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HEMATOLOGIC SYSTEM NCLEX
PRACTICE
QUESTIONS| BLOOD DISORDERS,
ANEMIA, LEUKEMIA &
COAGULATION Q&A WITH
RATIONALES
A client with a low platelet count asks why platelets are important. How
does the nurse answer?
1."Platelets make blood clots for you."
2. "Blood clotting is prevented by your platelets."
3. "The clotting process begins with your platelets."
4. "Your platelets finish the clotting process."
- --Correct-Answer✅✅✅.....3. Platelets begin the blood clotting
process by forming platelet plugs, but these platelet plugs are not clots
and cannot provide complete hemostasis. Platelets do not clot blood.
They are a part of the clotting process or cascade of coagulation.
A newly admitted client has an elevated reticulocyte count. Which
disorder does the nurse suspect in this client?
1. Aplastic anemia
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2. Hemolytic anemia
3. Infectious process
4. Leukemia - --Correct-Answer✅✅✅.....2. An elevated
reticulocyte count in the anemic client indicates that the bone marrow
is responding appropriately to a decrease in the total red blood cell
(RBC) mass and is prematurely destroying red blood cells. Therefore
more immature RBCs are in circulation. Aplastic anemia is associated
with a low reticulocyte count. A high white blood cell count is
expected in clients with infection, while a low WBC is expected in
clients with leukemia
A client on anticoagulant therapy is being discharged. Which statement
indicates that the client has a correct understanding of this therapy's
purpose or action?
1. "It is to dissolve blood clots."
2. "It might cause me to get injured more often."
3. "It should prevent my blood from clotting."
4. "It will thin my blood." - --Correct-Answer✅✅✅.....3.
Anticoagulants work by interfering with one or more steps involved
in the blood clotting cascade. Thus, these agents prevent new clots
from forming and limit or prevent extension of formed clots.
Anticoagulants do not cause any change in the thickness or viscosity
of the blood. Anticoagulants do not cause more injuries but may cause
more bleeding and bruising when someone is injured. Anticoagulants
do not dissolve clots, rather fibrinolytics do.
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A nurse is caring for a group of hospitalized clients. Which client is at
greatest risk for infection and sepsis?
HEMATOLOGIC SYSTEM NCLEX
PRACTICE
QUESTIONS| BLOOD DISORDERS,
ANEMIA, LEUKEMIA &
COAGULATION Q&A WITH
RATIONALES
A client with a low platelet count asks why platelets are important. How
does the nurse answer?
1."Platelets make blood clots for you."
2. "Blood clotting is prevented by your platelets."
3. "The clotting process begins with your platelets."
4. "Your platelets finish the clotting process."
- --Correct-Answer✅✅✅.....3. Platelets begin the blood clotting
process by forming platelet plugs, but these platelet plugs are not clots
and cannot provide complete hemostasis. Platelets do not clot blood.
They are a part of the clotting process or cascade of coagulation.
A newly admitted client has an elevated reticulocyte count. Which
disorder does the nurse suspect in this client?
1. Aplastic anemia
,2 | Page
2. Hemolytic anemia
3. Infectious process
4. Leukemia - --Correct-Answer✅✅✅.....2. An elevated
reticulocyte count in the anemic client indicates that the bone marrow
is responding appropriately to a decrease in the total red blood cell
(RBC) mass and is prematurely destroying red blood cells. Therefore
more immature RBCs are in circulation. Aplastic anemia is associated
with a low reticulocyte count. A high white blood cell count is
expected in clients with infection, while a low WBC is expected in
clients with leukemia
A client on anticoagulant therapy is being discharged. Which statement
indicates that the client has a correct understanding of this therapy's
purpose or action?
1. "It is to dissolve blood clots."
2. "It might cause me to get injured more often."
3. "It should prevent my blood from clotting."
4. "It will thin my blood." - --Correct-Answer✅✅✅.....3.
Anticoagulants work by interfering with one or more steps involved
in the blood clotting cascade. Thus, these agents prevent new clots
from forming and limit or prevent extension of formed clots.
Anticoagulants do not cause any change in the thickness or viscosity
of the blood. Anticoagulants do not cause more injuries but may cause
more bleeding and bruising when someone is injured. Anticoagulants
do not dissolve clots, rather fibrinolytics do.
2
, 3 | Page
A nurse is caring for a group of hospitalized clients. Which client is at
greatest risk for infection and sepsis?
