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Hematology NCLEX questions with correct answer1.
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Hematology NCLEX questions with correct answersA nurse in a clinic is caring for a client who has suspected anemia.
Which of the following laboratory test results should the nurse expect?
A. Iron 90 mcg/dL
B. RBC 6.5 million/uL
C. WBC 4,800 mm3
D. Hgb 10 g/dL Correct Answer-A. An iron level of 90 mcg/dL is within
the expected reference
range and is not an expected finding of anemia.
B. RBC count of 6.5 million/uL is above the expected reference
range. A decreased RBC count is an expected finding of anemia.
C. WBC count of 4800 mm3
is below the expected reference
range and is not an expected finding of anemia.
D. CORRECT: Hgb of 10 g/dL is below the expected
reference range and is an expected finding of anemia.
A nurse is caring for a client who is receiving warfarin for
anticoagulation therapy. Which of the following laboratory test results
indicates to the nurse that the client needs an increase in the dosage?
A. aPTT 38 seconds
B. INR 1.1
C. PT 22 seconds
,D. D-dimer negative Correct Answer-A. aPTT is monitored for clients
receiving heparin therapy. An aPTT of 38 seconds is within the expected
reference range for clients not receiving heparin therapy.
B. CORRECT: INR of 1.1 is within the expected reference range for a
client who is not receiving warfarin. However, this value is
subtherapeutic for anticoagulation therapy. The nurse should expect the
client to receive an increased dosage of warfarin until the INR is 2 to 3.
C. PT of 22 seconds is above the expected reference range for a client
receiving warfarin therapy. This result indicates the client is at an
increased risk for bleeding.
D. A negative D-dimer test indicates the absence of a pulmonary
embolus or deep vein thrombosis and is not used to determine the
dosage needs for warfarin therapy.
A nurse is providing teaching for a client who is scheduled for a bone
marrow biopsy of the iliac crest. Which of the following statements
made by the client indicates an understanding of the teaching?
A. "This test will be performed while I am lying flat on my back."
B. "I will need to stay in bed for about an hour after the test."
C."This test will determine which antibiotic I should take for treatment."
D."I will receive general anesthesia for the test." Correct Answer-A. The
nurse should inform the client that he will be placed in a prone or
side-lying position during the test in order to expose the iliac crest.
B. CORRECT: The nurse should inform the client of the need to stay on
bed rest for 30 to 60 min following the test to reduce the risk for
bleeding.
C. The nurse should inform the client that a culture and sensitivity test
determines the type of antibiotics needed to treat an infection.
,D. The nurse should inform the client that he will receive a sedative
prior to the test and that a local anesthetic will be used at the site.
1. A nurse is preparing to administer
packed RBCs to a client who
has a Hgb of 8 g/dL. Which of
the following actions should the
nurse plan to take during the
first 15 min of the transfusion?
A. Obtain consent from the
client for the transfusion.
B. Assess for an acute
hemolytic reaction.
C. Explain the transfusion
procedure to the client.
D. Obtain blood culture
specimens to send to the lab Correct Answer-A. The nurse should obtain
consent from the client for
the transfusion prior to initiating the transfusion.
B. CORRECT: The nurse should assess for an acute hemolytic reaction
during the first 15 min of the transfusion. This form of a reaction can
occur following the transfusion of as little as 10 mL of blood product.
C. The nurse should explain the transfusion procedure
to the client prior to initiating the transfusion.
, D. The nurse should obtain blood culture specimens
2. A nurse is caring for a client who
is receiving a blood transfusion.
Which of the following actions
should the nurse expect if an
allergic transfusion reaction is
suspected? (Select all that apply.)
A. Stop the transfusion.
B. Monitor for hypertension.
C. Maintain an IV infusion with
0.9% sodium chloride.
D. Position the client in an
upright position with the
feet lower than the heart.
E. Administer diphenhydramine. Correct Answer-A. CORRECT: The
nurse should immediately stop the infusion if an allergic transfusion
reaction is suspected.
B. The nurse should monitor for hypotension if an allergic transfusion
reaction is suspected due to the risk for shock.
C. CORRECT: The nurse should administer 0.9% sodium chloride
solution through new IV tubing if an allergic transfusion reaction is
suspected.
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