NURS660 Hematology Exam Questions With
100% Verified Answers
A patient is experiencing shortness of breath, pallor, and dizziness. Do you suspect an acute or
chronic anemia? - answer✔Acute blood loss
Chronic is often asymptomatic until very severe
What does an MCV value tell you? What is a normal value? What would a low and high value
be called? - answer✔the size of the RBC
normal: 80-100
>100: macrocytic (large RBC)
<80: microcyctic (small RBC)
What does an MCHC value tell you? What is a normal value? What would a low and high value
be called? - answer✔the "color" of the RBC or how saturated it is with HGB
Normal: 32-37
high value not a thing
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<32: hypochromic (lacking HGB)
What does an RDW value tell you? What is a normal value? What would a low and high value
be called? - answer✔essentially how far apart the RBCs are from each other - the further apart,
the less RBCs, otherwise they would be closer just based on the sheer volume
ranges about 11-15% but for testing purposes I think it will just say elevated or low
Describe in what types of infections/scenarios the types of WBCs would be elevated.
Neutrophil
Lymphocyte
Eosinophils
Monocytes
Basophils - answer✔Neutrophil: first line for bacterial infection
Lymphocyte: first line for viral infection
Eosinophils: allergies, parasitic infections
Monocytes: share function with neutrophils, only elevated in SEVERE infections
Basophils: parasitic, allergic, inflammation
If your CBC comes back abnormal, what is something you can do next? - answer✔add on a
peripheral smear if you didn't get one already
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Anisocytosis on your peripheral smear is/is not concerning - answer✔not concerning
normal size variant
Blasts on your peripheral smear is/is not concerning - answer✔Very concerning
blasts = red flag for leukemia, requires an oncology referral
blasts should remain in bone marrow until mature and ready to be released
Smudge cells on peripheral smear are seen with - answer✔CLL
What are the two smear cells you may see on a patient with IDA? - answer✔ovalcyte/elliptocyte
OR teardrop cells
Target cells and basophilic stippling on smears are indicative of... - answer✔thalassemia
Spherocytes on smear may indicate - answer✔hemolytic anemia
What is the most common trigger for the bone marrow to produce more RBCs? -
answer✔decrease in o2
Name the normal lab values for these labs
RBC
Hemoglobin
Hematocrit - answer✔RBC: 4.1-5.8
Hgb: 12-16 in women