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Hematology – Pathophysiology Questions with Correct Answers
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Hematology – Pathophysiology Questions with Correct Answers A nurse is discussing a granulocyte. Which type of cell is the nurse describing? - Correct Answer Neutrophil (Neutrophils, eosinophils and basophils are types of granulocytes) A patient has a decreased number of leukocytes. Which ter...

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  • August 30, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • a nurse is discussing a granulocyte which type of
  • a patient has a decreased number of leukocytes wh
  • a nurse wants to talk about the most common granul

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  • Pathophysiology
  • Pathophysiology

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Hematology – Pathophysiology Questions with
Correct Answers
A nurse is discussing a granulocyte. Which type of cell is the nurse describing? - Correct Answer
Neutrophil (Neutrophils, eosinophils and basophils are types of granulocytes)



A patient has a decreased number of leukocytes. Which term will the nurse use to describe this
finding? - Correct Answer Leukopenia (Leukopenia is present when the count is lower than normal)



A nurse wants to talk about the most common granulocyte cell. Which type of cells will the nurse
describe? - Correct Answer Neutrophils (Neutrophilia is another term that may be used to describe
granulocytosis because neutrophils are the most numerous of the granulocytes)



A patient has a shift to the left or left shift. What other term can the nurse use to describe this
finding? - Correct Answer Leukemoid reaction (Premature release of the immature cells is
responsible for the phenomenon known as a shift to the left or leukemoid reaction)



A patient has rheumatoid arthritis and the neutrophils are being sequestered in the spleen. Which
diagnosis will the nurse observe documented on the chart? - Correct Answer Felty syndrome
(Abnormal neutrophil distribution and sequestration are associated with hypersplenism and a
pseudoneutropenia, which in the presence of rheumatoid arthritis constitute Felty syndrome.)



A patient has monocytopenia. Which history data is significant for the monocytopenia? - Correct
Answer Uses prednisone/glucocorticoid therapy (Monocytopenia, a decrease in monocytes, is rare
but has been identified with hairy cell leukemia and prednisone/glucocorticoid therapy)



A patient has an infection with the Epstein Barr virus. Which lab result will be elevated? - Correct
Answer Lymphocytes (Lymphocytosis is rare in acute bacterial infections and is seen most commonly
in acute viral infections, particularly those caused by the Epstein-Barr virus (EBV), a causative agent in
infectious mononucleosis)



Which information should the nurse include when discussing the pathophysiology of infectious
mononucleosis? - Correct Answer An infection of B lymphocytes caused by the Epstein-Barr virus
(Infectious mononucleosis is an infection of B lymphocytes caused by the Epstein-Barr virus (EBV).)



A patient has chronic leukemia. Which cell is most affected? - Correct Answer Mature cells (In chronic
leukemia, the predominant cell is more mature but does not function normally)

, Which information should the nurse include when describing the pathophysiology of chronic
myelogenous leukemia (CML)? - Correct Answer A specific chromosomal translocation called the
Philadelphia chromosome (CML is more common in middle-aged to older adults and is frequently
associated with a specific chromosomal translocation, called the Philadelphia chromosome.)



Which staging classification system can the nurse use to help classify the stage of Hodgkin disease? -
Correct Answer Cotswold (Hodgkin disease is further classified by its clinical stage, called the
Cotswold Stage.)



A patient has recently been diagnosed with Lymphoblastic lymphoma (LL). Which initial assessment
is typical of this disease? - Correct Answer Painless swollen lymph nodes in the neck (The first sign of
LL is usually a painless lymphadenopathy in the neck.)



A patient has heparin induced thrombocytopenia. Which treatment should the nurse implement? -
Correct Answer Stop the heparin (Treatment is the withdrawal of heparin and use of alternative
anticoagulants.)



A child is admitted with acute idiopathic thrombocytopenic purpura (ITP). Which history data is
significant for ITP? - Correct Answer Recently had a viral infection (Acute ITP is usually secondary to
infections (particularly viral).)



A patient is admitted to the Emergency department with thrombotic thrombocytopenic purpura
(TTP). Which principle should guide nursing care? - Correct Answer This is a life-threatening
multisystem disorder (Thrombotic thrombocytopenia purpura (TTP) is a life-threatening multisystem
disorder.)



Which information is important for the nurse to remember about essential thrombocythemia? Along
with increased platelets, there may also be an increase in: - Correct Answer red blood cells. (Along
with increased platelets, there may be a concomitant increase in the number of red cells.)



A patient has a vitamin K deficiency. Which assessment is priority? Monitoring for: - Correct Answer
hemorrhage. (Most individuals with a vitamin K deficiency will experience easy bruising and
excessive bleeding.)



Which patient should the nurse assess first for bleeding problems? A patient with: - Correct Answer
liver disease. (Patients with liver disease and a vitamin K deficiency are prone to bleeding.)

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