Medsurg Ch. 29 Hematologic System Introduction, Ch. 30 Hematologic
Disorders Exam With Complete Solutions
1. A nurse is caring for a client who has hemophilia and reports an increase in bruising.
Which lab values should the nurse expect?
a. Hemoglobin 13 g/dL
b. WBC 8,000 /mm3
c. RBC 4.6 million/mm3
d. Platelets 110,000/mm3 - ANSWER Platelets 110,000/mm3
2. A nurse is assisting in the care of a client who is receiving platelets. the client reports
feeling chilled and itching. Which of the following priority actions should the nurse take?
a. Obtain vitals signs
b. Notify the provider
c. Notify the charge nurse.
d. Stop the infusion. - ANSWER Obtain vitals signs
3. Which foods should a nurse include in a nutrition teaching plan for a patient with
iron-deficiency anemia?
a. Beans and dried fruit
b. Apples and white rice
c. Yogurt and cooked carrots
d. Yellow squash and tortillas - ANSWER Beans and dried fruit
4. A 52-year-old man has a diagnosis of aplastic anemia. What information in the patient
history is pertinent to this diagnosis?
a. Long family history of cancer
b. Regular blood donor
c. 25-year employee in a chemical plant
, d. Gain of 5 lb in the last 2 years - ANSWER 25-year employee in a chemical plant
5. What should a nurse be careful to observe for when assessing a patient with
thrombocytopenia?
a. Distended neck veins and skin discoloration
b. Discoloration of the nails and sclera
c. Petechiae on the skin and bleeding gums
d. Enlarged thyroid gland and excitability - ANSWER Petechiae on the skin and bleeding
gums
6. What is the rationale for administering injections of vitamin B12 to patients with
pernicious anemia?
a. The patients body does not normally manufacture enough vitamin B12.
b. The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
c. Vitamin B12 is found in very small quantities in the patients body.
d. Vitamin B12 is a mineral necessary to aid in the formation of strong bones. - ANSWER
The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
7. At the end of a shift, a nurse documents the effectiveness of parent teaching
concerning the transmission of hemophilia. Which statement by the mother would best
indicate an accurate parental perception?
a. Hemophilia is a genetic disorder, and I am a carrier, although I do not have the
disease.
b. My son developed hemophilia because I had measles while I was pregnant.
c. Because my husband isn't affected by the disease, our daughter will not be a carrier.
d. I know it is not necessary to have my two daughters tested for the disease. - ANSWER
Hemophilia is a genetic disorder, and I am a carrier, although I do not have the disease.
8. What information should a nurse be sure to include when preparing discharge plans
for a patient recently diagnosed with pernicious anemia?
a. Adding daily high-fat, low-fiber supplements
Disorders Exam With Complete Solutions
1. A nurse is caring for a client who has hemophilia and reports an increase in bruising.
Which lab values should the nurse expect?
a. Hemoglobin 13 g/dL
b. WBC 8,000 /mm3
c. RBC 4.6 million/mm3
d. Platelets 110,000/mm3 - ANSWER Platelets 110,000/mm3
2. A nurse is assisting in the care of a client who is receiving platelets. the client reports
feeling chilled and itching. Which of the following priority actions should the nurse take?
a. Obtain vitals signs
b. Notify the provider
c. Notify the charge nurse.
d. Stop the infusion. - ANSWER Obtain vitals signs
3. Which foods should a nurse include in a nutrition teaching plan for a patient with
iron-deficiency anemia?
a. Beans and dried fruit
b. Apples and white rice
c. Yogurt and cooked carrots
d. Yellow squash and tortillas - ANSWER Beans and dried fruit
4. A 52-year-old man has a diagnosis of aplastic anemia. What information in the patient
history is pertinent to this diagnosis?
a. Long family history of cancer
b. Regular blood donor
c. 25-year employee in a chemical plant
, d. Gain of 5 lb in the last 2 years - ANSWER 25-year employee in a chemical plant
5. What should a nurse be careful to observe for when assessing a patient with
thrombocytopenia?
a. Distended neck veins and skin discoloration
b. Discoloration of the nails and sclera
c. Petechiae on the skin and bleeding gums
d. Enlarged thyroid gland and excitability - ANSWER Petechiae on the skin and bleeding
gums
6. What is the rationale for administering injections of vitamin B12 to patients with
pernicious anemia?
a. The patients body does not normally manufacture enough vitamin B12.
b. The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
c. Vitamin B12 is found in very small quantities in the patients body.
d. Vitamin B12 is a mineral necessary to aid in the formation of strong bones. - ANSWER
The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
7. At the end of a shift, a nurse documents the effectiveness of parent teaching
concerning the transmission of hemophilia. Which statement by the mother would best
indicate an accurate parental perception?
a. Hemophilia is a genetic disorder, and I am a carrier, although I do not have the
disease.
b. My son developed hemophilia because I had measles while I was pregnant.
c. Because my husband isn't affected by the disease, our daughter will not be a carrier.
d. I know it is not necessary to have my two daughters tested for the disease. - ANSWER
Hemophilia is a genetic disorder, and I am a carrier, although I do not have the disease.
8. What information should a nurse be sure to include when preparing discharge plans
for a patient recently diagnosed with pernicious anemia?
a. Adding daily high-fat, low-fiber supplements
