HEMATOLOGY NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
1. A nurse in a clinic is caring for a A. An iron level of 90 mcg/dL is within the
client who has suspected ane- expected reference
mia. Which of the following lab- range and is not an expected finding of
oratory test results should the anemia.
nurse expect? B. RBC count of 6.5 million/uL is above the
A. Iron 90 mcg/dL expected reference
B. RBC 6.5 million/uL range. A decreased RBC count is an ex-
C. WBC 4,800 mm3 pected finding of anemia.
D. Hgb 10 g/dL C. WBC count of 4800 mm3
is below the expected reference
range and is not an expected finding of
anemia.
D. CORRECT: Hgb of 10 g/dL is below the
expected
reference range and is an expected finding
of anemia.
2. A nurse is caring for a client A. aPTT is monitored for clients receiving
who is receiving warfarin for heparin therapy. An aPTT of 38 seconds
anticoagulation therapy. Which is within the expected reference range for
of the following laboratory test clients not receiving heparin therapy.
results indicates to the nurse B. CORRECT: INR of 1.1 is within the ex-
that the client needs an in- pected reference range for a client who is
crease in the dosage? not receiving warfarin. However, this value
A. aPTT 38 seconds is subtherapeutic for anticoagulation ther-
B. INR 1.1 apy. The nurse should expect the client to
C. PT 22 seconds receive an increased dosage of warfarin
D. D dimer negative until the INR is 2 to 3.
C. PT of 22 seconds is above the expected
reference range for a client receiving war-
farin therapy. This result indicates the client
is at an increased risk for bleeding.
D. A negative D dimer test indicates the
absence of a pulmonary embolus or deep
vein thrombosis and is not used to deter-
mine the dosage needs for warfarin thera-
py.
3.
, HEMATOLOGY NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
A nurse is providing teaching A. The nurse should inform the client that
for a client who is scheduled for he will be placed in a prone or side lying
a bone marrow biopsy of the ili- position during the test in order to expose
ac crest. Which of the following the iliac crest.
statements made by the client B. CORRECT: The nurse should inform the
indicates an understanding of client of the need to stay on bed rest for 30
the teaching? to 60 min following the test to reduce the
A. "This test will be performed risk for bleeding.
while I am lying flat on my C. The nurse should inform the client that
back." a culture and sensitivity test determines
B. "I will need to stay in bed for the type of antibiotics needed to treat an
about an hour after the test." infection.
C."This test will determine D. The nurse should inform the client that
which antibiotic I should take he will receive a sedative prior to the test
for treatment." and that a local anesthetic will be used at
D."I will receive general anes- the site.
thesia for the test."
4. 1. A nurse is preparing to ad- A. The nurse should obtain consent from
minister the client for
packed RBCs to a client who the transfusion prior to initiating the trans-
has a Hgb of 8 g/dL. Which of fusion.
the following actions should B. CORRECT: The nurse should assess for
the an acute hemolytic reaction
nurse plan to take during the during the first 15 min of the transfusion.
first 15 min of the transfusion? This form of a reaction can
A. Obtain consent from the occur following the transfusion of as little as
client for the transfusion. 10 mL of blood product.
B. Assess for an acute C. The nurse should explain the transfusion
hemolytic reaction. procedure
C. Explain the transfusion to the client prior to initiating the transfu-
procedure to the client. sion.
D. Obtain blood culture D. The nurse should obtain blood culture
specimens to send to the lab specimens
5. 2. A nurse is caring for a client A. CORRECT: The nurse should immedi-
who ately stop the infusion if an allergic transfu-
is receiving a blood transfu- sion reaction is suspected.
sion. B. The nurse should monitor for hypoten-
, HEMATOLOGY NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
Which of the following actions sion if an allergic transfusion reaction is
should the nurse expect if an suspected due to the risk for shock.
allergic transfusion reaction is C. CORRECT: The nurse should administer
suspected? (Select all that ap- 0.9% sodium chloride solution through new
ply.) IV tubing if an allergic transfusion reaction
A. Stop the transfusion. is suspected.
B. Monitor for hypertension. D. The nurse should position the client in an
C. Maintain an IV infusion with upright position with the feet lower than the
0.9% sodium chloride. level of the heart if a circulatory overload is
D. Position the client in an suspected.
upright position with the E. CORRECT: The nurse should admin-
feet lower than the heart. ister an antihistamine, such as diphenhy-
E. Administer diphenhy- dramine, if an allergic transfusion reaction
dramine. is suspected.
6. 3. A nurse is monitoring a client A. A temperature increase of 1° F (0.5°
who began receiving a unit C) is an indication of a febrile transfusion
of packed RBCs 10 min ago. reaction.
Which of the following findings B. Hypotension is an indication of a febrile
should the nurse identify as an transfusion reaction.
indication of a febrile transfu- C. CORRECT: Tachycardia is an indication
sion of a febrile transfusion reaction.
reaction? (Select all that apply.) D. The client's report of itching is an indica-
A. Temperature change from tion of an allergic transfusion reaction.
37° C (98.6° F) pretransfusion E. CORRECT: A flushed appearance of the
to 37.2° C (99.0° F) client can indicate a febrile transfusion re-
B. Current blood pressure action
178/90 mm Hg
C. Heart rate change from
88/min
pretransfusion to 120/min
D. Client report of itching
E. Client appears flushed
7. 4. A nurse is providing preoper- A. The client should donate blood for an
ative autologous
teaching for a client who re- transfusion no sooner than 6 weeks prior to
quests surgery.
autologous donation in prepa- B. An autologous donation refers to the
GRADED A+
1. A nurse in a clinic is caring for a A. An iron level of 90 mcg/dL is within the
client who has suspected ane- expected reference
mia. Which of the following lab- range and is not an expected finding of
oratory test results should the anemia.
nurse expect? B. RBC count of 6.5 million/uL is above the
A. Iron 90 mcg/dL expected reference
B. RBC 6.5 million/uL range. A decreased RBC count is an ex-
C. WBC 4,800 mm3 pected finding of anemia.
D. Hgb 10 g/dL C. WBC count of 4800 mm3
is below the expected reference
range and is not an expected finding of
anemia.
D. CORRECT: Hgb of 10 g/dL is below the
expected
reference range and is an expected finding
of anemia.
2. A nurse is caring for a client A. aPTT is monitored for clients receiving
who is receiving warfarin for heparin therapy. An aPTT of 38 seconds
anticoagulation therapy. Which is within the expected reference range for
of the following laboratory test clients not receiving heparin therapy.
results indicates to the nurse B. CORRECT: INR of 1.1 is within the ex-
that the client needs an in- pected reference range for a client who is
crease in the dosage? not receiving warfarin. However, this value
A. aPTT 38 seconds is subtherapeutic for anticoagulation ther-
B. INR 1.1 apy. The nurse should expect the client to
C. PT 22 seconds receive an increased dosage of warfarin
D. D dimer negative until the INR is 2 to 3.
C. PT of 22 seconds is above the expected
reference range for a client receiving war-
farin therapy. This result indicates the client
is at an increased risk for bleeding.
D. A negative D dimer test indicates the
absence of a pulmonary embolus or deep
vein thrombosis and is not used to deter-
mine the dosage needs for warfarin thera-
py.
3.
, HEMATOLOGY NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
A nurse is providing teaching A. The nurse should inform the client that
for a client who is scheduled for he will be placed in a prone or side lying
a bone marrow biopsy of the ili- position during the test in order to expose
ac crest. Which of the following the iliac crest.
statements made by the client B. CORRECT: The nurse should inform the
indicates an understanding of client of the need to stay on bed rest for 30
the teaching? to 60 min following the test to reduce the
A. "This test will be performed risk for bleeding.
while I am lying flat on my C. The nurse should inform the client that
back." a culture and sensitivity test determines
B. "I will need to stay in bed for the type of antibiotics needed to treat an
about an hour after the test." infection.
C."This test will determine D. The nurse should inform the client that
which antibiotic I should take he will receive a sedative prior to the test
for treatment." and that a local anesthetic will be used at
D."I will receive general anes- the site.
thesia for the test."
4. 1. A nurse is preparing to ad- A. The nurse should obtain consent from
minister the client for
packed RBCs to a client who the transfusion prior to initiating the trans-
has a Hgb of 8 g/dL. Which of fusion.
the following actions should B. CORRECT: The nurse should assess for
the an acute hemolytic reaction
nurse plan to take during the during the first 15 min of the transfusion.
first 15 min of the transfusion? This form of a reaction can
A. Obtain consent from the occur following the transfusion of as little as
client for the transfusion. 10 mL of blood product.
B. Assess for an acute C. The nurse should explain the transfusion
hemolytic reaction. procedure
C. Explain the transfusion to the client prior to initiating the transfu-
procedure to the client. sion.
D. Obtain blood culture D. The nurse should obtain blood culture
specimens to send to the lab specimens
5. 2. A nurse is caring for a client A. CORRECT: The nurse should immedi-
who ately stop the infusion if an allergic transfu-
is receiving a blood transfu- sion reaction is suspected.
sion. B. The nurse should monitor for hypoten-
, HEMATOLOGY NCLEX QUESTIONS WITH 100% VERIFIED ANSWERS
GRADED A+
Which of the following actions sion if an allergic transfusion reaction is
should the nurse expect if an suspected due to the risk for shock.
allergic transfusion reaction is C. CORRECT: The nurse should administer
suspected? (Select all that ap- 0.9% sodium chloride solution through new
ply.) IV tubing if an allergic transfusion reaction
A. Stop the transfusion. is suspected.
B. Monitor for hypertension. D. The nurse should position the client in an
C. Maintain an IV infusion with upright position with the feet lower than the
0.9% sodium chloride. level of the heart if a circulatory overload is
D. Position the client in an suspected.
upright position with the E. CORRECT: The nurse should admin-
feet lower than the heart. ister an antihistamine, such as diphenhy-
E. Administer diphenhy- dramine, if an allergic transfusion reaction
dramine. is suspected.
6. 3. A nurse is monitoring a client A. A temperature increase of 1° F (0.5°
who began receiving a unit C) is an indication of a febrile transfusion
of packed RBCs 10 min ago. reaction.
Which of the following findings B. Hypotension is an indication of a febrile
should the nurse identify as an transfusion reaction.
indication of a febrile transfu- C. CORRECT: Tachycardia is an indication
sion of a febrile transfusion reaction.
reaction? (Select all that apply.) D. The client's report of itching is an indica-
A. Temperature change from tion of an allergic transfusion reaction.
37° C (98.6° F) pretransfusion E. CORRECT: A flushed appearance of the
to 37.2° C (99.0° F) client can indicate a febrile transfusion re-
B. Current blood pressure action
178/90 mm Hg
C. Heart rate change from
88/min
pretransfusion to 120/min
D. Client report of itching
E. Client appears flushed
7. 4. A nurse is providing preoper- A. The client should donate blood for an
ative autologous
teaching for a client who re- transfusion no sooner than 6 weeks prior to
quests surgery.
autologous donation in prepa- B. An autologous donation refers to the
