ATI Med Surg Hematology Test Bank Exam 1
Questions & Answers
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. - 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. - 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. - 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. - 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? - 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 - 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. - 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.
Questions & Answers
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. - 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. - 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. - 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. - 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? - 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 - 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. - 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.
