True or false: Adult hematology reference ranges are universal, so the same cutoff should be used for every patient and laboratory.
2 Hematology and Coagulation Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Hematology and Coagulation, test your knowledge, and prepare for your next test or exam.
A patient reports fatigue and shortness of breath on exertion. Hemoglobin is 8.4 g/dL, hematocrit is 27%, and MCV is 70 fL. Which interpretation is most appropriate?
- A
Microcytic anemia is present, but the cause requires further assessment.
- B
Macrocytic anemia is present, and no further assessment is needed.
- C
The results indicate thrombocytopenia.
- D
The results confirm an acute infection.
What ANC cutoff, in cells per µL, marks the boundary for severe neutropenia? Enter the cutoff value as a number.
A CBC includes red-cell measures, a , and a .
True or false: A normal or low WBC count rules out a serious infection.
- A
True
- B
False
Which anticoagulant may be monitored using the aPTT?
PT/INR commonly monitors the effect of , whereas aPTT may monitor .
A patient’s hemoglobin is above the laboratory reference range. Which interpretation is supported by the result, without assuming a specific diagnosis?
- A
It confirms an acute infection.
- B
It may reflect dehydration or increased red-cell production.
- C
It establishes iron-deficiency anemia.
- D
It indicates a low platelet count.
True or false: A high platelet count always indicates a primary blood disorder.
- A
True
- B
False
Which information should be considered when interpreting a hematology or coagulation result? Select all that apply.
- A
The patient’s symptoms and clinical condition
- B
Vital signs
- C
A single value interpreted without considering the patient
- D
Trends and the patient’s baseline
- E
Medications and the laboratory’s reference range
A patient has a platelet count of 18,000/µL, new petechiae, and bleeding while brushing their teeth. Which actions are appropriate? Select all that apply.
- A
Assess for active or hidden bleeding.
- B
Institute bleeding precautions.
- C
Encourage flossing and continue routine care.
- D
Promptly notify the responsible clinician or team.
A patient with suspected infection has WBC 15,000/µL, heart rate 118/min, new confusion, and blood pressure 86/52 mm Hg. What is the best action?
- A
Treat the elevated WBC alone as proof of sepsis.
- B
Assess the patient and activate the facility’s urgent escalation or sepsis pathway.
- C
Wait until tomorrow to repeat the CBC.
- D
Focus only on the WBC because vital signs are unrelated to blood counts.
A patient taking warfarin has an INR of 5.2 and a nosebleed that will not stop. Which response is most appropriate?
- A
Treat an INR of 5.2 as therapeutic for every patient taking warfarin.
- B
Promptly assess bleeding and vital signs, then notify the responsible clinician or team for urgent direction.
- C
Tell the patient to take an extra warfarin dose.
- D
Ignore the INR unless a PT result is also available.
For most hemodynamically stable hospitalized adults, what hemoglobin threshold may prompt consideration of transfusion, and why should the decision not be based on hemoglobin alone?
A blood test result falls near the edge of a commonly cited adult reference range. What is the best approach to interpreting it?
- A
Use a common adult range as definitive, regardless of the laboratory or patient.
- B
Use the range printed on the patient’s report and compare with the patient’s baseline and clinical condition.
- C
Treat any result outside a common range as proof of a specific disease.
- D
Ignore the patient’s symptoms if the result falls within a common range.
A patient's MCV is 70 fL. What term describes this red-cell size pattern?
For most hemodynamically stable hospitalized adults, around what hemoglobin value (g/dL) do guidelines support considering transfusion? Enter the approximate threshold; clinical context and exceptions still apply.
A patient reports fatigue and shortness of breath on exertion. Hemoglobin is 8.4 g/dL and hematocrit is 27%. Which interpretation and response are most appropriate?
- A
Recognize anemia, assess symptoms and clinical context, and investigate the cause rather than deciding on transfusion from hemoglobin alone.
- B
Conclude that the patient needs transfusion because the hemoglobin is below the common adult range.
- C
Diagnose iron deficiency from these results alone and begin treatment without further assessment.
- D
Dismiss the findings because shortness of breath can occur with a low MCV.
A patient receiving chemotherapy has an ANC of 300/µL and develops a temperature of 38.3°C. What is the priority response?
- A
Wait for a repeat CBC to confirm the low white blood cell count.
- B
Assess promptly and notify the responsible clinician or team immediately, following the febrile-neutropenia protocol.
- C
Give an antipyretic and reassess at the end of the shift.
- D
Reassure the patient that severe neutropenia prevents fever.
A patient with suspected infection has a WBC of 15,000/µL, heart rate of 118/min, new confusion, and blood pressure of 86/52 mm Hg. What is the best action?
- A
Use the elevated WBC alone to confirm sepsis.
- B
Recognize possible deterioration, assess the patient, and activate the facility’s urgent escalation or sepsis pathway.
- C
Repeat the CBC tomorrow before notifying the care team.
- D
Focus on the WBC because blood pressure and mental status are unrelated to blood counts.
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