Hematology Actual Questions and Correct Answers
Q1
The nurse is preparing to teach a pt with microcytic hypochromic anemia about the diet to
follow after discharge. Which of the following foods should be included in the diet?
Answer: Eggs
Q2
The nurse would instruct the pt to eat which of the following foods to obtain the best supply of
vitamin b12?
Answer: Meats and dairy products
Q3
The nurse has just admitted a 35 year old female pt who has a serum b12 concentration of
800pg/mL. Which of the following laboratory findings would cue the nurse to focus the pt history
on specific drug or alcohol abuse?
Answer: Folate 1.5 ng/mL
Q4
The nurse understands that the pt with pernicious anemia will have which distinguishing
laboratory findings?
Answer: Intrinsic factor, absent
Q5
The nurse devices a teaching plan for the pt with aplastic anemia. Which of the following is the
most important concept to teach for health maintenance?
Answer: Avoid exposure to others with acute infection
Q6
A pt comes into the health clinic 3 years after undergoing a resection of the terminal ileum
complaining of weakness, shortness of breath and a sore tongue. Which pt statement indicates
a need for intervention and pt teaching?
Answer: I take a vitamin B12 tablet every day
, Q7
A vegetarian pt was referred to a dietitian for nutritional counseling for anemia. Which pt
outcome indicates that the pt does not understand nutritional counseling?
Answer: Pt drinks coffee or tea with meals
Q8
A pt was admitted with iron deficiency anemia and blood streaked emesis. Which question is
most appropriate for the nurse to ask in determining the extent of the pt activity intolerance
Answer: "What activities were you able to do 6 months ago compared to the present?"
Q9
The primary purpose of the Schilling test is to measure the pt ability to:
Answer: Absorb vitamin b12
Q10
The nurse implements which of the following for the pt who is starting a Schilling test?
Answer: Starting a 24 to 48 hours urine specimen collection
Q11
A pt with pernicious anemia asks why she must take vitamin b12 injections for the rest of her
life. What is the nurses best response?
Answer: "The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomach is not producing sufficient intrinsic factor."
Q12
The nurse is assessing a pt activity intolerance by having the pt walk on a treadmill for 5
minutes. Which of the following indicates an abnormal response?
Answer: Respiratory decrease by 5 breaths per minute
Q13
When comparing the hematocrit levels of a post-op pt the nurse notes that the hematocrit
decreased from 36 to 34% on the third day even though the RBC and hemoglobin values
remained stable at 4.5 million and 11.9 g/dL respectively. Which nursing intervention is most
appropriate?
Answer: Continue to monitor VS
Q1
The nurse is preparing to teach a pt with microcytic hypochromic anemia about the diet to
follow after discharge. Which of the following foods should be included in the diet?
Answer: Eggs
Q2
The nurse would instruct the pt to eat which of the following foods to obtain the best supply of
vitamin b12?
Answer: Meats and dairy products
Q3
The nurse has just admitted a 35 year old female pt who has a serum b12 concentration of
800pg/mL. Which of the following laboratory findings would cue the nurse to focus the pt history
on specific drug or alcohol abuse?
Answer: Folate 1.5 ng/mL
Q4
The nurse understands that the pt with pernicious anemia will have which distinguishing
laboratory findings?
Answer: Intrinsic factor, absent
Q5
The nurse devices a teaching plan for the pt with aplastic anemia. Which of the following is the
most important concept to teach for health maintenance?
Answer: Avoid exposure to others with acute infection
Q6
A pt comes into the health clinic 3 years after undergoing a resection of the terminal ileum
complaining of weakness, shortness of breath and a sore tongue. Which pt statement indicates
a need for intervention and pt teaching?
Answer: I take a vitamin B12 tablet every day
, Q7
A vegetarian pt was referred to a dietitian for nutritional counseling for anemia. Which pt
outcome indicates that the pt does not understand nutritional counseling?
Answer: Pt drinks coffee or tea with meals
Q8
A pt was admitted with iron deficiency anemia and blood streaked emesis. Which question is
most appropriate for the nurse to ask in determining the extent of the pt activity intolerance
Answer: "What activities were you able to do 6 months ago compared to the present?"
Q9
The primary purpose of the Schilling test is to measure the pt ability to:
Answer: Absorb vitamin b12
Q10
The nurse implements which of the following for the pt who is starting a Schilling test?
Answer: Starting a 24 to 48 hours urine specimen collection
Q11
A pt with pernicious anemia asks why she must take vitamin b12 injections for the rest of her
life. What is the nurses best response?
Answer: "The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomach is not producing sufficient intrinsic factor."
Q12
The nurse is assessing a pt activity intolerance by having the pt walk on a treadmill for 5
minutes. Which of the following indicates an abnormal response?
Answer: Respiratory decrease by 5 breaths per minute
Q13
When comparing the hematocrit levels of a post-op pt the nurse notes that the hematocrit
decreased from 36 to 34% on the third day even though the RBC and hemoglobin values
remained stable at 4.5 million and 11.9 g/dL respectively. Which nursing intervention is most
appropriate?
Answer: Continue to monitor VS
