Hematology Med Surg Latest Test Bank
When doing discharge teaching for a patient who has had an emergency splenectomy following an
automobile accident, the nurse will teach the patient about the increased risk for
a. infection.
b. lymphedema.
c. chronic anemia.
d. prolonged bleeding. - verified answer A
2. While obtaining a health history from a patient with numerous petechiae on the skin, the nurse
asks the patient specifically about the patients use of
a. salicylates.
b. contraceptives.
c. antiseizure drugs.
d. antihypertensives. - verified answer A; salicylates interfere with platelet function and can lead to
petechiae and ecchymoses.
The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about
a. a white blood cell (WBC) count of 3500/mL.
b. a hematocrit of 37%.
c. a platelet count of 400,000/mL.
d. a hemoglobin of 11.8 g/dL. - verified answer A; slight decrease in hemoglobin and hematocrit are
not unusual for an older patient.
When caring for a patient with a chronic iron deficiency anemia, the nurse will assess for
a. yellow-tinged sclerae.
b. shiny, smooth tongue.
c. numbness of the extremities.
d. gum bleeding and tenderness. - verified answer B; loss of papillae of the tongue occurs with
chronic iron deficiency. Scleral jaundice is associated with hemolysis, gum bleeding, and tenderness
occur with thrombocytopenia or neutropenia, and extremity numbness is associated with vitamin
b12 deficiency.
A patients complete blood count shows a hemoglobin of 20 g/dL and a hematocrit of 54%. Which
question should the nurse ask to determine possible causes of this finding?
, a. Has there been any recent weight loss?
b. Do you have any history of lung disease?
c. What is your intake of fruits and vegetables?
d. Have you noticed any dark or bloody stools? - verified answer B
When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular
volume (MCV) indicates
a. hypochromic red blood cells (RBCs).
b. inadequate numbers of RBCs.
c. low hemoglobin in the RBCs.
d. small size of the RBCs - verified answer D
In the patient who had an intraoperative hemorrhage 12 hours ago, the nurse would expect to find
hematology results indicating
a. a hematocrit of 45%.
b. a hemoglobin of 13.2 g/dL.
c. a decreased white blood cell (WBC) count.
d. an elevated reticulocyte count. - verified answer D; hemorrhage causes the release of more
immature RBCs from bone marrow into circulation
The complete blood count (CBC) and differential indicate that a patient is neutropenic. Which action
should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods. - verified answer C; neutropenic patients are at high risk for
infection and sepsis.
The history and physical for a newly admitted patient states that the complete blood count (CBC)
shows a shift to the left. The nurse will plan to monitor the patient for
a. cool extremities.
b. pallor and weakness.
c. elevated temperature.
When doing discharge teaching for a patient who has had an emergency splenectomy following an
automobile accident, the nurse will teach the patient about the increased risk for
a. infection.
b. lymphedema.
c. chronic anemia.
d. prolonged bleeding. - verified answer A
2. While obtaining a health history from a patient with numerous petechiae on the skin, the nurse
asks the patient specifically about the patients use of
a. salicylates.
b. contraceptives.
c. antiseizure drugs.
d. antihypertensives. - verified answer A; salicylates interfere with platelet function and can lead to
petechiae and ecchymoses.
The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about
a. a white blood cell (WBC) count of 3500/mL.
b. a hematocrit of 37%.
c. a platelet count of 400,000/mL.
d. a hemoglobin of 11.8 g/dL. - verified answer A; slight decrease in hemoglobin and hematocrit are
not unusual for an older patient.
When caring for a patient with a chronic iron deficiency anemia, the nurse will assess for
a. yellow-tinged sclerae.
b. shiny, smooth tongue.
c. numbness of the extremities.
d. gum bleeding and tenderness. - verified answer B; loss of papillae of the tongue occurs with
chronic iron deficiency. Scleral jaundice is associated with hemolysis, gum bleeding, and tenderness
occur with thrombocytopenia or neutropenia, and extremity numbness is associated with vitamin
b12 deficiency.
A patients complete blood count shows a hemoglobin of 20 g/dL and a hematocrit of 54%. Which
question should the nurse ask to determine possible causes of this finding?
, a. Has there been any recent weight loss?
b. Do you have any history of lung disease?
c. What is your intake of fruits and vegetables?
d. Have you noticed any dark or bloody stools? - verified answer B
When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular
volume (MCV) indicates
a. hypochromic red blood cells (RBCs).
b. inadequate numbers of RBCs.
c. low hemoglobin in the RBCs.
d. small size of the RBCs - verified answer D
In the patient who had an intraoperative hemorrhage 12 hours ago, the nurse would expect to find
hematology results indicating
a. a hematocrit of 45%.
b. a hemoglobin of 13.2 g/dL.
c. a decreased white blood cell (WBC) count.
d. an elevated reticulocyte count. - verified answer D; hemorrhage causes the release of more
immature RBCs from bone marrow into circulation
The complete blood count (CBC) and differential indicate that a patient is neutropenic. Which action
should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods. - verified answer C; neutropenic patients are at high risk for
infection and sepsis.
The history and physical for a newly admitted patient states that the complete blood count (CBC)
shows a shift to the left. The nurse will plan to monitor the patient for
a. cool extremities.
b. pallor and weakness.
c. elevated temperature.
