Hematology NCLEX Test Questions with Verified Answers Graded A+
A. An iron level of 90 mcg/dL is within the expected refer-
ence
range and is not an expected finding of anemia.
A nurse in a clinic is caring for a client who has suspected
B. RBC count of 6.5 million/uL is above the expected ref-
anemia. Which of the following laboratory test results
erence
should the nurse expect?
range. A decreased RBC count is an expected finding of
A. Iron 90 mcg/dL
anemia.
B. RBC 6.5 million/uL
C. WBC count of 4800 mm3
C. WBC 4,800 mm3
is below the expected reference
D. Hgb 10 g/dL
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. 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.
A nurse is caring for a client who is receiving warfarin for B. CORRECT: INR of 1.1 is within the expected reference
anticoagulation therapy. Which of the following laboratory range for a client who is not receiving warfarin. However,
test results indicates to the nurse that the client needs an this value is subtherapeutic for anticoagulation therapy.
increase in the dosage? The nurse should expect the client to receive an increased
A. aPTT 38 seconds dosage of warfarin until the INR is 2 to 3.
B. INR 1.1 C. PT of 22 seconds is above the expected reference range
C. PT 22 seconds for a client receiving warfarin therapy. This result indicates
D. D‑dimer negative 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. The nurse should inform the client that he will be placed
A nurse is providing teaching for a client who is scheduled
in a prone or side‑lying position during the test in order
for a bone marrow biopsy of the iliac crest. Which of
to expose the iliac crest.
the following statements made by the client indicates an
B. CORRECT: The nurse should inform the client of the
understanding of the teaching?
need to stay on bed rest for 30 to 60 min following the
,Hematology NCLEX Test Questions with Verified Answers Graded A+
A. "This test will be performed while I am lying flat on my test to reduce the risk for bleeding.
back." C. The nurse should inform the client that a culture and
B. "I will need to stay in bed for about an hour after the sensitivity test determines the type of antibiotics needed
test." to treat an infection.
C. "This test will determine which antibiotic I should take D. The nurse should inform the client that he will receive
for treatment." a sedative prior to the test and that a local anesthetic will
D. "I will receive general anesthesia for the test." be used at the site.
1. A nurse is preparing to administer
packed RBCs to a client who
A. The nurse should obtain consent from the client for
has a Hgb of 8 g/dL. Which of
the transfusion prior to initiating the transfusion.
the following actions should the
B. CORRECT: The nurse should assess for an acute he-
nurse plan to take during the
molytic reaction
first 15 min of the transfusion?
during the first 15 min of the transfusion. This form of a
A. Obtain consent from the
reaction can
client for the transfusion.
occur following the transfusion of as little as 10 mL of
B. Assess for an acute
blood product.
hemolytic reaction.
C. The nurse should explain the transfusion procedure
C. Explain the transfusion
to the client prior to initiating the transfusion.
procedure to the client.
D. The nurse should obtain blood culture specimens
D. Obtain blood culture
specimens to send to the lab
2. A nurse is caring for a client who
A. CORRECT: The nurse should immediately stop the infu-
is receiving a blood transfusion.
sion if an allergic transfusion reaction is suspected.
Which of the following actions
B. The nurse should monitor for hypotension if an allergic
should the nurse expect if an
transfusion reaction is suspected due to the risk for shock.
allergic transfusion reaction is
C. CORRECT: The nurse should administer 0.9% sodium
suspected? (Select all that apply.)
chloride solution through new IV tubing if an allergic
A. Stop the transfusion.
transfusion reaction is suspected.
B. Monitor for hypertension.
D. The nurse should position the client in an upright po-
C. Maintain an IV infusion with
sition with the feet lower than the level of the heart if a
0.9% sodium chloride.
, Hematology NCLEX Test Questions with Verified Answers Graded A+
D. Position the client in an circulatory overload is suspected.
upright position with the E. CORRECT: The nurse should administer an antihista-
feet lower than the heart. mine, such as diphenhydramine, if an allergic transfusion
E. Administer diphenhydramine. reaction is suspected.
3. A nurse is monitoring a client
who began receiving a unit
of packed RBCs 10 min ago.
Which of the following findings A. A temperature increase of 1° F (0.5° C) is an indication
should the nurse identify as an of a febrile transfusion reaction.
indication of a febrile transfusion B. Hypotension is an indication of a febrile transfusion
reaction? (Select all that apply.) reaction.
A. Temperature change from C. CORRECT: Tachycardia is an indication of a febrile trans-
37° C (98.6° F) pretransfusion fusion reaction.
to 37.2° C (99.0° F) D. The client's report of itching is an indication of an
B. Current blood pressure allergic transfusion reaction.
178/90 mm Hg E. CORRECT: A flushed appearance of the client can indi-
C. Heart rate change from 88/min cate a febrile transfusion reaction
pretransfusion to 120/min
D. Client report of itching
E. Client appears flushed
4. A nurse is providing preoperative
teaching for a client who requests
autologous donation in preparation
A. The client should donate blood for an autologous
for a scheduled orthopedic
transfusion no sooner than 6 weeks prior to surgery.
surgical procedure. Which of the
B. An autologous donation refers to the client's
following statements should the
donation of blood for his own personal use.
nurse include in the teaching?
C. CORRECT: Beginning 6 weeks prior to surgery, the
A. "You should make an
client can donate blood each week for autologous
appointment to donate blood
8 weeks prior to the surgery."
B. "If you need an autologous
A. An iron level of 90 mcg/dL is within the expected refer-
ence
range and is not an expected finding of anemia.
A nurse in a clinic is caring for a client who has suspected
B. RBC count of 6.5 million/uL is above the expected ref-
anemia. Which of the following laboratory test results
erence
should the nurse expect?
range. A decreased RBC count is an expected finding of
A. Iron 90 mcg/dL
anemia.
B. RBC 6.5 million/uL
C. WBC count of 4800 mm3
C. WBC 4,800 mm3
is below the expected reference
D. Hgb 10 g/dL
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. 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.
A nurse is caring for a client who is receiving warfarin for B. CORRECT: INR of 1.1 is within the expected reference
anticoagulation therapy. Which of the following laboratory range for a client who is not receiving warfarin. However,
test results indicates to the nurse that the client needs an this value is subtherapeutic for anticoagulation therapy.
increase in the dosage? The nurse should expect the client to receive an increased
A. aPTT 38 seconds dosage of warfarin until the INR is 2 to 3.
B. INR 1.1 C. PT of 22 seconds is above the expected reference range
C. PT 22 seconds for a client receiving warfarin therapy. This result indicates
D. D‑dimer negative 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. The nurse should inform the client that he will be placed
A nurse is providing teaching for a client who is scheduled
in a prone or side‑lying position during the test in order
for a bone marrow biopsy of the iliac crest. Which of
to expose the iliac crest.
the following statements made by the client indicates an
B. CORRECT: The nurse should inform the client of the
understanding of the teaching?
need to stay on bed rest for 30 to 60 min following the
,Hematology NCLEX Test Questions with Verified Answers Graded A+
A. "This test will be performed while I am lying flat on my test to reduce the risk for bleeding.
back." C. The nurse should inform the client that a culture and
B. "I will need to stay in bed for about an hour after the sensitivity test determines the type of antibiotics needed
test." to treat an infection.
C. "This test will determine which antibiotic I should take D. The nurse should inform the client that he will receive
for treatment." a sedative prior to the test and that a local anesthetic will
D. "I will receive general anesthesia for the test." be used at the site.
1. A nurse is preparing to administer
packed RBCs to a client who
A. The nurse should obtain consent from the client for
has a Hgb of 8 g/dL. Which of
the transfusion prior to initiating the transfusion.
the following actions should the
B. CORRECT: The nurse should assess for an acute he-
nurse plan to take during the
molytic reaction
first 15 min of the transfusion?
during the first 15 min of the transfusion. This form of a
A. Obtain consent from the
reaction can
client for the transfusion.
occur following the transfusion of as little as 10 mL of
B. Assess for an acute
blood product.
hemolytic reaction.
C. The nurse should explain the transfusion procedure
C. Explain the transfusion
to the client prior to initiating the transfusion.
procedure to the client.
D. The nurse should obtain blood culture specimens
D. Obtain blood culture
specimens to send to the lab
2. A nurse is caring for a client who
A. CORRECT: The nurse should immediately stop the infu-
is receiving a blood transfusion.
sion if an allergic transfusion reaction is suspected.
Which of the following actions
B. The nurse should monitor for hypotension if an allergic
should the nurse expect if an
transfusion reaction is suspected due to the risk for shock.
allergic transfusion reaction is
C. CORRECT: The nurse should administer 0.9% sodium
suspected? (Select all that apply.)
chloride solution through new IV tubing if an allergic
A. Stop the transfusion.
transfusion reaction is suspected.
B. Monitor for hypertension.
D. The nurse should position the client in an upright po-
C. Maintain an IV infusion with
sition with the feet lower than the level of the heart if a
0.9% sodium chloride.
, Hematology NCLEX Test Questions with Verified Answers Graded A+
D. Position the client in an circulatory overload is suspected.
upright position with the E. CORRECT: The nurse should administer an antihista-
feet lower than the heart. mine, such as diphenhydramine, if an allergic transfusion
E. Administer diphenhydramine. reaction is suspected.
3. A nurse is monitoring a client
who began receiving a unit
of packed RBCs 10 min ago.
Which of the following findings A. A temperature increase of 1° F (0.5° C) is an indication
should the nurse identify as an of a febrile transfusion reaction.
indication of a febrile transfusion B. Hypotension is an indication of a febrile transfusion
reaction? (Select all that apply.) reaction.
A. Temperature change from C. CORRECT: Tachycardia is an indication of a febrile trans-
37° C (98.6° F) pretransfusion fusion reaction.
to 37.2° C (99.0° F) D. The client's report of itching is an indication of an
B. Current blood pressure allergic transfusion reaction.
178/90 mm Hg E. CORRECT: A flushed appearance of the client can indi-
C. Heart rate change from 88/min cate a febrile transfusion reaction
pretransfusion to 120/min
D. Client report of itching
E. Client appears flushed
4. A nurse is providing preoperative
teaching for a client who requests
autologous donation in preparation
A. The client should donate blood for an autologous
for a scheduled orthopedic
transfusion no sooner than 6 weeks prior to surgery.
surgical procedure. Which of the
B. An autologous donation refers to the client's
following statements should the
donation of blood for his own personal use.
nurse include in the teaching?
C. CORRECT: Beginning 6 weeks prior to surgery, the
A. "You should make an
client can donate blood each week for autologous
appointment to donate blood
8 weeks prior to the surgery."
B. "If you need an autologous
