Nclex questions...good...Hematology
Nursing III sickle cell anemia, and
Answers Graded A+
A child is suspected of having sickle cell disease is seen in a clinic, and laboratory
studies are performed. A nurse checks the laboratory results, knowing that which of
the following would be increased in this disease?
1. platelet count
2. hematocrit level
3. reticulocyte count
4. Hemoglobin level - Correct answer-answer: 3
Rationale: A diagnosis is established based on a complete blood count,
examination for sickled red blood cells in the peripheral smear, and hemoglobin
electrophoresis. Laboratory studies will show decreased hemoglobin and
hematocrit levels and a decreased platelet count, an INCREASED reticulocyte
count and the presence of nucleated red blood cells. Increased reticulocyte counts
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,occur in children with sickle cell disease because the life span of their sickled red
blood cells is shortened.
A pediatric nursing instructor asks a nursing student to describe the cause of the
clinical manifestations that occur in sickle cell disease. The student responds
correctly by telling the instructor that
1. Sickled cells increase the blood flow through the body and cause a great deal of
pain.
2. sickled cells mix with the unsickled cells and cause the immune system to
become depressed.
3. bone marrow depression occurs because of the development of sickled cells.
4. sickled cells are unable to flow easily through the microvasculature and their
clumping obstructs blood flow. - Correct answer-Answer: 4
Rationale: all of the clinical manifestations of sickle cell disease result from the
sickled cells being unable to flow easily through the microvasculature, and their
clumping obstructs blood flow. With re-oxygenation, most of the sickled red blood
cells resume their normal shape. Options 1, 2, and 3 are incorrect statements.
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, 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?
1. infection
2. trauma
3. fluid overload
4. stress - Correct answer-answer: 3
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!
A client with anemia has a nursing diagnosis of activity intolerance. Which of the
following interventions will the nurse plan for this client?
1.Promote active and passive range-of-motion activities.
2.Space activities and plan rest periods.
3.Teach the client to change position slowly to prevent dizziness.
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Nursing III sickle cell anemia, and
Answers Graded A+
A child is suspected of having sickle cell disease is seen in a clinic, and laboratory
studies are performed. A nurse checks the laboratory results, knowing that which of
the following would be increased in this disease?
1. platelet count
2. hematocrit level
3. reticulocyte count
4. Hemoglobin level - Correct answer-answer: 3
Rationale: A diagnosis is established based on a complete blood count,
examination for sickled red blood cells in the peripheral smear, and hemoglobin
electrophoresis. Laboratory studies will show decreased hemoglobin and
hematocrit levels and a decreased platelet count, an INCREASED reticulocyte
count and the presence of nucleated red blood cells. Increased reticulocyte counts
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,occur in children with sickle cell disease because the life span of their sickled red
blood cells is shortened.
A pediatric nursing instructor asks a nursing student to describe the cause of the
clinical manifestations that occur in sickle cell disease. The student responds
correctly by telling the instructor that
1. Sickled cells increase the blood flow through the body and cause a great deal of
pain.
2. sickled cells mix with the unsickled cells and cause the immune system to
become depressed.
3. bone marrow depression occurs because of the development of sickled cells.
4. sickled cells are unable to flow easily through the microvasculature and their
clumping obstructs blood flow. - Correct answer-Answer: 4
Rationale: all of the clinical manifestations of sickle cell disease result from the
sickled cells being unable to flow easily through the microvasculature, and their
clumping obstructs blood flow. With re-oxygenation, most of the sickled red blood
cells resume their normal shape. Options 1, 2, and 3 are incorrect statements.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, 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?
1. infection
2. trauma
3. fluid overload
4. stress - Correct answer-answer: 3
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!
A client with anemia has a nursing diagnosis of activity intolerance. Which of the
following interventions will the nurse plan for this client?
1.Promote active and passive range-of-motion activities.
2.Space activities and plan rest periods.
3.Teach the client to change position slowly to prevent dizziness.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
