Hematology Actual Questions and Correct Answers
Q1
A 43-year-old African American D male is admitted with sickle cell anemia. The nurse plans to
assess circulation in the lower extremities every 2 hours. Which of the following outcome
criteria would the nurse use? Body temperature of 99°F or less Toes moved in active range of
motion Sensation reported when soles of feet are touched Capillary refill of < 3 seconds
Answer: Body temperature of 99°F or less
Q2
A 25-year-old male is admitted in B sickle cell crisis. Which of the following interventions would
be of highest priority for this client? Taking hourly blood pressures with mechanical cuff
Encouraging fluid intake of at least 200mL per hour Position in high Fowler's with knee gatch
raised Administering Tylenol as ordered
Answer: Taking hourly blood pressures with mechanical cuff
Q3
A 14 year old girl has been hospitalized with Sickle Cell Anemia in vasoocclusive crisis. Which of
these Nursing diagnoses should receive priority in the Nursing plan of care? -- Impaired social
interaction -- Alteration in body image -- Pain -- Alteration in tissue perfusion
Answer: D
Q4
Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? --
Peaches -- Cottage cheese -- Popsicles -- Lima beans
Answer: C
Q5
The male client with sickle cell anemia comes to the emergency room with a temperature of
101.4 F and tells the nurse that he is having a sickle cell crisis. Which diagnostic test should the
nurse anticipate the emergency room doctor ordering for the client? -- Spinal tap. -- Hemoglobin
electrophoresis. -- Sickle-turbidity test (Sickledex). -- Blood cultures.
Answer: D
,Q6
A Client in crisis should:
Answer: Management of Pain Administration of oxygen Promoting Hydration to
decrease blood viscocity Monitor for
Q7
The nurse is teaching a group of parents whose children have sickle cell anemia. When a parent
asks the cause of the symptoms, the nurse responds with which of the following?
Answer: "Sickled cells clump in the smaller blood vessels and obstruct blood flow."
Rationale: All the symptoms of sickle cell are a result of the clumping of the sickled
cells in the microvasculature, causing obstruction of blood flow. The other statements
are inaccurate.
Q8
A child with suspected sickle cell disease (SCD) is in the clinic for laboratory studies. The
parents ask the nurse what results will tell the physician that their child has SCD. The nurse
responds that which of the following is increased in this disease?
Answer: Reticulocyte count Rationale: The reticulocyte count will be increased
because the life span of sickled red blood cells is shortened. Hemoglobin, hematocrit,
and platelet levels will be decreased.
Q9
A pregnant woman tells the nurse that there is a history of sickle cell disease in her family and
she is afraid that the baby will have the disease. The nurse provides the client with which of the
following information?
Answer: Both the mother and father must carry the gene for the baby to be affected.
Rationale: Sickle cell is inherited as an autosomal recessive disorder. Both parents
must carry the gene for the baby to be affected. The other statements are inaccurate.
Q10
The 24-year old African American C female client tells the nurse she has a brother with sickle
cell disease. She is engage to be married and is concerned about giving this disease to her
future children. which information is most important to provide too the client? tell the client that
she won't pass this on if she has never had symptoms Encourage the client to discuss this
concern with her fiance Recommend that she and her fiance see a genetic counselor Discuss
the possibility of adopting children after she gets married.
Answer: tell the client that she won't pass this on if she has never had symptoms
, Q11
The nurse is caring for a client in a 4. Morphine sickle cell crisis. which is the pain regiment of
choice to relieve the pain? Frequent aspirin Motrin Demerol Morphine
Answer: Frequent aspirin
Q12
Client is experiencing vaso-occlusive sickle cell crisis secondary to infection. which medical tx
should the nurse anticipate administer demerol admit the client to a private room Infuse D5W
Insert a 22-french foley
Answer: 3
Q13
Which s/s will the nurse expect to assess in the client diagnosed with a vaso-occlusive sickle cell
crisis lordosis epistaxis hematuria petechia
Answer: 3. Vaso-occlusive crisis, the most frequent crisis, is characterized by organ
infarction, which will result in bloody urine secondary to kidney infarction.
Q14
A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating
factors related to pain crisis. Which of the following, if identified by the mother as e
precipitating factor, indicates the need for further instructions? infection trauma fluid overload
stress
Answer: 3
Q15
Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical or
emotional stress. THe mother of a child with sickle cell disease should encourage fluid intake of
1.5-2 times the daily requirement to prevent dehydration! Laboratory studies are performed for
a child suspected of having iron deficiency anemia. THe nurse reviews the laboratory results,
knowing that which of the following results would indicate this type of anemia? An elevated
hemoglobin level a decreased reticulocyte count an elevated rbc count
Answer: An elevated hemoglobin level
Q1
A 43-year-old African American D male is admitted with sickle cell anemia. The nurse plans to
assess circulation in the lower extremities every 2 hours. Which of the following outcome
criteria would the nurse use? Body temperature of 99°F or less Toes moved in active range of
motion Sensation reported when soles of feet are touched Capillary refill of < 3 seconds
Answer: Body temperature of 99°F or less
Q2
A 25-year-old male is admitted in B sickle cell crisis. Which of the following interventions would
be of highest priority for this client? Taking hourly blood pressures with mechanical cuff
Encouraging fluid intake of at least 200mL per hour Position in high Fowler's with knee gatch
raised Administering Tylenol as ordered
Answer: Taking hourly blood pressures with mechanical cuff
Q3
A 14 year old girl has been hospitalized with Sickle Cell Anemia in vasoocclusive crisis. Which of
these Nursing diagnoses should receive priority in the Nursing plan of care? -- Impaired social
interaction -- Alteration in body image -- Pain -- Alteration in tissue perfusion
Answer: D
Q4
Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? --
Peaches -- Cottage cheese -- Popsicles -- Lima beans
Answer: C
Q5
The male client with sickle cell anemia comes to the emergency room with a temperature of
101.4 F and tells the nurse that he is having a sickle cell crisis. Which diagnostic test should the
nurse anticipate the emergency room doctor ordering for the client? -- Spinal tap. -- Hemoglobin
electrophoresis. -- Sickle-turbidity test (Sickledex). -- Blood cultures.
Answer: D
,Q6
A Client in crisis should:
Answer: Management of Pain Administration of oxygen Promoting Hydration to
decrease blood viscocity Monitor for
Q7
The nurse is teaching a group of parents whose children have sickle cell anemia. When a parent
asks the cause of the symptoms, the nurse responds with which of the following?
Answer: "Sickled cells clump in the smaller blood vessels and obstruct blood flow."
Rationale: All the symptoms of sickle cell are a result of the clumping of the sickled
cells in the microvasculature, causing obstruction of blood flow. The other statements
are inaccurate.
Q8
A child with suspected sickle cell disease (SCD) is in the clinic for laboratory studies. The
parents ask the nurse what results will tell the physician that their child has SCD. The nurse
responds that which of the following is increased in this disease?
Answer: Reticulocyte count Rationale: The reticulocyte count will be increased
because the life span of sickled red blood cells is shortened. Hemoglobin, hematocrit,
and platelet levels will be decreased.
Q9
A pregnant woman tells the nurse that there is a history of sickle cell disease in her family and
she is afraid that the baby will have the disease. The nurse provides the client with which of the
following information?
Answer: Both the mother and father must carry the gene for the baby to be affected.
Rationale: Sickle cell is inherited as an autosomal recessive disorder. Both parents
must carry the gene for the baby to be affected. The other statements are inaccurate.
Q10
The 24-year old African American C female client tells the nurse she has a brother with sickle
cell disease. She is engage to be married and is concerned about giving this disease to her
future children. which information is most important to provide too the client? tell the client that
she won't pass this on if she has never had symptoms Encourage the client to discuss this
concern with her fiance Recommend that she and her fiance see a genetic counselor Discuss
the possibility of adopting children after she gets married.
Answer: tell the client that she won't pass this on if she has never had symptoms
, Q11
The nurse is caring for a client in a 4. Morphine sickle cell crisis. which is the pain regiment of
choice to relieve the pain? Frequent aspirin Motrin Demerol Morphine
Answer: Frequent aspirin
Q12
Client is experiencing vaso-occlusive sickle cell crisis secondary to infection. which medical tx
should the nurse anticipate administer demerol admit the client to a private room Infuse D5W
Insert a 22-french foley
Answer: 3
Q13
Which s/s will the nurse expect to assess in the client diagnosed with a vaso-occlusive sickle cell
crisis lordosis epistaxis hematuria petechia
Answer: 3. Vaso-occlusive crisis, the most frequent crisis, is characterized by organ
infarction, which will result in bloody urine secondary to kidney infarction.
Q14
A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating
factors related to pain crisis. Which of the following, if identified by the mother as e
precipitating factor, indicates the need for further instructions? infection trauma fluid overload
stress
Answer: 3
Q15
Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical or
emotional stress. THe mother of a child with sickle cell disease should encourage fluid intake of
1.5-2 times the daily requirement to prevent dehydration! Laboratory studies are performed for
a child suspected of having iron deficiency anemia. THe nurse reviews the laboratory results,
knowing that which of the following results would indicate this type of anemia? An elevated
hemoglobin level a decreased reticulocyte count an elevated rbc count
Answer: An elevated hemoglobin level
