Hematology Actual Questions and Correct Answers
Q1
The nurse in the hematology clinic prepares a class series on immunologic diseases for new
clients. Which organs does the nurse describes as part of the immune system of the body?
Spleen and thymus Liver and kidneys Heart and lungs Gall bladder and pancreas
Answer: Spleen and thymus
Q2
The nurse identifies which factor most contributed to the vaso-occlusive crisis? The client
recently had an upper respiratory infection The client has type 1 diabetes The client drinks tea
at dinner The client attended a child's graduation yesterday
Answer: The client recently had an upper respiratory infection
Q3
The client recently had an upper respiratory infection -- Sickle cell disease is a severe hemolytic
anemia resulting from defective hemoglobin. In the presence of low oxygen, the client's
hemoglobin becomes sick-shaped and red blood cells clump together obstructing capillary
blood flow. Symptoms of vaso-occlusive crisis include pain and jaundice. Infection and
dehydration can precipitate a vaso-occlusive crisis. The nurse provides care for a client
diagnosed with polycythemia vera. The nurse expects to make which assessment? Jaundice
Hematocrit <48% Ruddy (reddish) complexion Hypotension
Answer: Jaundice
Q4
Jaundice - polycythemia vera is a condition where the body makes extra red blood cells which
causes hyperviscosity (thickening) of the blood. The blood can form clots more easily which can
cause occlusions in the veins and arteries putting the client at risk for a heart attack or stroke.
Polycythemia vera does not cause jaundice The client's hematocrit will be elevated (over 55%)
because of the overproduction of RBC. The client's superficial veins may also be distended
CORRECT HTN occurs due to increased viscosity of the blood
Answer: CORRECT
Q5
The nurse understands which is the most common type of anemia? Aplastic anemia
Iron-deficiency anemia Pernicious anemia Sickle cell anemia
Answer: Aplastic anemia
, Q6
The nurse teaches a client diagnosed with iron deficiency anemia about diet. The nurse
determines teaching is successful if the client selects which menu items? Chicken salad, lettuce
and tomatoes and an apple Roast beef sandwich, coleslaw, and ice cream Liver and onions,
spinach and rice pudding with raisins Cheese omelet, toast and fruit cocktail Liver and onions,
spinach and rice pudding with raisins
Answer: Chicken salad, lettuce and tomatoes and an apple
Q7
How the vitamin B12 is measured Why radioactivitiy is used
Answer: How the vitamin B12 is measured Why radioactivitiy is used
Q8
How the results will be interpreted How to collect a 24-hour urine
Answer: How the results will be interpreted How to collect a 24-hour urine
Q9
The client's condition is worsening The client developed osteomyelitis The client has
contaminated the site
Answer: The client developed osteomyelitis
Q10
The nurse assesses a client reporting fatigue and shortness of breath due to AIDS. Which action
does the nurse do first? Refer the client to occupational therapy Instruct the client to sit while
preparing meals Instruct the client to perform all activities in the morning
Answer: Refer the client to occupational therapy
Q11
The nurse provides care for a client diagnosed with AIDS. The client is reporting diarrhea. It is
MOST important for the nurse to include which implementation in the client's plan of care?
Decrease roughage in the diet Eat three meals per day Increase intake of milk and cheese
Decrease intake of fluids
Answer: Decrease roughage in the diet
Q1
The nurse in the hematology clinic prepares a class series on immunologic diseases for new
clients. Which organs does the nurse describes as part of the immune system of the body?
Spleen and thymus Liver and kidneys Heart and lungs Gall bladder and pancreas
Answer: Spleen and thymus
Q2
The nurse identifies which factor most contributed to the vaso-occlusive crisis? The client
recently had an upper respiratory infection The client has type 1 diabetes The client drinks tea
at dinner The client attended a child's graduation yesterday
Answer: The client recently had an upper respiratory infection
Q3
The client recently had an upper respiratory infection -- Sickle cell disease is a severe hemolytic
anemia resulting from defective hemoglobin. In the presence of low oxygen, the client's
hemoglobin becomes sick-shaped and red blood cells clump together obstructing capillary
blood flow. Symptoms of vaso-occlusive crisis include pain and jaundice. Infection and
dehydration can precipitate a vaso-occlusive crisis. The nurse provides care for a client
diagnosed with polycythemia vera. The nurse expects to make which assessment? Jaundice
Hematocrit <48% Ruddy (reddish) complexion Hypotension
Answer: Jaundice
Q4
Jaundice - polycythemia vera is a condition where the body makes extra red blood cells which
causes hyperviscosity (thickening) of the blood. The blood can form clots more easily which can
cause occlusions in the veins and arteries putting the client at risk for a heart attack or stroke.
Polycythemia vera does not cause jaundice The client's hematocrit will be elevated (over 55%)
because of the overproduction of RBC. The client's superficial veins may also be distended
CORRECT HTN occurs due to increased viscosity of the blood
Answer: CORRECT
Q5
The nurse understands which is the most common type of anemia? Aplastic anemia
Iron-deficiency anemia Pernicious anemia Sickle cell anemia
Answer: Aplastic anemia
, Q6
The nurse teaches a client diagnosed with iron deficiency anemia about diet. The nurse
determines teaching is successful if the client selects which menu items? Chicken salad, lettuce
and tomatoes and an apple Roast beef sandwich, coleslaw, and ice cream Liver and onions,
spinach and rice pudding with raisins Cheese omelet, toast and fruit cocktail Liver and onions,
spinach and rice pudding with raisins
Answer: Chicken salad, lettuce and tomatoes and an apple
Q7
How the vitamin B12 is measured Why radioactivitiy is used
Answer: How the vitamin B12 is measured Why radioactivitiy is used
Q8
How the results will be interpreted How to collect a 24-hour urine
Answer: How the results will be interpreted How to collect a 24-hour urine
Q9
The client's condition is worsening The client developed osteomyelitis The client has
contaminated the site
Answer: The client developed osteomyelitis
Q10
The nurse assesses a client reporting fatigue and shortness of breath due to AIDS. Which action
does the nurse do first? Refer the client to occupational therapy Instruct the client to sit while
preparing meals Instruct the client to perform all activities in the morning
Answer: Refer the client to occupational therapy
Q11
The nurse provides care for a client diagnosed with AIDS. The client is reporting diarrhea. It is
MOST important for the nurse to include which implementation in the client's plan of care?
Decrease roughage in the diet Eat three meals per day Increase intake of milk and cheese
Decrease intake of fluids
Answer: Decrease roughage in the diet
