Lewis: MED-SURG: Chapter 31: Hematologic
Problems NCLEX questions with correct answers
In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
b. cyanosis and pulmonary edema.
c. cardiomegaly and pulmonary edema.
d. ventricular dysrhythmias and wheezing. Correct Answer-a
When obtaining assessment data from a patient with a microcytic,
hypochromic anemia, the nurse would question the patient about
a. folic acid intake.
b. dietary intake of iron
c. a history of gastric surgery
d. a history of sickle cell anemia Correct Answer-b
Nursing interventions for a patient with severe anemia related to peptic
ulcer disease include (select all that apply)
a. monitoring stools for guaiac.
b. instructions for high-iron diet.
c. taking vital signs every 8 hours.
d. teaching self-injection of erythropoietin.
e. administering of cobalamin (vitamin B12) injections. Correct Answer-
a
,The nursing management of a patient in sickle cell crisis includes (select
all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if required and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. Correct
Answer-a, b, c, d
A complication of the hyperviscosity of polycythemia is
a. thrombis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). Correct Answer-a
When caring for a patient with thrombocytopenia, the nurse instructs the
patient to
a. dab his or her nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with
thrombocytopenia. Correct Answer-a
The nurse would anticipate that a patient with von Willebrand disease
undergoing surgery would be treated with administration of vWF and
, a. thrombin.
b. factor VI.
c. factor VII.
d. factor VIII. Correct Answer-d
DIC is a disorder in which
a. the coagulation pathway is genetically altered, leading to thrombus
formation in all major blood vessels.
b. an underlying disease depletes hemolytic factors in the blood, leading
to diffuse thrombotic episodes and infarcts.
c. a disease process stimulates coagulation processes with resultant
thrombosis, as well as depletion of clotting factors, leading to diffuse
clotting and hemorrhage.
d. an inherited predisposition causes a deficiency of clotting factors that
leads to overstimulation of coagulation processes in the vasculature.
Correct Answer-c
Priority nursing actions when caring for a hospitalized patient with a
new-onset temperature of 102.2 F and severe neutropenia include (select
all that apply)
a. administering the prescribed antibiotic STAT.
b. drawing peripheral and central line blood cultures.
c. ongoing monitoring of the patient's vital signs for septic shock.
d. taking a full set of vital signs and notifying the physician
immediately.
Problems NCLEX questions with correct answers
In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
b. cyanosis and pulmonary edema.
c. cardiomegaly and pulmonary edema.
d. ventricular dysrhythmias and wheezing. Correct Answer-a
When obtaining assessment data from a patient with a microcytic,
hypochromic anemia, the nurse would question the patient about
a. folic acid intake.
b. dietary intake of iron
c. a history of gastric surgery
d. a history of sickle cell anemia Correct Answer-b
Nursing interventions for a patient with severe anemia related to peptic
ulcer disease include (select all that apply)
a. monitoring stools for guaiac.
b. instructions for high-iron diet.
c. taking vital signs every 8 hours.
d. teaching self-injection of erythropoietin.
e. administering of cobalamin (vitamin B12) injections. Correct Answer-
a
,The nursing management of a patient in sickle cell crisis includes (select
all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if required and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. Correct
Answer-a, b, c, d
A complication of the hyperviscosity of polycythemia is
a. thrombis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). Correct Answer-a
When caring for a patient with thrombocytopenia, the nurse instructs the
patient to
a. dab his or her nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with
thrombocytopenia. Correct Answer-a
The nurse would anticipate that a patient with von Willebrand disease
undergoing surgery would be treated with administration of vWF and
, a. thrombin.
b. factor VI.
c. factor VII.
d. factor VIII. Correct Answer-d
DIC is a disorder in which
a. the coagulation pathway is genetically altered, leading to thrombus
formation in all major blood vessels.
b. an underlying disease depletes hemolytic factors in the blood, leading
to diffuse thrombotic episodes and infarcts.
c. a disease process stimulates coagulation processes with resultant
thrombosis, as well as depletion of clotting factors, leading to diffuse
clotting and hemorrhage.
d. an inherited predisposition causes a deficiency of clotting factors that
leads to overstimulation of coagulation processes in the vasculature.
Correct Answer-c
Priority nursing actions when caring for a hospitalized patient with a
new-onset temperature of 102.2 F and severe neutropenia include (select
all that apply)
a. administering the prescribed antibiotic STAT.
b. drawing peripheral and central line blood cultures.
c. ongoing monitoring of the patient's vital signs for septic shock.
d. taking a full set of vital signs and notifying the physician
immediately.
