A patient has a low MCV. What does this finding indicate about the average size of the patient's red blood cells?
2 Blood Counts and Coagulation Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Blood Counts and Coagulation, test your knowledge, and prepare for your next test or exam.
PT/INR is commonly used to monitor warfarin, while aPTT may be used to monitor unfractionated heparin.
- A
True
- B
False
A patient's WBC count is high, but the patient is stable and has no clear symptoms. What is the most appropriate interpretation?
- A
Assess the patient for infection and consider the overall clinical picture.
- B
Conclude that the patient has an infection based on the WBC count alone.
- C
Ignore the result if the patient has no fever.
- D
Treat the result as proof of a medication reaction.
A high platelet count by itself confirms that the patient has a blood clot.
- A
True
- B
False
For assessing infection risk in a patient with a low WBC, the is more useful than the total WBC alone.
A patient has a low platelet count. Which actions are appropriate? Select all that apply.
- A
Check for petechiae or unusual bruising.
- B
Assume that the patient has a clot.
- C
Ask about gum or nose bleeding.
- D
Use bleeding precautions as directed.
- E
Stop any anticoagulant medication without an order.
What does a low MCV indicate about the average size of a patient's red blood cells?
The is commonly used to monitor warfarin therapy.
A stable patient has a low Hgb and no current symptoms. What is the best nursing response?
- A
Treat the low Hgb as proof of active bleeding.
- B
Assess for symptoms and compare the result with prior values.
- C
Disregard the result because the patient is stable.
- D
Diagnose a specific cause from the Hgb value alone.
A patient with known or suspected severe neutropenia develops a fever but otherwise appears only mildly unwell. What should the nurse do, and why?
A patient's INR is below the prescribed warfarin target. Which interpretations or responses are appropriate? Select all that apply.
- A
Compare the INR with the patient's prescribed target.
- B
Recognize that anticoagulation may be inadequate and clot risk may be increased.
- C
Assume that one INR target applies to every patient taking warfarin.
- D
Follow orders and facility protocol rather than independently changing the dose.
A patient's Hgb and Hct are above the laboratory reference interval. Which interpretation is most appropriate?
- A
Diagnose increased red-cell production from the result alone.
- B
Conclude that the patient has a clot.
- C
Consider the patient's clinical picture and hydration status.
- D
Treat the value as a universal threshold regardless of the lab's reference interval.
A patient has a low Hgb but is stable and has no symptoms. Which response is most appropriate?
- A
Treat the result as proof of acute blood loss and begin an intervention without further assessment.
- B
Assess the patient and compare the result with prior values; arrange appropriate follow-up.
- C
Ignore the result because the patient has no symptoms.
- D
Independently change the patient’s medications based on the result.
A high WBC count by itself proves that a patient has an infection.
- A
True
- B
False
Which anticoagulant is PT/INR commonly used to monitor?
A patient has a low platelet count. Which nursing response best reflects the potential risk?
- A
Assess only for symptoms of a clot; low platelets are not associated with bleeding.
- B
Wait for a platelet count to normalize before checking for bleeding.
- C
Check for bruising, petechiae, and bleeding, and use bleeding precautions as directed.
- D
Assume the patient has internal bleeding even if there are no symptoms.
A patient taking warfarin has an INR below the prescribed target. What is the most appropriate interpretation?
- A
Anticoagulation may be inadequate, so assess and follow up according to orders and protocol.
- B
The result confirms that a clot is present.
- C
The patient should independently stop warfarin.
- D
The result is therapeutic for every patient taking warfarin.
Severe neutropenia is commonly defined as an ANC below what numeric threshold? Enter the number only; the unit is /µL.
A patient with known severe neutropenia develops a fever but otherwise seems well. What should the nurse do?
- A
Wait for additional symptoms because fever alone is not concerning.
- B
Escalate immediately according to local protocol.
- C
Repeat the CBC at the next routine visit before taking action.
- D
Treat the fever as proof that the patient has a clot.
A patient being monitored for abnormal blood counts suddenly develops a severe headache and new neurologic changes. What immediate nursing action is indicated?