Hematology NCLEX Test Questions with 100% Verified Answers
1. When assessing a pa- A. Inspect the skin for petechiae.
tient's nutritional-metabol-
ic pattern related to hema- Any changes in the skin's texture or color
tologic health, what should should be explored when assessing the pa-
the nurse do? tient's nutritional-metabolic pattern related to
A. Inspect the skin for pe- hematologic health. The presence of petechi-
techiae. ae or ecchymotic areas could be indicative of
B. Ask the patient about hematologic deficiencies related to poor nutri-
joint pain. tional intake or related causes. The other op-
C. Assess for vitamin C de- tions are not specific to the nutritional-metabol-
ficiency. ic pattern related to hematologic health.
D. Determine if the patient
can perform ADLs.
2. When assessing laboratory D. Increased bands in the white blood cell
values on a patient admit- (WBC) differential (shift to the left)
ted with septicemia, what
should the nurse expect to When infections are severe, such as in
find? septicemia, more granulocytes are released
A. Increased platelets from the bone marrow as a compensato-
B. Decreased red blood ry mechanism. To meet the increased de-
cells mand, many young, immature polymorphonu-
C. Decreased erythrocyte clear neutrophils (bands) are released into cir-
sedimentation rate (ESR) culation. WBCs are usually reported in order of
D. Increased bands in the maturity (initially with the less mature forms on
white blood cell (WBC) dif- the left side of a written report). Hence, the term
ferential (shift to the left) "shift to the left" is used to denote an increase
in the number of bands. Thrombocytosis oc-
curs with inflammation and some malignant
disorders. Decreased red blood cells indicate
anemia. Decreased ESR is not indicative of
septicemia.
3. Results of a patient's most B. An infection
recent blood work indicate
an elevated neutrophil lev- An increase in the neutrophil count most com-
el. The nurse should rec- monly occurs in response to infection or in-
ognize that this diagnos- flammation. Hypoxemia and coagulation do not
tic finding most likely sug- directly affect neutrophil production.
, Hematology NCLEX Test Questions with 100% Verified Answers
gests which problem?
A. Hypoxemia
B. An infection
C. A risk of hypocoagula-
tion
D. An acute thrombotic
event
4. A 30-year-old patient has B. Increased platelet levels
undergone a splenectomy E. Impaired immunologic function
as a result of injuries suf-
fered in a motor vehicle Splenectomy can result in increased platelet
accident. Which phenome- levels and impaired immunologic function as
na are likely to result from a consequence of the loss of storage and im-
the absence of the patient's munologic functions of the spleen. Fibrinolysis,
spleen (select all that ap- fatigue, and cold intolerance are less likely to
ply)? result from the loss of the spleen since coagu-
A. Impaired fibrinolysis lation and oxygenation are not primary respon-
B. Increased platelet levels sibilities of the spleen.
C. Increased eosinophil lev-
els
D. Fatigue and cold intoler-
ance
E. Impaired immunologic
function
5. The nurse is providing care B. Decreased hemoglobin
for older adults on a sub-
acute, geriatric medicine Older adults frequently experience decreased
unit. What effect is aging hemoglobin levels as a result of changes in
likely to have on hema- erythropoiesis. Decreased blood volume, de-
tologic function of older creased WBCs, and alterations in platelet num-
adults? ber are not considered to be normal, age-relat-
A. Thrombocytosis ed hematologic changes.
B. Decreased hemoglobin
C. Decreased WBC count
D. Decreased blood volume
6.
1. When assessing a pa- A. Inspect the skin for petechiae.
tient's nutritional-metabol-
ic pattern related to hema- Any changes in the skin's texture or color
tologic health, what should should be explored when assessing the pa-
the nurse do? tient's nutritional-metabolic pattern related to
A. Inspect the skin for pe- hematologic health. The presence of petechi-
techiae. ae or ecchymotic areas could be indicative of
B. Ask the patient about hematologic deficiencies related to poor nutri-
joint pain. tional intake or related causes. The other op-
C. Assess for vitamin C de- tions are not specific to the nutritional-metabol-
ficiency. ic pattern related to hematologic health.
D. Determine if the patient
can perform ADLs.
2. When assessing laboratory D. Increased bands in the white blood cell
values on a patient admit- (WBC) differential (shift to the left)
ted with septicemia, what
should the nurse expect to When infections are severe, such as in
find? septicemia, more granulocytes are released
A. Increased platelets from the bone marrow as a compensato-
B. Decreased red blood ry mechanism. To meet the increased de-
cells mand, many young, immature polymorphonu-
C. Decreased erythrocyte clear neutrophils (bands) are released into cir-
sedimentation rate (ESR) culation. WBCs are usually reported in order of
D. Increased bands in the maturity (initially with the less mature forms on
white blood cell (WBC) dif- the left side of a written report). Hence, the term
ferential (shift to the left) "shift to the left" is used to denote an increase
in the number of bands. Thrombocytosis oc-
curs with inflammation and some malignant
disorders. Decreased red blood cells indicate
anemia. Decreased ESR is not indicative of
septicemia.
3. Results of a patient's most B. An infection
recent blood work indicate
an elevated neutrophil lev- An increase in the neutrophil count most com-
el. The nurse should rec- monly occurs in response to infection or in-
ognize that this diagnos- flammation. Hypoxemia and coagulation do not
tic finding most likely sug- directly affect neutrophil production.
, Hematology NCLEX Test Questions with 100% Verified Answers
gests which problem?
A. Hypoxemia
B. An infection
C. A risk of hypocoagula-
tion
D. An acute thrombotic
event
4. A 30-year-old patient has B. Increased platelet levels
undergone a splenectomy E. Impaired immunologic function
as a result of injuries suf-
fered in a motor vehicle Splenectomy can result in increased platelet
accident. Which phenome- levels and impaired immunologic function as
na are likely to result from a consequence of the loss of storage and im-
the absence of the patient's munologic functions of the spleen. Fibrinolysis,
spleen (select all that ap- fatigue, and cold intolerance are less likely to
ply)? result from the loss of the spleen since coagu-
A. Impaired fibrinolysis lation and oxygenation are not primary respon-
B. Increased platelet levels sibilities of the spleen.
C. Increased eosinophil lev-
els
D. Fatigue and cold intoler-
ance
E. Impaired immunologic
function
5. The nurse is providing care B. Decreased hemoglobin
for older adults on a sub-
acute, geriatric medicine Older adults frequently experience decreased
unit. What effect is aging hemoglobin levels as a result of changes in
likely to have on hema- erythropoiesis. Decreased blood volume, de-
tologic function of older creased WBCs, and alterations in platelet num-
adults? ber are not considered to be normal, age-relat-
A. Thrombocytosis ed hematologic changes.
B. Decreased hemoglobin
C. Decreased WBC count
D. Decreased blood volume
6.
