NURS 5315 Hematology Exam – Newest 2026 Edition | Actual Exam
Questions, Verified Correct Answers & Expert Rationales | Complete
Success Study Guide | Instant PDF Download
Work by @smartdoctor 007
QUESTION 1
The nurse reviews the electrolyte results of a client with chronic kidney disease and notes that
the potassium level is 5.7 mEq/L. Which patterns would the nurse watch for on the cardiac
monitor as a result of this laboratory value?
A. ST depression
B. Prominent U wave
C. Tall peaked T waves
D. Prolonged ST segment
E. Widened QRS complexes
✓ CORRECT ANSWERS: C, E
✓ Rationale: Hyperkalemia is present when potassium exceeds 5.0 mEq/L and produces
characteristic ECG changes including tall peaked T waves, widened QRS complexes, flat
P waves, and prolonged PR intervals. ST depression and prominent U waves occur with
hypokalemia, while prolonged ST segment indicates hypocalcemia.
QUESTION 2
The nurse is instructing a client how to perform a testicular selfexamination. The nurse should
explain that which is the best time to perform this exam?
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before arising
✓ CORRECT ANSWER: A
✓ Rationale: The optimal time for testicular selfexamination is after a shower or bath when
the hands are warm and soapy and the scrotum is warm, making palpation easier and
allowing better identification of abnormalities. The exam should be performed on the
same day each month while standing.
QUESTION 3
,The clinic nurse prepares to perform a focused assessment on a client complaining of cold
symptoms, cough, and lung congestion. Which should the nurse include for this type of
assessment?
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a family history of any illness or disease
✓ CORRECT ANSWERS: A, B, D
✓ Rationale: A focused assessment addresses a limited problem such as respiratory
symptoms and should include lung auscultation, temperature measurement, and
respiratory assessment. Peripheral pulse assessment, musculoskeletal and neurological
examination, and family history are components of a complete assessment rather than a
focused one.
QUESTION 4
The clinic nurse is preparing to explain concepts of Kohlberg's theory of moral development to a
parent. The nurse should tell the parent that which factor motivates good and bad actions for the
child at the preconventional level?
A. Peer pressure
B. Social pressure
C. Parents' behavior
D. Punishment and reward
✓ CORRECT ANSWER: D
✓ Rationale: At the preconventional level of moral development, children's actions are
motivated by punishment and reward. Children view actions as good when praised and
bad when punished, without understanding the broader social or moral implications of
their behavior.
QUESTION 5
The maternity nurse is providing instructions to a new mother regarding psychosocial
development of the newborn infant using Erikson's theory. The nurse instructs the mother to take
which measure?
A. Allow the newborn infant to signal a need
,B. Anticipate all needs of the newborn infant
C. Attend to the newborn infant immediately when crying
D. Avoid the newborn infant during the first 10 minutes of crying
✓ CORRECT ANSWER: A
✓ Rationale: According to Erikson, caregivers should allow newborns to signal their needs
rather than anticipating them, as this helps infants learn to control their environment.
Delayed or prolonged responses inhibit trust development and lead to mistrust of others.
QUESTION 6
A nursing student is presenting a clinical conference regarding Freud's psychosexual stages,
specifically the anal stage. Which characteristic relates to the anal stage?
A. This stage is associated with toilet training
B. This stage is characterized by the gratification of self
C. This stage is characterized by tapering off of conscious biological urges
D. This stage is associated with pleasurable feelings about the genital organs
✓ CORRECT ANSWER: A
✓ Rationale: The anal stage in Freud's theory is associated with toilet training, where the
child gains pleasure from both elimination and retention of feces. The oral stage relates to
selfgratification, the latency period involves tapering of urges, and the phallic stage
involves genitalfocused feelings.
QUESTION 7
A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of
this result, the nurse plans to teach the client about the need for which measure?
A. Avoiding infection
B. Taking in adequate fluids
C. Preventing and recognizing hypoglycemia
D. Preventing and recognizing hyperglycemia
✓ CORRECT ANSWER: D
✓ Rationale: The normal A1c is less than 6.0%, and a level of 8% indicates an estimated
average glucose of 205 mg/dL, reflecting periods of hyperglycemia. This test measures
glucose bound to red blood cells over 120 days and is useful for identifying undetected
hyperglycemic episodes requiring prevention and recognition education.
, QUESTION 8
The nurse is describing Piaget's cognitive developmental theory to pediatric nursing staff. Which
child behavior is characteristic of the formal operations stage?
A. The child has the ability to think abstractly
B. The child begins to understand the environment
C. The child is able to classify, order, and sort facts
D. The child learns to think in terms of past, present, and future
✓ CORRECT ANSWER: A
✓ Rationale: In Piaget's formal operations stage, children develop the ability to think
abstractly and logically. Understanding the environment characterizes the sensorimotor
stage, classifying and ordering facts characterizes concrete operations, and thinking in
past, present, and future terms characterizes the preoperational stage.
QUESTION 9
The mother of an 8yearold child expresses concern that the child seems more attentive to friends
than anything else. Using Erikson's theory, the nurse should make which response?
A. "You need to be concerned"
B. "You need to monitor the child's behavior closely"
C. "At this age, the child is developing his own personality"
D. "You need to provide more praise to stop this behavior"
✓ CORRECT ANSWER: C
✓ Rationale: During the schoolage years according to Erikson, children begin moving
toward peers and friends and away from parents for support, developing special interests
that reflect their own developing personality rather than their parents'. This is a normal
developmental pattern.
QUESTION 10
The nurse educator is preparing a teaching session regarding Kohlberg's theory of moral
development. What information should the nurse include?
A. Individuals move through all 6 stages in sequential fashion
B. Moral development progresses in relationship to cognitive development
C. A person's ability to make moral judgments develops over time
D. The theory provides a framework for understanding moral code development
Questions, Verified Correct Answers & Expert Rationales | Complete
Success Study Guide | Instant PDF Download
Work by @smartdoctor 007
QUESTION 1
The nurse reviews the electrolyte results of a client with chronic kidney disease and notes that
the potassium level is 5.7 mEq/L. Which patterns would the nurse watch for on the cardiac
monitor as a result of this laboratory value?
A. ST depression
B. Prominent U wave
C. Tall peaked T waves
D. Prolonged ST segment
E. Widened QRS complexes
✓ CORRECT ANSWERS: C, E
✓ Rationale: Hyperkalemia is present when potassium exceeds 5.0 mEq/L and produces
characteristic ECG changes including tall peaked T waves, widened QRS complexes, flat
P waves, and prolonged PR intervals. ST depression and prominent U waves occur with
hypokalemia, while prolonged ST segment indicates hypocalcemia.
QUESTION 2
The nurse is instructing a client how to perform a testicular selfexamination. The nurse should
explain that which is the best time to perform this exam?
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before arising
✓ CORRECT ANSWER: A
✓ Rationale: The optimal time for testicular selfexamination is after a shower or bath when
the hands are warm and soapy and the scrotum is warm, making palpation easier and
allowing better identification of abnormalities. The exam should be performed on the
same day each month while standing.
QUESTION 3
,The clinic nurse prepares to perform a focused assessment on a client complaining of cold
symptoms, cough, and lung congestion. Which should the nurse include for this type of
assessment?
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a family history of any illness or disease
✓ CORRECT ANSWERS: A, B, D
✓ Rationale: A focused assessment addresses a limited problem such as respiratory
symptoms and should include lung auscultation, temperature measurement, and
respiratory assessment. Peripheral pulse assessment, musculoskeletal and neurological
examination, and family history are components of a complete assessment rather than a
focused one.
QUESTION 4
The clinic nurse is preparing to explain concepts of Kohlberg's theory of moral development to a
parent. The nurse should tell the parent that which factor motivates good and bad actions for the
child at the preconventional level?
A. Peer pressure
B. Social pressure
C. Parents' behavior
D. Punishment and reward
✓ CORRECT ANSWER: D
✓ Rationale: At the preconventional level of moral development, children's actions are
motivated by punishment and reward. Children view actions as good when praised and
bad when punished, without understanding the broader social or moral implications of
their behavior.
QUESTION 5
The maternity nurse is providing instructions to a new mother regarding psychosocial
development of the newborn infant using Erikson's theory. The nurse instructs the mother to take
which measure?
A. Allow the newborn infant to signal a need
,B. Anticipate all needs of the newborn infant
C. Attend to the newborn infant immediately when crying
D. Avoid the newborn infant during the first 10 minutes of crying
✓ CORRECT ANSWER: A
✓ Rationale: According to Erikson, caregivers should allow newborns to signal their needs
rather than anticipating them, as this helps infants learn to control their environment.
Delayed or prolonged responses inhibit trust development and lead to mistrust of others.
QUESTION 6
A nursing student is presenting a clinical conference regarding Freud's psychosexual stages,
specifically the anal stage. Which characteristic relates to the anal stage?
A. This stage is associated with toilet training
B. This stage is characterized by the gratification of self
C. This stage is characterized by tapering off of conscious biological urges
D. This stage is associated with pleasurable feelings about the genital organs
✓ CORRECT ANSWER: A
✓ Rationale: The anal stage in Freud's theory is associated with toilet training, where the
child gains pleasure from both elimination and retention of feces. The oral stage relates to
selfgratification, the latency period involves tapering of urges, and the phallic stage
involves genitalfocused feelings.
QUESTION 7
A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of
this result, the nurse plans to teach the client about the need for which measure?
A. Avoiding infection
B. Taking in adequate fluids
C. Preventing and recognizing hypoglycemia
D. Preventing and recognizing hyperglycemia
✓ CORRECT ANSWER: D
✓ Rationale: The normal A1c is less than 6.0%, and a level of 8% indicates an estimated
average glucose of 205 mg/dL, reflecting periods of hyperglycemia. This test measures
glucose bound to red blood cells over 120 days and is useful for identifying undetected
hyperglycemic episodes requiring prevention and recognition education.
, QUESTION 8
The nurse is describing Piaget's cognitive developmental theory to pediatric nursing staff. Which
child behavior is characteristic of the formal operations stage?
A. The child has the ability to think abstractly
B. The child begins to understand the environment
C. The child is able to classify, order, and sort facts
D. The child learns to think in terms of past, present, and future
✓ CORRECT ANSWER: A
✓ Rationale: In Piaget's formal operations stage, children develop the ability to think
abstractly and logically. Understanding the environment characterizes the sensorimotor
stage, classifying and ordering facts characterizes concrete operations, and thinking in
past, present, and future terms characterizes the preoperational stage.
QUESTION 9
The mother of an 8yearold child expresses concern that the child seems more attentive to friends
than anything else. Using Erikson's theory, the nurse should make which response?
A. "You need to be concerned"
B. "You need to monitor the child's behavior closely"
C. "At this age, the child is developing his own personality"
D. "You need to provide more praise to stop this behavior"
✓ CORRECT ANSWER: C
✓ Rationale: During the schoolage years according to Erikson, children begin moving
toward peers and friends and away from parents for support, developing special interests
that reflect their own developing personality rather than their parents'. This is a normal
developmental pattern.
QUESTION 10
The nurse educator is preparing a teaching session regarding Kohlberg's theory of moral
development. What information should the nurse include?
A. Individuals move through all 6 stages in sequential fashion
B. Moral development progresses in relationship to cognitive development
C. A person's ability to make moral judgments develops over time
D. The theory provides a framework for understanding moral code development
