NSG 223 Mod 4 - Blood Disorder Practice
Exam Questions and Answers with Verified
Solutions | Latest Updated 2026
A client newly diagnosed with ANS: B Rationale: Thrombocytopenia can
thrombocytopenia is admitted to result
the from a decreased platelet production,
medical unit. After increased
the admission assessment, the platelet destruction, or increased
client consumption of
asks the nurse to explain the platelets. Impaired platelet communication,
condition. The nurse antibodies, and autoimmune processes
explains to this client that this are not
condition occurs due to which typical pathologies.
factor?
A. An attack on the platelets by
antibodies
B. Decreased production of
platelets
C. Impaired communication
between
platelets
D. An autoimmune process
causing
platelet malfunction
,A critical care nurse is caring for a ANS: D Rationale: A splenectomy may be
client with immune hemolytic the
anemia. The client is course of treatment if autoimmune
not responding to conservative hemolytic
treatments, and the client's anemia does not respond to conservative
condition treatment. Vitamin K administration is
is now becoming treatment for
life-threatening. The nurse is vitamin K deficiency and does not resolve
aware anemia.
that a treatment option in this case Platelet transfusion may be the course of
may include treatment
which intervention? for some bleeding disorders. Hepatectomy
A. Hepatectomy would
B. Vitamin K administration not help the client.
C. Platelet transfusion
D. Splenectomy
A nurse is providing education to a ANS: C Rationale: The nurse will inform
client with iron deficiency anemia the client
who has been that iron will cause the stools to become
prescribed iron supplements. What dark in
should the nurse include in health color. Iron should be taken on an empty
education? stomach,
A. Take the iron with dairy as its absorption is affected by food,
products especially
to enhance absorption. dairy products. Clients should be
B. Increase the intake of vitamin E instructed to
to increase their intake of vitamin C to
enhance absorption. enhance iron
C. Iron will cause the stools to absorption. Foods high in fiber should be
darken in color. consumed to minimize problems with
D. Limit foods high in fiber due to constipation,
the a common side effect associated with iron
risk for diarrhea. therapy.
,The nurse is assessing a new ANS: C Rationale: A red, smooth, sore
client tongue is a
with reports of acute fatigue and a symptom associated with megaloblastic
sore tongue that anemia.
is visibly smooth and beefy red. Sickle cell disease, hemophilia, and
This thrombocytopenia do not have symptoms
client is demonstrating signs and involving the tongue.
symptoms
associated with what form of
hematologic disorder?
A. Sickle cell disease
B. Hemophilia
C. Megaloblastic anemia
D. Thrombocytopenia
A client with acute kidney injury ANS: B Rationale: The decreased
has production of
decreased erythropoietin erythropoietin will result in a decreased
production. Upon hemoglobin and hematocrit. The client will
analysis of the client's complete have
blood count, the nurse will expect normal MCV and RDW because the
which of the following erythrocytes
results? are normal in appearance.
A. An increased hemoglobin and
decreased hematocrit
B. A decreased hemoglobin and
hematocrit
C. A decreased mean corpuscular
volume (MCV) and red cell
distribution width
(RDW)
D. An increased mean corpuscular
volume (MCV) and red cell
distribution width
(RDW)
, A client comes to the clinic ANS: A Rationale: A low serum iron level,
reporting a low
fatigue and the health interview is ferritin level, and symptoms of pica are
suggestive of associated
pica. Laboratory findings reveal a with iron deficiency anemia. TIBC may
low serum iron level and a low also be
ferritin level. With what elevated. None of the other anemias are
would the nurse suspect that the associated
client will be diagnosed? with pica.
A. Iron deficiency anemia
B. Pernicious anemia
C. Sickle cell disease
D. Hemolytic anemia
Exam Questions and Answers with Verified
Solutions | Latest Updated 2026
A client newly diagnosed with ANS: B Rationale: Thrombocytopenia can
thrombocytopenia is admitted to result
the from a decreased platelet production,
medical unit. After increased
the admission assessment, the platelet destruction, or increased
client consumption of
asks the nurse to explain the platelets. Impaired platelet communication,
condition. The nurse antibodies, and autoimmune processes
explains to this client that this are not
condition occurs due to which typical pathologies.
factor?
A. An attack on the platelets by
antibodies
B. Decreased production of
platelets
C. Impaired communication
between
platelets
D. An autoimmune process
causing
platelet malfunction
,A critical care nurse is caring for a ANS: D Rationale: A splenectomy may be
client with immune hemolytic the
anemia. The client is course of treatment if autoimmune
not responding to conservative hemolytic
treatments, and the client's anemia does not respond to conservative
condition treatment. Vitamin K administration is
is now becoming treatment for
life-threatening. The nurse is vitamin K deficiency and does not resolve
aware anemia.
that a treatment option in this case Platelet transfusion may be the course of
may include treatment
which intervention? for some bleeding disorders. Hepatectomy
A. Hepatectomy would
B. Vitamin K administration not help the client.
C. Platelet transfusion
D. Splenectomy
A nurse is providing education to a ANS: C Rationale: The nurse will inform
client with iron deficiency anemia the client
who has been that iron will cause the stools to become
prescribed iron supplements. What dark in
should the nurse include in health color. Iron should be taken on an empty
education? stomach,
A. Take the iron with dairy as its absorption is affected by food,
products especially
to enhance absorption. dairy products. Clients should be
B. Increase the intake of vitamin E instructed to
to increase their intake of vitamin C to
enhance absorption. enhance iron
C. Iron will cause the stools to absorption. Foods high in fiber should be
darken in color. consumed to minimize problems with
D. Limit foods high in fiber due to constipation,
the a common side effect associated with iron
risk for diarrhea. therapy.
,The nurse is assessing a new ANS: C Rationale: A red, smooth, sore
client tongue is a
with reports of acute fatigue and a symptom associated with megaloblastic
sore tongue that anemia.
is visibly smooth and beefy red. Sickle cell disease, hemophilia, and
This thrombocytopenia do not have symptoms
client is demonstrating signs and involving the tongue.
symptoms
associated with what form of
hematologic disorder?
A. Sickle cell disease
B. Hemophilia
C. Megaloblastic anemia
D. Thrombocytopenia
A client with acute kidney injury ANS: B Rationale: The decreased
has production of
decreased erythropoietin erythropoietin will result in a decreased
production. Upon hemoglobin and hematocrit. The client will
analysis of the client's complete have
blood count, the nurse will expect normal MCV and RDW because the
which of the following erythrocytes
results? are normal in appearance.
A. An increased hemoglobin and
decreased hematocrit
B. A decreased hemoglobin and
hematocrit
C. A decreased mean corpuscular
volume (MCV) and red cell
distribution width
(RDW)
D. An increased mean corpuscular
volume (MCV) and red cell
distribution width
(RDW)
, A client comes to the clinic ANS: A Rationale: A low serum iron level,
reporting a low
fatigue and the health interview is ferritin level, and symptoms of pica are
suggestive of associated
pica. Laboratory findings reveal a with iron deficiency anemia. TIBC may
low serum iron level and a low also be
ferritin level. With what elevated. None of the other anemias are
would the nurse suspect that the associated
client will be diagnosed? with pica.
A. Iron deficiency anemia
B. Pernicious anemia
C. Sickle cell disease
D. Hemolytic anemia
