HEMATOLOGIC TEST EXAM QUESTIONS
WITH VERIFIED ANSWERS 2026 LATEST
UPDATE
1. You are reviewing the complete blood count (CBC) for a patient who has been admitted for
knee arthroscopy. Which value is most important to report to the physician prior to surgery?
White blood cell count 16,000/mm3
Hematocrit 33%
Platelet count 426,000/ mm3
Hemoglobin 10.9 g/dL
2. A new RN is preparing to administer packed red blood cells (PRBCs) to a patient whose anemia
was caused by blood loss after surgery. Which action by the new RN requires that you, as charge
nurse, intervene immediately?
The new RN waits 20 minutes after obtaining the PRBCs before starting the infusion.
The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.
The new RN primes the transfusion set using 5% dextrose in lactated Ringer’s solution.
The new RN tells the patient that the PRBCs may cause a serious transfusion reaction.
3. A 32-year-old patient with a history of sickle cell anemia is admitted to the hospital during a sickle
cell crisis. The physician orders all of these interventions. Which order will you implement first?
Give morphine sulfate 4-8 mg IV every hour as needed.
Start a large-gauge IV line and infuse normal saline at 200 mL/hour.
Immunize with Pneumovax and Haemophilus influenzae vaccines.
Administer oxygen at an F102 of 100% per non-rebreather mask.
4. A 78-year-old patient admitted to the hospital with chronic anemia caused by possible
gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best
delegated to an experienced nursing assistant (NA)?
,Use Hemoccult slides to obtain stool specimens.
Have the patient sign a colonoscopy consent form.
Administer PEG-ES (GoLYTELY) bowel preparation.
Check for allergies to contrast dye or shellfish.
5. As charge nurse, you are making the daily assignments on the medical-surgical unit. Which patient
is best assigned to a nurse who has floated from the post-anesthesia care unit (PACU)?
A 30-year-old patient with thalassemia major who has an order for subcutaneous infusion of
deferoxamine (Desferal)
A 43-year-old patient with multiple myeloma who needs discharge teaching
A 52-year-old patient with chronic gastrointestinal bleeding who has returned to the unit after a
colonoscopy
A 65-year-old patient with pernicious anemia who has just been admitted to the unit
6. You are making a room assignment for a newly arrived patient whose laboratory testing indicates
pancytopenia. All of these patients are already on the nursing unit. Which one will be the best
roommate for the new patient?
The patient with digoxin toxicity
The patient with viral pneumonia
The patient with shingles
The patient with cellulitis
7. A patient admitted to the hospital with a sickle cell crisis complains of severe abdominal, hip, and knee
pain. You observe an LPN accomplishing these patient care tasks. Which one requires that you, as charge
nurse, intervene immediately?
The LPN encourages the patient to use the ordered PCA.
The LPN positions cold packs on the patient’s knees.
The LPN places a “No Visitors” sign on the patient’s door.
, The LPN checks the patient’s temperature every 2 hours.
8. A 67-year-old patient who is receiving chemotherapy for lung cancer is admitted to the hospital
with thrombocytopenia. While you are taking the admission history, the patient makes these
statements. Which statement is of most concern?
“I’ve noticed that I bruise more easily since the chemotherapy started.”
“My bowel movements are soft and dark brown in color.”
“I take one aspirin every morning because of my history of angina.”
“My appetite has decreased since the chemotherapy strated.”
9. Following a car accident, a patient with a Medic-Alert bracelet indicating hemophilia A is admitted
to the emergency department (ED). Which physician order should you implement first?
Transport to radiology for C-spine x-rays.
Transfuse Factor VII concentrate.
Type and cross-match for 4 units RBCs.
Infuse normal saline at 250 mL/hour.
10. As home health nurse, you are taking an admission history for a patient who has a deep vein
thrombosis and is taking warfarin (Coumadin) 2 mg daily. Which statement by the patient is the
best indicator that additional teaching about warfarin may be needed?
“I have started to eat more healthy foods like green salads and fruit.”
“The doctor said that it is important to avoid becoming constipated.”
“Coumadin makes me feel a little nauseated unless I take it with food.”
“I will need to have some blood testing done once or twice a week.”
11. A patient is admitted to the intensive car unit (ICU) with disseminated intravascular coagulation
(DIC) associated with a gram-negative infection. Which assessment information has the most
immediate implications for the patient’s care?
WITH VERIFIED ANSWERS 2026 LATEST
UPDATE
1. You are reviewing the complete blood count (CBC) for a patient who has been admitted for
knee arthroscopy. Which value is most important to report to the physician prior to surgery?
White blood cell count 16,000/mm3
Hematocrit 33%
Platelet count 426,000/ mm3
Hemoglobin 10.9 g/dL
2. A new RN is preparing to administer packed red blood cells (PRBCs) to a patient whose anemia
was caused by blood loss after surgery. Which action by the new RN requires that you, as charge
nurse, intervene immediately?
The new RN waits 20 minutes after obtaining the PRBCs before starting the infusion.
The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.
The new RN primes the transfusion set using 5% dextrose in lactated Ringer’s solution.
The new RN tells the patient that the PRBCs may cause a serious transfusion reaction.
3. A 32-year-old patient with a history of sickle cell anemia is admitted to the hospital during a sickle
cell crisis. The physician orders all of these interventions. Which order will you implement first?
Give morphine sulfate 4-8 mg IV every hour as needed.
Start a large-gauge IV line and infuse normal saline at 200 mL/hour.
Immunize with Pneumovax and Haemophilus influenzae vaccines.
Administer oxygen at an F102 of 100% per non-rebreather mask.
4. A 78-year-old patient admitted to the hospital with chronic anemia caused by possible
gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best
delegated to an experienced nursing assistant (NA)?
,Use Hemoccult slides to obtain stool specimens.
Have the patient sign a colonoscopy consent form.
Administer PEG-ES (GoLYTELY) bowel preparation.
Check for allergies to contrast dye or shellfish.
5. As charge nurse, you are making the daily assignments on the medical-surgical unit. Which patient
is best assigned to a nurse who has floated from the post-anesthesia care unit (PACU)?
A 30-year-old patient with thalassemia major who has an order for subcutaneous infusion of
deferoxamine (Desferal)
A 43-year-old patient with multiple myeloma who needs discharge teaching
A 52-year-old patient with chronic gastrointestinal bleeding who has returned to the unit after a
colonoscopy
A 65-year-old patient with pernicious anemia who has just been admitted to the unit
6. You are making a room assignment for a newly arrived patient whose laboratory testing indicates
pancytopenia. All of these patients are already on the nursing unit. Which one will be the best
roommate for the new patient?
The patient with digoxin toxicity
The patient with viral pneumonia
The patient with shingles
The patient with cellulitis
7. A patient admitted to the hospital with a sickle cell crisis complains of severe abdominal, hip, and knee
pain. You observe an LPN accomplishing these patient care tasks. Which one requires that you, as charge
nurse, intervene immediately?
The LPN encourages the patient to use the ordered PCA.
The LPN positions cold packs on the patient’s knees.
The LPN places a “No Visitors” sign on the patient’s door.
, The LPN checks the patient’s temperature every 2 hours.
8. A 67-year-old patient who is receiving chemotherapy for lung cancer is admitted to the hospital
with thrombocytopenia. While you are taking the admission history, the patient makes these
statements. Which statement is of most concern?
“I’ve noticed that I bruise more easily since the chemotherapy started.”
“My bowel movements are soft and dark brown in color.”
“I take one aspirin every morning because of my history of angina.”
“My appetite has decreased since the chemotherapy strated.”
9. Following a car accident, a patient with a Medic-Alert bracelet indicating hemophilia A is admitted
to the emergency department (ED). Which physician order should you implement first?
Transport to radiology for C-spine x-rays.
Transfuse Factor VII concentrate.
Type and cross-match for 4 units RBCs.
Infuse normal saline at 250 mL/hour.
10. As home health nurse, you are taking an admission history for a patient who has a deep vein
thrombosis and is taking warfarin (Coumadin) 2 mg daily. Which statement by the patient is the
best indicator that additional teaching about warfarin may be needed?
“I have started to eat more healthy foods like green salads and fruit.”
“The doctor said that it is important to avoid becoming constipated.”
“Coumadin makes me feel a little nauseated unless I take it with food.”
“I will need to have some blood testing done once or twice a week.”
11. A patient is admitted to the intensive car unit (ICU) with disseminated intravascular coagulation
(DIC) associated with a gram-negative infection. Which assessment information has the most
immediate implications for the patient’s care?
