Hematology NCLEX Exam Test Questions with Answers Graded A+
A. Inspect the skin for petechiae.
When assessing a patient's nutritional-metabolic pattern Any changes in the skin's texture or color should be ex-
related to hematologic health, what should the nurse do? plored when assessing the patient's nutritional-metabol-
A. Inspect the skin for petechiae. ic pattern related to hematologic health. The presence
B. Ask the patient about joint pain. of petechiae or ecchymotic areas could be indicative of
C. Assess for vitamin C deficiency. hematologic deficiencies related to poor nutritional intake
D. Determine if the patient can perform ADLs. or related causes. The other options are not specific to
the nutritional-metabolic pattern related to hematologic
health.
D. Increased bands in the white blood cell (WBC) ditter-
ential (shift to the left)
When infections are severe, such as in septicemia, more
When assessing laboratory values on a patient admitted granulocytes are released from the bone marrow as a
with septicemia, what should the nurse expect to find? compensatory mechanism. To meet the increased de-
A. Increased platelets mand, many young, immature polymorphonuclear neu-
B. Decreased red blood cells trophils (bands) are released into circulation. WBCs are
C. Decreased erythrocyte sedimentation rate (ESR) usually reported in order of maturity (initially with the
D. Increased bands in the white blood cell (WBC) ditter- less mature forms on the left side of a written report).
ential (shift to the left) Hence, the term "shift to the left" is used to denote an
increase in the number of bands. Thrombocytosis occurs
with inflammation and some malignant disorders. De-
creased red blood cells indicate anemia. Decreased ESR
is not indicative of septicemia.
Results of a patient's most recent blood work indicate
B. An infection
an elevated neutrophil level. The nurse should recognize
that this diagnostic finding most likely suggests which
An increase in the neutrophil count most commonly occurs
problem?
in response to infection or inflammation. Hypoxemia and
A. Hypoxemia coagulation do not directly attect neutrophil production.
B. An infection
, Hematology NCLEX Exam Test Questions with Answers Graded A+
C. A risk of hypocoagulation
D. An acute thrombotic event
A 30-year-old patient has undergone a splenectomy as B. Increased platelet levels
a result of injuries suttered in a motor vehicle accident. E. Impaired immunologic function
Which phenomena are likely to result from the absence of
the patient's spleen (select all that apply)? Splenectomy can result in increased platelet levels and
A. Impaired fibrinolysis impaired immunologic function as a consequence of the
B. Increased platelet levels loss of storage and immunologic functions of the spleen.
C. Increased eosinophil levels Fibrinolysis, fatigue, and cold intolerance are less likely to
D. Fatigue and cold intolerance result from the loss of the spleen since coagulation and
E. Impaired immunologic function oxygenation are not primary responsibilities of the spleen.
The nurse is providing care for older adults on a subacute, B. Decreased hemoglobin
geriatric medicine unit. What ettect is aging likely to have
on hematologic function of older adults? Older adults frequently experience decreased hemoglo-
A. Thrombocytosis bin levels as a result of changes in erythropoiesis. De-
B. Decreased hemoglobin creased blood volume, decreased WBCs, and alterations
C. Decreased WBC count in platelet number are not considered to be normal,
D. Decreased blood volume age-related hematologic changes.
A blood type and cross-match has been ordered for a
male patient who is experiencing an upper gastrointesti-
nal bleed. The results of the blood work indicate that the C. The patient has A antigens on his red blood cells
patient has type A blood. Which description explains what (RBCs).
this means?
A. The patient can be transfused with type AB blood. An individual with type A blood has A antigens, not A
B. The patient may only receive a type A transfusion. antibodies, on his RBCs. An AB transfusion would result in
C. The patient has A antigens on his red blood cells agglutination, but he may be transfused with either type
(RBCs). A or type O blood.
D. Antibodies are present on the surface of the patient's
RBCs.
A. Inspect the skin for petechiae.
When assessing a patient's nutritional-metabolic pattern Any changes in the skin's texture or color should be ex-
related to hematologic health, what should the nurse do? plored when assessing the patient's nutritional-metabol-
A. Inspect the skin for petechiae. ic pattern related to hematologic health. The presence
B. Ask the patient about joint pain. of petechiae or ecchymotic areas could be indicative of
C. Assess for vitamin C deficiency. hematologic deficiencies related to poor nutritional intake
D. Determine if the patient can perform ADLs. or related causes. The other options are not specific to
the nutritional-metabolic pattern related to hematologic
health.
D. Increased bands in the white blood cell (WBC) ditter-
ential (shift to the left)
When infections are severe, such as in septicemia, more
When assessing laboratory values on a patient admitted granulocytes are released from the bone marrow as a
with septicemia, what should the nurse expect to find? compensatory mechanism. To meet the increased de-
A. Increased platelets mand, many young, immature polymorphonuclear neu-
B. Decreased red blood cells trophils (bands) are released into circulation. WBCs are
C. Decreased erythrocyte sedimentation rate (ESR) usually reported in order of maturity (initially with the
D. Increased bands in the white blood cell (WBC) ditter- less mature forms on the left side of a written report).
ential (shift to the left) Hence, the term "shift to the left" is used to denote an
increase in the number of bands. Thrombocytosis occurs
with inflammation and some malignant disorders. De-
creased red blood cells indicate anemia. Decreased ESR
is not indicative of septicemia.
Results of a patient's most recent blood work indicate
B. An infection
an elevated neutrophil level. The nurse should recognize
that this diagnostic finding most likely suggests which
An increase in the neutrophil count most commonly occurs
problem?
in response to infection or inflammation. Hypoxemia and
A. Hypoxemia coagulation do not directly attect neutrophil production.
B. An infection
, Hematology NCLEX Exam Test Questions with Answers Graded A+
C. A risk of hypocoagulation
D. An acute thrombotic event
A 30-year-old patient has undergone a splenectomy as B. Increased platelet levels
a result of injuries suttered in a motor vehicle accident. E. Impaired immunologic function
Which phenomena are likely to result from the absence of
the patient's spleen (select all that apply)? Splenectomy can result in increased platelet levels and
A. Impaired fibrinolysis impaired immunologic function as a consequence of the
B. Increased platelet levels loss of storage and immunologic functions of the spleen.
C. Increased eosinophil levels Fibrinolysis, fatigue, and cold intolerance are less likely to
D. Fatigue and cold intolerance result from the loss of the spleen since coagulation and
E. Impaired immunologic function oxygenation are not primary responsibilities of the spleen.
The nurse is providing care for older adults on a subacute, B. Decreased hemoglobin
geriatric medicine unit. What ettect is aging likely to have
on hematologic function of older adults? Older adults frequently experience decreased hemoglo-
A. Thrombocytosis bin levels as a result of changes in erythropoiesis. De-
B. Decreased hemoglobin creased blood volume, decreased WBCs, and alterations
C. Decreased WBC count in platelet number are not considered to be normal,
D. Decreased blood volume age-related hematologic changes.
A blood type and cross-match has been ordered for a
male patient who is experiencing an upper gastrointesti-
nal bleed. The results of the blood work indicate that the C. The patient has A antigens on his red blood cells
patient has type A blood. Which description explains what (RBCs).
this means?
A. The patient can be transfused with type AB blood. An individual with type A blood has A antigens, not A
B. The patient may only receive a type A transfusion. antibodies, on his RBCs. An AB transfusion would result in
C. The patient has A antigens on his red blood cells agglutination, but he may be transfused with either type
(RBCs). A or type O blood.
D. Antibodies are present on the surface of the patient's
RBCs.
