Hematology Actual Questions and Correct Answers
Q1
The clinic nurse instructs the mother of a c. Fluid overload child with sickle cell disease about
the precipitating factors related to pain crisis. Rationale: Which of the following, if identified by
the Pain crisis may be precipitated by infection, dehydration, mother as a precipitating factor,
indicates hypoxia, trauma, or physical or emotional stress. the need for further instructions?
The mother of a child with sickle cell disease should a. encourage fluid intake of 1 1/2 to 2 times
the daily requirement Infection to prevent dehydration b. Trauma c. Fluid overload d. Stress
Answer: encourage fluid intake of 1 1/2 to 2 times the daily requirement
Q2
When a client is diagnosed with aplastic a. Bleeding tendencies anemia, the nurse monitors for
changes in which of the following physiological Aplastic anemia decreases the bone marrow
production of functions? RBCs, WBCs, and Platelets. The client is at risk for bruising a. and
bleeding tendencies. Bleeding tendencies b. Intake and output c. Peripheral sensation d. Bowel
function
Answer: and bleeding tendencies.
Q3
A client was admitted with iron deficiency a. What activities were you able to do 6 months ago
anemia and blood-streaked emesis. Which compared with present? question is most
appropriate for the nurse to ask in determining the extent of the Rationale: It is difficult to
determine activity intolerance client's activity intolerance? without objectively comparing
activities from one time frame a. to another. Because iron deficiency anemia can occur "What
activities were you able to do 6 gradually and individual endurance varies, the nurse can best
months ago compared with present?" assess the clients activity tolerance by asking the client
to b. compare activities 6 months ago and at the present "How long have you had this
problem?" c. "Have you been able to keep up with all your usual activities?" d. "Are you more
tired now than you used to be?"
Answer: to another. Because iron deficiency anemia can occur
Q4
A client is beginning a regimen of ferrous b. Her bowel movements will be dark and tarry sulfate
or iron. As you prepare to administer the medication, it is important for you to advise the client
that a. Her urine will turn a dark orange b. Her bowel movements will be dark and tarry c. Her
appetite will be diminished d. Her vision will become slightly blurred
Answer: a.
, Q5
A patient who is having a sickle cell crisis c. Tissue hypoxia caused by small blood vessel
occlusion asks the nurse why the sickling causes such pain. The nurse explains that the pain of
The pain associated with sickle cell crisis is caused by sickling is caused by ischemia as the
sickled cells occlude small blood vessels and a. capillaries. Spasms of the blood cells as they
change shape b. Deposition of sickled red cells in the bone marrow c. Tissue hypoxia caused by
small blood vessel occlusion d. Infectious processes in organs affected by the sickling
Answer: capillaries.
Q6
A child suspected of having sickle cell c. Reticulocyte count disease is seen in a clinic, and
laboratory studies are performed. A nurse checks the Rationale: A diagnosis is established
based on a complete lab results, knowing that which of the blood count, examination for sickled
RBCs in the peripheral following would be increased in this smear, and hemoglobin
electrophoresis. Lab studies will disease? show decreased HGB and HCT levels and a decreased
a. platelet count, and increased reticulocyte count, and the Platelet count presence of
nucleated RBCS. Increased reticulocyte counts b. occur in children with sickle cell disease
becuase the life Hematocrit level span of their sickled RBCS is shortened c. Reticulocyte count
d. Hemoglobin level
Answer: platelet count, and increased reticulocyte count, and the
Q7
The nurse is preparing to teach a client with a. Eggs microcytic hypochromic anemia about the
diet to follow after discharge. Which of the Eggs are high in Iron. Other foods high in iron are
organ following foods should be included in the meats, muscle meats; shellfish, shrimp, and
tuna; enriched, diet? whole-grain, and fortified cereals and breads; legumes, nuts, a. dried
fruits, and beans; oatmeal; and sweet potatoes. Eggs b. Lettuce c. Citrus fruits d. Cheese
Answer: dried fruits, and beans; oatmeal; and sweet potatoes.
Q8
Which of the following disorders results c. Hemophilia A from a deficiency of factor VIII? a.
Rationale: Sickle cell disease Hemophilia A results from a deficiency of factor 8. Sickle cell b.
disease is caused by a defective hemoglobin molecule. Christmas disease Christmas disease,
AKA Hemophilia B, results in a factor 9 c. deficiecy Hemophilia A d. Hemophilia B
Answer: Rationale:
Q9
A client has been diagnosed with iron-
Answer: a. Egg yolks
Q1
The clinic nurse instructs the mother of a c. Fluid overload child with sickle cell disease about
the precipitating factors related to pain crisis. Rationale: Which of the following, if identified by
the Pain crisis may be precipitated by infection, dehydration, mother as a precipitating factor,
indicates hypoxia, trauma, or physical or emotional stress. the need for further instructions?
The mother of a child with sickle cell disease should a. encourage fluid intake of 1 1/2 to 2 times
the daily requirement Infection to prevent dehydration b. Trauma c. Fluid overload d. Stress
Answer: encourage fluid intake of 1 1/2 to 2 times the daily requirement
Q2
When a client is diagnosed with aplastic a. Bleeding tendencies anemia, the nurse monitors for
changes in which of the following physiological Aplastic anemia decreases the bone marrow
production of functions? RBCs, WBCs, and Platelets. The client is at risk for bruising a. and
bleeding tendencies. Bleeding tendencies b. Intake and output c. Peripheral sensation d. Bowel
function
Answer: and bleeding tendencies.
Q3
A client was admitted with iron deficiency a. What activities were you able to do 6 months ago
anemia and blood-streaked emesis. Which compared with present? question is most
appropriate for the nurse to ask in determining the extent of the Rationale: It is difficult to
determine activity intolerance client's activity intolerance? without objectively comparing
activities from one time frame a. to another. Because iron deficiency anemia can occur "What
activities were you able to do 6 gradually and individual endurance varies, the nurse can best
months ago compared with present?" assess the clients activity tolerance by asking the client
to b. compare activities 6 months ago and at the present "How long have you had this
problem?" c. "Have you been able to keep up with all your usual activities?" d. "Are you more
tired now than you used to be?"
Answer: to another. Because iron deficiency anemia can occur
Q4
A client is beginning a regimen of ferrous b. Her bowel movements will be dark and tarry sulfate
or iron. As you prepare to administer the medication, it is important for you to advise the client
that a. Her urine will turn a dark orange b. Her bowel movements will be dark and tarry c. Her
appetite will be diminished d. Her vision will become slightly blurred
Answer: a.
, Q5
A patient who is having a sickle cell crisis c. Tissue hypoxia caused by small blood vessel
occlusion asks the nurse why the sickling causes such pain. The nurse explains that the pain of
The pain associated with sickle cell crisis is caused by sickling is caused by ischemia as the
sickled cells occlude small blood vessels and a. capillaries. Spasms of the blood cells as they
change shape b. Deposition of sickled red cells in the bone marrow c. Tissue hypoxia caused by
small blood vessel occlusion d. Infectious processes in organs affected by the sickling
Answer: capillaries.
Q6
A child suspected of having sickle cell c. Reticulocyte count disease is seen in a clinic, and
laboratory studies are performed. A nurse checks the Rationale: A diagnosis is established
based on a complete lab results, knowing that which of the blood count, examination for sickled
RBCs in the peripheral following would be increased in this smear, and hemoglobin
electrophoresis. Lab studies will disease? show decreased HGB and HCT levels and a decreased
a. platelet count, and increased reticulocyte count, and the Platelet count presence of
nucleated RBCS. Increased reticulocyte counts b. occur in children with sickle cell disease
becuase the life Hematocrit level span of their sickled RBCS is shortened c. Reticulocyte count
d. Hemoglobin level
Answer: platelet count, and increased reticulocyte count, and the
Q7
The nurse is preparing to teach a client with a. Eggs microcytic hypochromic anemia about the
diet to follow after discharge. Which of the Eggs are high in Iron. Other foods high in iron are
organ following foods should be included in the meats, muscle meats; shellfish, shrimp, and
tuna; enriched, diet? whole-grain, and fortified cereals and breads; legumes, nuts, a. dried
fruits, and beans; oatmeal; and sweet potatoes. Eggs b. Lettuce c. Citrus fruits d. Cheese
Answer: dried fruits, and beans; oatmeal; and sweet potatoes.
Q8
Which of the following disorders results c. Hemophilia A from a deficiency of factor VIII? a.
Rationale: Sickle cell disease Hemophilia A results from a deficiency of factor 8. Sickle cell b.
disease is caused by a defective hemoglobin molecule. Christmas disease Christmas disease,
AKA Hemophilia B, results in a factor 9 c. deficiecy Hemophilia A d. Hemophilia B
Answer: Rationale:
Q9
A client has been diagnosed with iron-
Answer: a. Egg yolks
