Deck 33: Assessment of Hematological Function

Question 1

The nurse recognizes which prescribed medication is indicated to prevent the formation of clots for a patient diagnosed with deep vein thrombosis (DVT)?
1)Warfarin
2)Vitamin K
3)Abciximab
4)Streptokinase

Answer 1

1

Question 2

What term does the nurse use to document a decreased platelet count?
1)Anemia
2)Neutropenia
3)Polycythemia
4)Thrombocytopenia

Answer 2

4

Question 3

The nurse provides care to a patient who presents with clinical manifestations of an ischemic stroke. Which time frame does the nurse anticipate for the prescribed fibrinolytic medication?
1)Within 4 hours of symptoms
2)Within 8 hours of symptoms
3)Within 12 hours of symptoms
4)Within 16 hours of symptoms

Answer 3

3

Question 4

The nurse is reviewing the complete blood cell (CBC) count for a female patient recently admitted to the medical-surgical unit. The CBC count is as follows: platelet 180,000/mm³; hemoglobin 15 g/dL; red blood cells 4.4 million cells/mm³; white blood cells 6 10³/mm^3- . What is the nurse's analysis of these results?
1)The patient is anemic.
2)The patient has leukopenia.
3)The patient has thrombocytopenia.
4)The patient's laboratory values are within normal limits.

Question 5

The nurse encourages the patient with iron deficiency anemia to increase which food in the diet?
1)Shellfish
2)Lima beans
3)Citrus fruits
4)Milk products

Question 6

In reviewing a patient's complete blood count (CBC) results, the nurse notes a "shift to the left." What is the significance of these results?
1)There is an elevated number of mature erythrocytes.
2)There is an elevated number of immature neutrophils (bands).
3)There is an elevated number of mature neutrophils (segs).
4)There is an elevated number of immature thrombocytes.

Question 7

The nurse recognizes which of the following as a component of plasma within the blood?
1)Platelets
2)Electrolytes
3)Red blood cells
4)White blood cells

Question 8

The nurse provides education to a patient diagnosed with a folic acid deficiency. Which patient statement indicates a correct understanding of the dietary information presented?
1)"Eggs are a good source of folic acid."
2)"I will increase my intake of citrus fruits."
3)"Shellfish is a good source of folic acid."
4)"I will increase my intake of green, leafy vegetables."

Question 9

The nurse is providing care to a patient who has impaired platelet aggregation. What does the nurse anticipate based on this data?

A)The patient is taking vitamin K supplements.
B)The patient is taking anti-inflammatory agents.
C)The patient is taking folic acid.
D)The patient is taking B₁₂ supplements and has a red blood cell count 4.6 million cells/ $\mu$ L.

Question 10

In completing a physical assessment on a patient, the nurse notes that the patient has a red, swollen, smooth, shiny and tender tongue. The nurse correlates this finding to which disorder?
1)Thrombocytosis
2)Leukopenia
3)Iron deficiency anemia
4)Vitamin K deficiency

Question 11

The nurse is reviewing laboratory results for a patient scheduled for a bleeding time test. Which value requires an immediate intervention?
1)White blood cell count of 13.2 10³/mm^3-
2)Hemoglobin 9 g/L
3)Platelet count of 70,000/mm³
4)Prothrombin time 12 seconds

Question 12

Which term does the nurse use when documenting an elevated red blood cell (RBC) count?
1)Anemia
2)Neutropenia
3)Polycythemia
4)Thrombocytopenia

Question 13

The nurse correlates a potential for decreased oxygenation in the female patient with which laboratory results?
1)Hemoglobin 12.0 g/dL
2)Hematocrit 36%
3)Red blood cell count 6.5 million cells/mm³
4)Platelet count 100,000/mm³

Question 14

The nurse recognizes that a patient who presents in the emergency department with symptoms of a thrombotic stroke should be evaluated to receive which medication?
1)Warfarin
2)Vitamin K
3)Abciximab
4)Streptokinase

Question 15

In monitoring a patient at the completion of a bleeding time test, which finding requires an intervention?
1)Bleeding does not stop within 5 minutes of the completion of the test.
2)Bleeding does not stop within 15 minutes of the completion of the test.
3)The average bleeding time is calculated as 6 minutes.
4)The average bleeding time is calculated as 8 minutes.

Question 16

The nurse prioritizes which nursing diagnosis for the patient with a decreased neutrophil count?
1)Activity Intolerance
2)Fatigue
3)Risk for Bleeding
4)Risk for Infection

Question 17

The nurse monitors which laboratory results in the patient with a clotting disorder caused by the intrinsic pathway?
1)Prothrombin time (PT)
2)Reticulocyte count
3)Complete blood cell (CBC) count
4)Partial thromboplastin time (PTT)

Question 18

Which clotting factor is converted to fibrin and is responsible for clot formation?
1)Fibrinogen
2)Prothrombin
3)Calcium ions
4)Tissue thromboplastin

Question 19

The nurse is caring for a male patient with hypersplenism. Which laboratory result does the nurse correlate to this disorder?
1)Hemoglobin 18.6 g/dL
2)Platelet count 120,000/mm³
3)White blood count 13.6 10³/mm^3-
4)Hematocrit 55%

Question 20

The nurse recognizes which as a function of red blood cells?
1)Facilitating osmosis between O₂ and CO₂
2)Transporting O₂ from the lungs to the tissues
3)Transporting CO₂ from the lungs to the tissues
4)Facilitating active transport between O₂ and CO₂

Question 21

Which is an age-related hematological change the nurse anticipates when reviewing a complete blood count (CBC) for an older adult patient?
1)Increased hematocrit
2)Increased hemoglobin
3)Increased B and T cells
4)Increased sedimentation rate

Question 22

Place the stages of hemostasis in the correct order (1-5). (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)
1) Vasospasm
2) Clot formation
3) Clot retraction
4) Clot dissolution
5) Formation of platelet plug

Question 23

The nurse is caring for an older adult patient with hemolytic anemia. When planning care for this patient, which should the nurse take into consideration regarding this diagnosis? Select all that apply.
1)It causes the red blood cells to be microcytic.
2)It is associated with an increase in the reticulocyte count.
3)It is the result of blood loss.
4)It is a result of the premature destruction of red blood cells.
5)It always requires treatment with folic acid

Question 24

The nurse correlates an intact immune system with the function of which stem cells? Select all the apply.
1)B lymphocytes
2)Granulocytes
3)Neutrophils
4)Thrombocytes
5)T lymphocytes

Question 25

In providing care for a patient who takes 325 mg aspirin daily, the nurse teaches the patient that with long-term aspirin therapy, which laboratory tests need to be periodically monitored? Select all that apply.
1)Hematocrit
2)INR (international normalized ratio)
3)Leukocytes
4)Prothrombin time
5)Serum creatinine

Question 26

Which statement to the nurse by the patient about a planned bone marrow biopsy indicates the need for further teaching?
1)"I may hear a crunching sound as the needle punctures the bone."
2)"I can receive sedation for this test."
3)"I will need to be on strict bedrest for at least 24 hours."
4)"I may feel some pressure during the procedure."

Question 27

The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a patient who has leukemia. The patient also has thrombocytopenia. On completing of the test, which intervention is a priority for the nurse?
1)Teach the patient about signs of infection.
2)Label and refrigerate the specimen obtained by the provider.
3)Hold pressure on the wound for at least 5 to 10 minutes.
4)Assess for post-procedure pain after the bone marrow biopsy.

Question 28

In completing a physical assessment in an 80-year old male, the nurse correlates which findings to age-related changes to the hematological system? Select all that apply.
1)Elevated B and T lymphocytes
2)Hemoglobin (Hgb) 16.5 g/dL
3)Hematocrit (Hct) 50%
4)Decreased iron binding
5)Decreased erythrocyte sedimentation rate (ESR)

Question 29

Which actions does the nurse implement in the patient who is neutropenic? Select all that apply.
1)Performing mouth care on the patient frequently
2)Implementing hand hygiene before touching the patient
3)Limiting the number of visitors who can see the patient
4)Teaching visitors to wash hands before entering the patient's room
5)Ensuring the use of booties to cover the shoes before entering the patient's room

Question 30

The nurse teaches a patient to increase the intake of which hematopoietic vitamins to promote red blood cell formation and function? Select all that apply.
1)Folic acid
2)Vitamin B₆
3)Vitamin B₁₂
4)Vitamin C
5)Vitamin K