Free Practice Quiz Question List

6 Nursing Management of Hematologic Conditions Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Nursing Management of Hematologic Conditions, test your knowledge, and prepare for your next test or exam.

20 questions

Choose one

1 point

A client reports fatigue and exertional shortness of breath. Hemoglobin is 8.9 g/dL, hematocrit is 28%, MCV is 70 fL, and ferritin is low. Which interpretation best fits these findings?

A
The findings indicate macrocytic anemia.
B
The findings are consistent with microcytic anemia and depleted iron stores.
C
The findings establish hemolytic anemia.
D
The findings indicate thrombocytopenia.

Choose one

1 point

A client receiving leukemia treatment has a markedly low absolute neutrophil count and reports a new fever. What is the priority nursing action?

A
Reassure the client that fever is expected during treatment.
B
Promptly notify the responsible clinician and follow the facility’s urgent fever/neutropenia protocol.
C
Wait until the next scheduled blood count before acting.
D
Obtain a rectal temperature to confirm the reading.

Choose one

1 point

A client reports a persistent, painless enlarged lymph node and unexplained night sweats. Which response is most appropriate?

A
Explain that these findings alone confirm lymphoma.
B
Arrange timely clinical evaluation; diagnosis requires appropriate testing, often including examination of tissue.
C
Recommend massaging the node and waiting several months before reassessment.
D
Explain that lymphoma always begins in the blood.

Choose one

1 point

A hospitalized client develops new unilateral calf swelling, warmth, and tenderness. What should the nurse do?

A
Massage the calf to improve circulation.
B
Promptly report the findings and follow the diagnostic and treatment plan.
C
Encourage walking without assessment and apply vigorous heat.
D
Document the findings as expected discomfort from immobility.

Choose all

1 point

A client with severe thrombocytopenia has no active bleeding. Select all appropriate nursing actions.

A
Use a soft toothbrush and help reduce injury risk.
B
Apply firm pressure after venipuncture and assess for continued bleeding.
C
Give aspirin for a headache unless the client reports an allergy.
D
Avoid unnecessary invasive procedures and follow prescribed bleeding precautions.
E
Promptly report new bleeding, severe headache, or a change in level of consciousness.

Choose all

1 point

A client reports recurrent nosebleeds, easy bruising, and prolonged bleeding after dental work. Select all elements relevant to an initial assessment.

A
Ask about the bleeding pattern and severity.
B
Rely on family history alone if the client currently feels well.
C
Review medicines that may affect bleeding.
D
Obtain a CBC with platelet count, PT, and aPTT as relevant initial tests.
E
Order only a hemoglobin A1C and serum potassium.

True or false

1 point

True or false: Normal PT and aPTT results rule out every bleeding disorder.

A
True
B
False

True or false

1 point

True or false: A prolonged aPTT always means that a client has a bleeding tendency.

A
True
B
False

Written response

1 point

In a client with anemia, a low reticulocyte count generally suggests what about the bone marrow’s response?

Written response

1 point

Which coagulation test is commonly used to monitor warfarin therapy?

Open ended

1 point

During a blood transfusion, a client develops chills, fever, and shortness of breath. Describe the immediate nursing response and the notifications required.

Choose one

1 point

Before starting a blood transfusion, which action is essential to help prevent an identification error?

A
Verify the client and blood component using the required identification checks at the bedside, following facility policy.
B
Begin the transfusion and have another staff member check identification afterward.
C
Use the client’s room number as the sole identifier.
D
Skip baseline observations if the client appears well.

Choose one

1 point

A client with anemia has a low reticulocyte count. What does this finding generally suggest?

A
The marrow may not be producing enough new red cells for the degree of anemia.
B
The client is definitely losing blood rapidly.
C
Red-cell destruction is occurring at a high rate.
D
The platelet count is elevated.

True or false

1 point

A low reticulocyte count in a client with anemia can indicate an inadequate bone marrow response.

A
True
B
False

Written response

1 point

What are young red blood cells called? Enter the term used for the cells measured in a reticulocyte count.

Choose one

1 point

A client reports recurrent nosebleeds, easy bruising, and prolonged bleeding after dental work. Which initial assessment and tests are most relevant?

A
Assess bleeding and family history, review medications, and obtain a CBC with platelet count, PT, and aPTT.
B
Take a family history only; coagulation tests are unnecessary if the client feels well.
C
Order a D-dimer only.
D
Check hemoglobin A1C and serum potassium.

Written response

1 point

A client receiving leukemia treatment has a markedly low absolute neutrophil count. What condition makes a new fever an urgent concern? Enter the condition in two words.

Choose one

1 point

During a blood transfusion, a client develops chills, fever, and shortness of breath. What is the priority response?

A
Slow the transfusion and reassess in 30 minutes.
B
Stop the transfusion, assess airway, breathing, and circulation, maintain IV access without flushing the existing line, and promptly notify the appropriate clinician and transfusion service.
C
Remove the IV and discard the blood product without notifying anyone.
D
Continue the transfusion while obtaining a routine temperature.

Fill in the blank

1 point

A client appears well before a scheduled blood transfusion. Before starting it, the nurse should obtain and document the required .

Fill in the blank

1 point

A nurse assessing a client receiving leukemia treatment should consider that the disease and treatment can impair normal , not only affect infection risk.

6 Nursing Management of Hematologic Conditions Online Quiz Questions

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