Hematology Med Surg Test Bank Questions with Answers Graded A+
When doing discharge teaching for a patient who has had
an emergency splenectomy following an automobile acci-
dent, the nurse will teach the patient about the increased
risk for
A
a. infection.
b. lymphedema.
c. chronic anemia.
d. prolonged bleeding.
2. While obtaining a health history from a patient with nu-
merous petechiae on the skin, the nurse asks the patient
specifically about the patients use of
A; salicylates interfere with platelet function and can lead
a. salicylates.
to petechiae and ecchymoses.
b. contraceptives.
c. antiseizure drugs.
d. antihypertensives.
The nurse who is reviewing laboratory data for an
86-year-old patient will be most concerned about
a. a white blood cell (WBC) count of 3500/mL. A; slight decrease in hemoglobin and hematocrit are not
b. a hematocrit of 37%. unusual for an older patient.
c. a platelet count of 400,000/mL.
d. a hemoglobin of 11.8 g/dL.
When caring for a patient with a chronic iron deficiency
B; loss of papillae of the tongue occurs with chronic iron
anemia, the nurse will assess for
deficiency. Scleral jaundice is associated with hemolysis,
a. yellow-tinged sclerae.
gum bleeding, and tenderness occur with thrombocy-
b. shiny, smooth tongue.
topenia or neutropenia, and extremity numbness is asso-
c. numbness of the extremities.
ciated with vitamin b12 deficiency.
d. gum bleeding and tenderness.
A patients complete blood count shows a hemoglobin
of 20 g/dL and a hematocrit of 54%. Which question
should the nurse ask to determine possible causes of this
1/8
, finding?
a. Has there been any recent weight loss?
b. Do you have any history of lung disease? B
c. What is your intake of fruits and vegetables?
d. Have you noticed any dark or bloody stools?
When evaluating the red cell indices of a patient, the
nurse knows that a low mean corpuscular volume (MCV)
indicates
a. hypochromic red blood cells (RBCs). D
b. inadequate numbers of RBCs.
c. low hemoglobin in the RBCs.
d. small size of the RBCs
In the patient who had an intraoperative hemorrhage 12
hours ago, the nurse would expect to find hematology
results indicating
D; hemorrhage causes the release of more immature RBCs
a. a hematocrit of 45%.
from bone marrow into circulation
b. a hemoglobin of 13.2 g/dL.
c. a decreased white blood cell (WBC) count.
d. an elevated reticulocyte count.
The complete blood count (CBC) and ditterential indicate
that a patient is neutropenic. Which action should the
nurse include in the plan of care?
C; neutropenic patients are at high risk for infection and
a. Avoid intramuscular injections.
sepsis.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
The history and physical for a newly admitted patient
states that the complete blood count (CBC) shows a shift
C
to the left. The nurse will plan to monitor the patient for
a. cool extremities.
2/8
When doing discharge teaching for a patient who has had
an emergency splenectomy following an automobile acci-
dent, the nurse will teach the patient about the increased
risk for
A
a. infection.
b. lymphedema.
c. chronic anemia.
d. prolonged bleeding.
2. While obtaining a health history from a patient with nu-
merous petechiae on the skin, the nurse asks the patient
specifically about the patients use of
A; salicylates interfere with platelet function and can lead
a. salicylates.
to petechiae and ecchymoses.
b. contraceptives.
c. antiseizure drugs.
d. antihypertensives.
The nurse who is reviewing laboratory data for an
86-year-old patient will be most concerned about
a. a white blood cell (WBC) count of 3500/mL. A; slight decrease in hemoglobin and hematocrit are not
b. a hematocrit of 37%. unusual for an older patient.
c. a platelet count of 400,000/mL.
d. a hemoglobin of 11.8 g/dL.
When caring for a patient with a chronic iron deficiency
B; loss of papillae of the tongue occurs with chronic iron
anemia, the nurse will assess for
deficiency. Scleral jaundice is associated with hemolysis,
a. yellow-tinged sclerae.
gum bleeding, and tenderness occur with thrombocy-
b. shiny, smooth tongue.
topenia or neutropenia, and extremity numbness is asso-
c. numbness of the extremities.
ciated with vitamin b12 deficiency.
d. gum bleeding and tenderness.
A patients complete blood count shows a hemoglobin
of 20 g/dL and a hematocrit of 54%. Which question
should the nurse ask to determine possible causes of this
1/8
, finding?
a. Has there been any recent weight loss?
b. Do you have any history of lung disease? B
c. What is your intake of fruits and vegetables?
d. Have you noticed any dark or bloody stools?
When evaluating the red cell indices of a patient, the
nurse knows that a low mean corpuscular volume (MCV)
indicates
a. hypochromic red blood cells (RBCs). D
b. inadequate numbers of RBCs.
c. low hemoglobin in the RBCs.
d. small size of the RBCs
In the patient who had an intraoperative hemorrhage 12
hours ago, the nurse would expect to find hematology
results indicating
D; hemorrhage causes the release of more immature RBCs
a. a hematocrit of 45%.
from bone marrow into circulation
b. a hemoglobin of 13.2 g/dL.
c. a decreased white blood cell (WBC) count.
d. an elevated reticulocyte count.
The complete blood count (CBC) and ditterential indicate
that a patient is neutropenic. Which action should the
nurse include in the plan of care?
C; neutropenic patients are at high risk for infection and
a. Avoid intramuscular injections.
sepsis.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
The history and physical for a newly admitted patient
states that the complete blood count (CBC) shows a shift
C
to the left. The nurse will plan to monitor the patient for
a. cool extremities.
2/8
