Hematologic Disorders Test Questions
with Verified Answers
A patient with sepsis develops hematuria and hemoptysis. Bleeding precautions and
orders for blood product transfusion are initiated. Which intervention is essential to
manage the suspected secondary condition? - ANS -Treat underlying cause
A nurse monitoring a patient who was bleeding and underwent platelet transfusion 18
hours earlier observes that the initially increased platelet count is now decreased. What
are the nurse's initial priorities? - ANS -monitor for bleeding and or changes in vital
signs
A patient is receiving UFH at 15 units/kg/hr for treatment of a PE. Which set of lab
parameters six hour after dose change should the nurse anticipate indicate UFh's intended
therapeutic effect? - ANS -C
Which condition puts a patient at greatest risk for developing a coagulopathy? A patient
with: - ANS -Acute hepatic failure
A patient receiving warfarin with an elevated INR is to undergo emergency surgery vitamin K
has been administered. The nurse should anticipate administration of which additional
reversal agent to achieve a rapid decrease in the PT-INR? - ANS -Prothrombin
complex concentrate
A patient received 10 units RBCs and 6 units of FFP in the OR. The patient is dyspneic and
remains hypotensive and hypovolemic. The patient's H&H is 6.9 and 21 platelets are
148,000, k 3.9, and ionized ca is 0.89. The nurse should anticipate administration of which
treatment? - ANS -RBC and calcium
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with Verified Answers
A patient with sepsis develops hematuria and hemoptysis. Bleeding precautions and
orders for blood product transfusion are initiated. Which intervention is essential to
manage the suspected secondary condition? - ANS -Treat underlying cause
A nurse monitoring a patient who was bleeding and underwent platelet transfusion 18
hours earlier observes that the initially increased platelet count is now decreased. What
are the nurse's initial priorities? - ANS -monitor for bleeding and or changes in vital
signs
A patient is receiving UFH at 15 units/kg/hr for treatment of a PE. Which set of lab
parameters six hour after dose change should the nurse anticipate indicate UFh's intended
therapeutic effect? - ANS -C
Which condition puts a patient at greatest risk for developing a coagulopathy? A patient
with: - ANS -Acute hepatic failure
A patient receiving warfarin with an elevated INR is to undergo emergency surgery vitamin K
has been administered. The nurse should anticipate administration of which additional
reversal agent to achieve a rapid decrease in the PT-INR? - ANS -Prothrombin
complex concentrate
A patient received 10 units RBCs and 6 units of FFP in the OR. The patient is dyspneic and
remains hypotensive and hypovolemic. The patient's H&H is 6.9 and 21 platelets are
148,000, k 3.9, and ionized ca is 0.89. The nurse should anticipate administration of which
treatment? - ANS -RBC and calcium
1
Page
