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Hematology NCLEX Questions with Correct Answers
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Hematology NCLEX Questions with Correct AnswersWhen assessing a patient's nutritional-metabolic pattern related to
hematologic health, what should the nurse do?
A. Inspect the skin for petechiae.
B. Ask the patient about joint pain.
C. Assess for vitamin C deficiency.
D. Determine if the patient can perform ADLs. Correct Answer-A.
Inspect the skin for petechiae.
Any changes in the skin's texture or color should be explored when
assessing the patient's nutritional-metabolic pattern related to
hematologic health. The presence of petechiae or ecchymotic areas
could be indicative of hematologic deficiencies related to poor
nutritional intake or related causes. The other options are not specific to
the nutritional-metabolic pattern related to hematologic health.
When assessing laboratory values on a patient admitted with septicemia,
what should the nurse expect to find?
A. Increased platelets
B. Decreased red blood cells
C. Decreased erythrocyte sedimentation rate (ESR)
D. Increased bands in the white blood cell (WBC) differential (shift to
the left) Correct Answer-D. Increased bands in the white blood cell
(WBC) differential (shift to the left)
,When infections are severe, such as in septicemia, more granulocytes are
released from the bone marrow as a compensatory mechanism. To meet
the increased demand, many young, immature polymorphonuclear
neutrophils (bands) are released into circulation. WBCs are usually
reported in order of maturity (initially with the less mature forms on the
left side of a written report). Hence, the term "shift to the left" is used to
denote an increase in the number of bands. Thrombocytosis occurs with
inflammation and some malignant disorders. Decreased red blood cells
indicate anemia. Decreased ESR is not indicative of septicemia.
Results of a patient's most recent blood work indicate an elevated
neutrophil level. The nurse should recognize that this diagnostic finding
most likely suggests which problem?
A. Hypoxemia
B. An infection
C. A risk of hypocoagulation
D. An acute thrombotic event Correct Answer-B. An infection
An increase in the neutrophil count most commonly occurs in response
to infection or inflammation. Hypoxemia and coagulation do not directly
affect neutrophil production.
A 30-year-old patient has undergone a splenectomy as a result of injuries
suffered in a motor vehicle accident. Which phenomena are likely to
result from the absence of the patient's spleen (select all that apply)?
A. Impaired fibrinolysis
B. Increased platelet levels
, C. Increased eosinophil levels
D. Fatigue and cold intolerance
E. Impaired immunologic function Correct Answer-B. Increased platelet
levels
E. Impaired immunologic function
Splenectomy can result in increased platelet levels and impaired
immunologic function as a consequence of the loss of storage and
immunologic functions of the spleen. Fibrinolysis, fatigue, and cold
intolerance are less likely to result from the loss of the spleen since
coagulation and oxygenation are not primary responsibilities of the
spleen.
The nurse is providing care for older adults on a subacute, geriatric
medicine unit. What effect is aging likely to have on hematologic
function of older adults?
A. Thrombocytosis
B. Decreased hemoglobin
C. Decreased WBC count
D. Decreased blood volume Correct Answer-B. Decreased hemoglobin
Older adults frequently experience decreased hemoglobin levels as a
result of changes in erythropoiesis. Decreased blood volume, decreased
WBCs, and alterations in platelet number are not considered to be
normal, age-related hematologic changes.
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