A patient with a normal WBC count can still have an infection. True or false?
2 Hematology and Coagulation Laboratory Values Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Hematology and Coagulation Laboratory Values, test your knowledge, and prepare for your next test or exam.
A low MCV is described as .
A prolonged PT/INR or aPTT result, by itself, establishes that a patient is bleeding. True or false?
- A
True
- B
False
The clinical term for a low platelet count is .
Which coagulation test is commonly used to monitor warfarin therapy? Enter the test name or its standard abbreviation.
Which coagulation test may be used to monitor unfractionated heparin? Enter the test name or its standard abbreviation.
A patient's hematocrit is above the laboratory's reference interval. Which interpretation is most appropriate?
- A
Dehydration may be contributing to the high result.
- B
The result alone proves that the patient has a blood cancer.
- C
A high hematocrit indicates a platelet plug has formed.
- D
The result rules out blood loss.
A patient has a hemoglobin below the laboratory reference interval. Which assessment is most relevant to perform promptly?
- A
Assume the patient has iron-deficiency anemia and document that diagnosis.
- B
Ask about fatigue, shortness of breath, dizziness, and possible bleeding.
- C
Assess only for unilateral calf swelling.
- D
Wait for another CBC before asking about symptoms.
A patient with known neutropenia develops a fever. What is the best nursing response?
- A
Wait for the next scheduled CBC before taking action.
- B
Reassure the patient that a low WBC prevents fever.
- C
Promptly assess the patient and follow the urgent infection-escalation pathway.
- D
Recommend an over-the-counter fever medicine and reassess tomorrow.
A patient with a low platelet count develops new petechiae. Which action is appropriate?
- A
Encourage contact sports to maintain activity.
- B
Give an intramuscular injection to reduce the need for venipuncture.
- C
Independently discontinue all prescribed medicines.
- D
Assess for additional bleeding and promptly notify the responsible clinician according to policy.
A patient has an increased bleeding risk. Select all appropriate precautions.
- A
Avoid unnecessary needle sticks and trauma.
- B
Encourage vigorous flossing to strengthen the gums.
- C
Apply prolonged pressure after venipuncture.
- D
Use a soft toothbrush when appropriate.
A patient taking warfarin has an INR above the prescribed target and reports blood in the urine. What should the nurse do?
- A
Tell the patient to skip warfarin for several days without contacting the prescriber.
- B
Assess the patient and promptly escalate the result and bleeding symptom.
- C
Reassure the patient that a high INR prevents clots.
- D
Wait for the next routine appointment.
A patient has an unexpectedly prolonged coagulation result. Which findings should prompt urgent escalation? Select all that apply.
- A
Blood in the urine.
- B
A long-standing, unchanged freckle.
- C
New unilateral leg swelling or pain.
- D
Sudden shortness of breath.
A laboratory reports a critical coagulation result for a patient whose condition is worsening. Describe the nursing response from the initial assessment through communication, documentation, and reassessment.
A patient’s MCV is 108 fL. Which interpretation is most consistent with this result?
- A
Macrocytic; it can occur with vitamin B12 or folate deficiency.
- B
Microcytic; it can occur with iron deficiency or thalassemia.
- C
A platelet abnormality; it establishes a bleeding disorder.
- D
A normal red-cell size; it rules out anemia.
A patient has a hematocrit above the laboratory’s reference interval. Which interpretation is most appropriate?
- A
It proves the patient has increased red-cell production.
- B
It confirms a diagnosis of anemia.
- C
It may reflect dehydration or increased red-cell concentration and needs contextual interpretation.
- D
It rules out a need to review symptoms or trends.
Which clotting pathways does the aPTT assess?
A patient has a normal WBC result but develops symptoms concerning for infection. Which interpretation should guide the nurse’s response?
- A
A normal WBC rules out infection, so no further assessment is needed.
- B
A normal WBC does not rule out infection; assess the patient’s symptoms and condition.
- C
A normal WBC confirms that an infection is viral.
- D
A normal WBC means the patient cannot deteriorate from infection.
In a patient with a low WBC, which specific measure is especially relevant to assessing infection risk?
A CBC result on its own can establish a diagnosis. True or false?
- A
True
- B
False
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