only
D. Monitor only
, 4
Correct Answer: A
Rationale: Low platelets with bleeding manifestations require
protective measures to prevent hemorrhage.
Q5.
Disseminated intravascular coagulation (DIC) is characterized
by:
A. Widespread clotting followed by bleeding
B. Isolated anemia
C. Only thrombocytosis
D. Hypernatremia
Correct Answer: A
Rationale: DIC consumes clotting factors, leading to
simultaneous thrombosis and bleeding.
Q6.
A patient with DIC shows oozing from IV sites. Nursing
intervention:
A. Apply pressure, monitor vitals, notify provider
B. Increase IV rate
C. Ignore bleeding
D. Encourage ambulation
HEMATOLOGIC DISORDERS NURSING EXAM –
COAGULATION & BLOOD TRANSFUSIONS 2026-27 JUST
RELEASED VERSION
Exam Structure
• Total Questions: 100
• Format: Multiple Choice (Single Best Answer)
• Level: University / RN–BSN / Post-RN
Introduction
This exam evaluates the nurse’s ability to provide safe and evidence-based care for patients with
hematologic disorders, focusing on:
• Coagulation disorders (bleeding, thrombocytopenia, clotting abnormalities)
• Blood transfusions and transfusion reactions
• Recognition and management of anemia, hemophilia, DIC, and other blood disorders
• Monitoring laboratory values and patient safety
• Patient education related to medications, lifestyle, and transfusion care
Questions are scenario-based, priority-focused, and designed to assess clinical judgment and decision-
making.
Question Format
• Four options (A–D)
• One best correct answer
• Case-based and clinical scenario emphasis
Answer & Rationale Format
• Correct Answer: Letter
• Rationale: Concise explanation referencing hematology standards, transfusion protocols, and
safety principles
,2
SECTION I: COAGULATION DISORDERS & BLEEDING (Q1–30)
Q1.
A patient with thrombocytopenia (platelets 25,000/mm³) is
scheduled for an IM injection. The nurse should:
A. Administer the injection as usual
B. Use a subcutaneous route or avoid injections
C. Increase needle size
D. No precautions needed
Correct Answer: B
Rationale: Low platelet count increases bleeding risk; IM
injections may cause hematomas.
Q2.
Which lab indicates risk for bleeding?
A. Platelets <50,000/mm³
B. WBC 7,000/mm³
C. Hemoglobin 14 g/dL
D. Sodium 140 mEq/L
,3
Correct Answer: A
Rationale: Platelets <50,000 increase risk of spontaneous
bleeding or prolonged bleeding with minor trauma.
Q3.
A patient with hemophilia A is prescribed factor VIII
replacement. Nursing priority:
A. Monitor for bleeding and signs of hypersensitivity
B. Encourage strenuous activity
C. Skip doses
D. Restrict fluids
Correct Answer: A
Rationale: Factor replacement prevents bleeding; monitor for
allergic reactions.
Q4.
A patient presents with bruising, petechiae, and nosebleeds.
Lab shows platelets 20,000/mm³. Priority nursing action:
A. Implement bleeding precautions
B. Encourage exercise
C. Administer IV fluids only
D. Monitor only
, 4
Correct Answer: A
Rationale: Low platelets with bleeding manifestations require
protective measures to prevent hemorrhage.
Q5.
Disseminated intravascular coagulation (DIC) is characterized
by:
A. Widespread clotting followed by bleeding
B. Isolated anemia
C. Only thrombocytosis
D. Hypernatremia
Correct Answer: A
Rationale: DIC consumes clotting factors, leading to
simultaneous thrombosis and bleeding.
Q6.
A patient with DIC shows oozing from IV sites. Nursing
intervention:
A. Apply pressure, monitor vitals, notify provider
B. Increase IV rate
C. Ignore bleeding
D. Encourage ambulation
