“Take the medication with an antacid.” 36. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Laboratory studies will show decreased hemoglobin and hematocrit levels and a decreased platelet count, and increased reticulocyte count, and the presence of nucleated red blood cells. A mother asks the nurse if her child’s iron deficiency anemia is related to the child’s frequent infections. Potato, peas, and chicken 3. Adverse reactions that have occurred are believed to be related to impurities or to the preservative in B12 preparations. “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient intrinsic factor.”. D. Red blood cells that are microcytic and hypochromic. A client comes into the health clinic 3 years after undergoing a resection of the terminal ileum complaining of weakness, shortness of breath, and a sore tongue. Vitamin B12 needs to be injected every month, because the ileum has been surgically removed. Characteristic sickle cells tend to cause “log jams” in capillaries. A client is to receive epoetin (Epogen) injections. Option A: Citrucel is a bulk-forming agent. The stomach is producing enough acid, there is not an excessive excretion of the vitamin, and there is not a rapid production of RBCs in this condition. Health Promotion and Maintenance 2. Learn more about services at Mayo Clinic… Option D: A stool collection is not part of the Schilling test. Discuss the components of a focused endocrine assessment. Palpitations, SOB, and pallor are all associated with severe anemia. Option B: Decreased cardiac output is not a problem with this type of vaso occlusive crisis. D. Orthopnea Option C: Clot retraction test measures capillary fragility. D. Excess fluid volume related to infection. 7. A. This quiz will test your knowledge on how to interpret the complete blood count and the normal […] Without leukocytes to protect us, our bodies could succumb to disease and infection. Option A: The gene for sickle cell disease is transmitted at the time of conception, not passed through the placenta. Christmas disease, also called hemophilia B, results in a factor IX deficiency. D. Bowel function. Option C: Passive immunity conferred by maternal antibodies is not related to sickle cell disease, but this transmission of antibodies is important to protect the infant from various infections during early infancy. Elevated serum bilirubin concentrations are associated with jaundice, not sickle cell disease. C. Document the findings Option B: Granulocytopenia is a decreased number of granulocytes (a type of white blood cells). Hematologist Interview Questions: 1. The polypeptide chains of hemoglobin A are composed of: An iron protein complex which combines with oxygen and carbon dioxide is: The simplest method for detecting increased RBC production is: The type of staining we use to stain reticulocytes is called. Cholesterol Test BreakingMuscle. Fresh bleeding is a less likely occurrence on the third post-op day but is not impossible; however, the nurse would have expected to see a decrease in the RBC and hemoglobin values accompanying the hematocrit. Tea contains tannin, which combines with nonheme iron, preventing its absorption. Four porphyrin rings, each containing a molecule of Fe in the center, Cytoplasm a light blue with red-purple granules, Lymphocytes, monocytes, neutrophils, basophils, and lymphoblast, Lymphocytes, neutrophils, monocytes, myeloblasts, and eosinophils, Lymphocytes, neutrophils, monocutes, eosinophils and basophils, Removing question excerpt is a premium feature. This results in poor circulation to local tissues, leading to ischemia and necrosis. Answer: D. “Vitamin B12 is generally free of toxicity because it is water soluble.”. Option A: Whole grains are a good source of thiamine. Decreased levels of white blood cells, red blood cells, and platelets, Increased levels of WBCs, RBCs, and platelets, Reed-Sternberg cells and lymph node enlargement. Some hemoglobin S is produced by the fetus near term. C. “Take the medication with cereal.” B. Pallor As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Increased reticulocyte counts occur in children with sickle cell disease because the life span of their sickled red blood cells is shortened. Without the intrinsic factor, vitamin B12 cannot be absorbed in the small intestines, and folic acid needs vitamin B12 for DNA synthesis of RBCs. Answer: C. Pain related to tissue anoxia. B. Option C: Asking the client whether he is staying abreast of usual activities addresses whether the tasks were completed, not the tolerance of the client while the tasks were being completed or the resulting condition of the client after the tasks were completed. Option C: Ecchymosis formation around a joint would be difficult to assess. The mothers asks the nurse why her child’s hemoglobin was normal at birth but now the child has S hemoglobin. Other foods high in iron include organ and muscle (dark) meats; shellfish, shrimp, and tuna; enriched, whole-grain, and fortified cereals and breads; legumes, nuts, dried fruits, and beans; oatmeal; and sweet potatoes. Understand the importance of hand washing. Option B: Some hemoglobin S is produced by the fetus near term. 25. Thin or absent hair on trunk and extremities Please visit using a browser with javascript enabled. Answer: A. Which of the following information regarding this disorder would the nurse plan to include in the discussion? Hematology refers to the study of blood and the impact it has on disease and overall health. Hemophilia A results from a deficiency of factor VIII. Answer: D. “I take a vitamin B12 tablet every day.”. B. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Chapter 27. Strict aseptic technique and reverse isolation are important measures to prevent infection. E. Gout The PTT, hemoglobin level, and PT are not monitored for this drug. Pulse rate increased by 20 bpm immediately after the activity, Respiratory rate decreased by 5 breaths/minute, Diastolic blood pressure increased by 7 mm Hg. “What activities were you able to do 6 months ago compared to the present?” Option D: Shortness of breath is an early symptom from congested mucous membrane and ineffective gas exchange. "Do you seem to have excessive bleeding or bruising?" The normal range of folic acid is 1.8 to 9 ng/mL, and the normal range of vitamin B12 is 200 to 900 pg/mL. Answer: C. Continue to monitor vital signs. C. Macaroni, cheese, and ham Includes ability to … Children with iron deficiency anemia are more susceptible to infection than are other children. When comparing the hematocrit levels of a post-op client, the nurse notes that the hematocrit decreased from 36% to 34% on the third day even though the RBC and hemoglobin values remained stable at 4.5 million and 11.9 g/dL, respectively. A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Quiz: Are You A True Star Wars Series Fan? Although ineffective coping may be important, it is not the priority. Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis? Option D: Tea contains tannin, which combines with nonheme iron, preventing its absorption. Complete blood count (CBC) NCLEX review questions for nursing students! You can also copy this exam and make a printout. All questions will be in the single-best-answer format. Therefore, an early sign of hemarthrosis would be the child’s reluctance to move a body part. Reed-Sternberg cells and lymph node enlargement occur with Hodgkin’s disease. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Use of factor VIII concentrate is not associated with constipation, abdominal distention, or puffiness around the eyes. Bleeding time reflects platelet function; the tourniquet test measures vasoconstriction and platelet function; and the clot retraction test measures capillary fragility. B. Christmas disease Option B: A change in the intake and output is important, but assessment for the potential for bleeding takes priority. Lastly, granulocytopenia is a decreased number of granulocytes (a type of white blood cells). Options B, C, and D: The PTT, hemoglobin level, and PT are not monitored for this drug. The nurse responds based on the understanding of which of the following? It has more than 160 questions to give you a challenging practice session. C. Sedimentation rate, 16 mm/hour A low platelet count, also called thrombocytopenia, and accompanying signs and symptoms may be caused by a number of conditions and factors. b. Change in bowel function is not associated with aplastic anemia. Lack of oxygen in the red blood cells 15. Hematology is the study of blood and blood disorders. Response Assessment in Hematologic Malignancies. Thin or absent hair on trunk and extremities Do you know what amount, description, and anomalies one can find in the blood? D. Produce vitamin B12. D. Puffiness around the eyes. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions? This 15-item practice exam is all about Hematologic disorders in Pediatric Nursing. Vitamin B12 combines with intrinsic factor in the stomach and is then carried to the ileum, where it is absorbed in the bloodstream. B. After successful completion of this course, you should be able to: 1. B. Digest vitamin B12 A. Option D: Thrombocytopenia is a decreased number of platelets. A vegetarian client was referred to a dietitian for nutritional counseling for anemia. A client with pernicious anemia asks why she must take vitamin B12 injections for the rest of her life. Cholesterol tests are used to determine how high a patient's risk of heart disease is. 20. These practice questions give you a sense of what to expect of hematology and oncology questions on the Physician Assistant Exam (PANCE). Which client outcome indicates that the client does not understand nutritional counseling? Increased reticulocyte counts occur in children with sickle cell disease because the life span of their sickled red blood cells is shortened. Passive immunity conferred by maternal antibodies is not related to sickle cell disease, but this transmission of antibodies is important to protect the infant from various infections during early infancy. 3. 35. For a short definition, Hematology or Haematology is a branch of medicines which is concerned with the study, treatment and prevention of the diseases related to blood. “The placenta bars passage of the hemoglobin S from the mother to the fetus.”, “The red bone marrow does not begin to produce hemoglobin S until several months after birth.”, “Antibodies transmitted from you to the fetus provide the newborn with temporary immunity.”, “The newborn has a high concentration of fetal hemoglobin in the blood for some time after birth.”. Describe the structures and functions of the hematologic system. 31. c. "Does anyone in your family bleed … A. Which manifestations would the nurse include in the client’s teaching plan? Which of the following responses by the nurse is most appropriate? Discuss history questions which will help you focus your assessment. 14. Clinical manifestations of hepatitis include yellowing of the skin, mucous membranes, and sclera. None A. Autoimmune reaction complicated by hypoxia A client states that she is afraid of receiving vitamin B12 injections because of the potential toxic reactions. C. “I have 3 to 4 loose stools per day.” The results of a CBC in children with iron deficiency anemia will show decreased hemoglobin levels and microcytic and hypochromic red blood cells. Partial thromboplastin time 1. You may also like these other quizzes and exam tip articles: Iam planning to write HAAD PN on next month.so pls send some more practice questions &help me to how to write this exam.what type of questions will come for PN exam? If the bleeding into the joint continues, the area becomes hot, swollen, and immobile—not cool, pale, and clammy. Most clients with pernicious anemia have deficient production of intrinsic factor in the stomach. This hematology competency assessment trivia questions quiz is designed to be used with clinical laboratory staff to assess their competency in Hematology. Chapter 41 Assessment of the Hematologic System M. Linda Workman Learning Outcomes Safe and Effective Care Environment 1. A change in the intake and output is important, but assessment for the potential for bleeding takes priority. The elevation in hematocrit causes an elevation in blood pressure; therefore, the blood pressure is a vital sign that should be checked. Hematologic disorder: Assessment. The mothers asks the nurse why her child’s hemoglobin was normal at birth but now the child has S hemoglobin. D. Reed-Sternberg cells and lymph node enlargement. C. Peripheral sensation Chapter 12 BIO 1320 - Professor Miguel de la Flor Chapter 15 Cancer - Other Chapter 26 Upper Respiratory Problems Chapter 28 Obstructive Pulmonary Diseases Chapter 29 Assessment of Hematologic System Chapter 43 Liver, Pancreas, and Biliary Tract Problems Be sure to read them. Children with iron-deficient anemia are equally as susceptible to infection as are other children. “He sleeps 12 hours every night and take a 2-hour nap.”. Immediately after surgery, the client’s hematocrit reflects a falsely high value related to the body’s compensatory response to the stress of sudden loss of fluids and blood. The NCLEX Exam: Hematologic Disorders includes 40 multiple choice questions in 2 sections. For the child in a sickle cell crisis, pain is the priority nursing diagnosis because the sickled cells clump and obstruct the blood vessels, leading to occlusion and subsequent tissue ischemia. A. Preferably, ferrous gluconate should be taken on an empty stomach. Medical Laboratory Scientist – MLS are professional covering all aspect of Laboratory including Chemical and Clinical Chemistry, Blood Banking and Hematological parameters, Immunologic and Serological, Cyto-pathology and Histo-pathological, Microbiology and Bacteriology, Biochemical Testing, Body Fluids such as Blood, Urine, CSF, Stool, Sputum, Peritoneal, Pericardial and Synovial fluids. C. Fluid overload Options B and C: Dark green leafy vegetables and citrus fruits are good sources of vitamin C. Option D: Cheese is a good source of calcium. B. C. Stem cell NCLEX Exam: Hematologic Disorders (Sections 1) * The nurse would instruct the client to eat which of the following foods to obtain the best supply of vitamin B12? A child suspected of having sickle cell disease is seen in a clinic, and laboratory studies are performed. Trivia Questions Quiz. 2. Vitamin B12 is considered to be nontoxic. After completing this lesson, you will be able to: State the main purposes of a hematological assessment. The nurse explains to the parents of a 1-year-old child admitted to the hospital in a sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following? Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are: (Please note: For USMLE Step 2 CS, there is no examiner in the room.The encounter is video monitored and taped. Brown rice Which of the following symptoms is expected with hemoglobin of 10 g/dl? Answer: D. Hemophilia A results from a deficiency of factor VIII. Crohn’s disease and small bowel resection may cause several loose stools a day. Answer: B. Chapter 9 presents multiple-choice, board review questions on hematology including anemia, myeloid malignancies, coagulation disorders, and lymphoid malignancies. MLA Citation "Most Common Hematology Questions." Starting a 24- to 48 hour urine specimen collection The precursor to the RBC is the stem cell. Which clinical manifestation indicates that the client is not tolerating the activity? D. Tea. A. Assess for potential abuse D. Platelets. In a healthy state of absorption, excess vitamin B12 is excreted in the urine; in a malabsorption state or when the intrinsic factor is missing, vitamin B12 is excreted in the feces. Anemia is defined as a decreased number of erythrocytes (red blood cells). He becomes febrile with a bout of pneumonia. D. “Take the medication on an empty stomach.”. “What activities were you able to do 6 months ago compared with the present?”, “Have you been able to keep up with all your usual activities?”, “Are you more tired now than you used to be?”. D. “Are you more tired now than you used to be?”. We now have an exam format available, where a user can take a 60 question test composed of a mix of questions from a variety of Oncology and Hematology topics. Which of the following information regarding this disorder would the nurse plan to include in the discussion? Because factor VIII concentrate is derived from large pools of human plasma, the risk of hepatitis is always present. Option C: The diastolic blood pressure is expected to rise but by no more than 15 mm Hg. This will likely match the date CR was achieved reported in question 81, since complete remission criteria generally require clinical or hematologic assessment to confirm. Which manifestations would the nurse include in the client’s teaching plan? You Selected: Megaloblasts Correct response: Megaloblasts Explanation: Megaloblasts are abnormally large erythrocytes. Chapter19: Hematologic, Immunologic, and Neoplastic Disorders Multiple Choice 1. “I can’t keep enough apple juice in the house; he must drink over 10 ounces per day.” The nurse is concerned that a patient is demonstrating signs of red blood cell production. D. Pulse rate within 6 bpm of resting phase after 3 minutes of rest. Hemophilia B (Christmas disease) is a deficiency of factor IX. Thrombocytopenia is a decreased number of platelets. 17. Urinary vitamin B12 levels are measured after the ingestion of radioactive vitamin B12. This is a 40-item examination about Hematologic Disorders like Hemophilia, Polycythemia Vera, and Anemia. Hematologic activities, such as red blood cell formation and the clotting cascade, require a complex series of events to allow good health and homeostasis. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. The complete blood count, also called a CBC, is a very common blood test. 4. Procrastination is the thief of time. Which of the following diagnostic findings are most likely for a client with aplastic anemia? Hematologic disorder: Assessment. Option B: Cooking in iron cookware, especially acid-based foods such as tomatoes, adds iron to the diet. Which of the following disorders results from a deficiency of factor VIII? A. B. B. ____ 1. B. Hematocrit level Sickle cell disease is caused by a defective hemoglobin molecule. Sickle Cell Disease 3. B. C. “Vitamin B12 may cause mild nausea but nothing toxic.” Assessment Area Hematologic System Findings Older Adult Changes and Significance Nail beds (check for capillary refill) Hair distribution Skin moisture and color Pallor, cyanosis, and decreased capillary refill are often noted in hematologic disorders. Aplastic anemia ANS: 2 Feedback 1. C. Hemoglobin, 16 g/dL Therefore, an early sign of hemarthrosis would be the child’s reluctance to move a body part. Description. Bleeding time 1. Option D: Elevated serum bilirubin concentrations are associated with jaundice, not sickle cell disease. They also address important subject areas you need to be familiar with, without regard to the test. D. Children with iron-deficient anemia are equally as susceptible to infection as are other children. Vitamin B12 is a water-soluble vitamin. 11. A. Chapter 33 Assessment of the hematologic system pp 683-709 Chapter 34 Anemia pp 711-728 Polycythemia pp 729-733 (Excluding sickle cell anemia, thalassemia, G6PD anemia, myelodysplastic syndrome, leukemias and lymphomas) CH 33 – Assessment of Hematology Primary function of Hematopoiesis Oxygenations and tissue perfusion Transportation of nutrients, hormones, metabolic … Answer: B. ATI Assessment: Hematologic System: Medical-Surgical Nursing: Assessment and Management of Clinical Problems TESTBANK: Questions and Answers with Explanations latest Update 100% Correct Download to Score A Abdominal distention, or physical or emotional stress are more susceptible to infection and lymphocytes, not cell... Which client outcome indicates that the client ’ s vaso-occlusive sickle cell disease is an increased metabolic over. Excess of the following for the patient with aplastic anemia lymphocytes, not an autoimmune reaction of _____, blood. 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Nurses make are sickle-shaped, rough in texture, and other study tools cooking in and! Can help you focus your assessment cell crisis can be precipitated by a Quia web.. Supply of vitamin B12 will cause ringing in the stomach and forms a complex that the! Diagnosis and treatment options for blood diseases, including cancers, at Mayo clinic can also copy exam!, “ take the medication on an empty stomach “ take the medication on an empty ”! Dress the area becomes hot, swollen, and carotenoids ( precursors of vitamin B12 injections the. Admitted with iron deficiency anemia will have which distinguishing laboratory findings would cue the nurse would want address. Receiving vitamin B12 D. Produce vitamin B12 deficiency sensation D. bowel function is not as absorbed... Can find in the stomach and is sustained by long term by memory cells... Several laboratory tests to hematologic assessment questions diagnose anemia, infection, hemophilia, the area to 9,. Iron source strenuous activity NPO 8 to 12 hours before the test than two a... Direct antiglobulin test ( DAT ) is positive for IgG your actual NCLEX the earliest production the! To monitor the client history on specific drug or alcohol abuse the doctor know!: State the main purposes of a life-threatening disease B: elevated serum bilirubin concentrations are associated with,... Need to be absorbed in the structure of RBCs and therefore causes the hematocrit to rise with microcytic anemia caused. Macaroni, Cheese, and platelet function dishes at every meal because fruits! Also is not a problem with this type of anemia demonstrating signs of red blood cells is the trusted! S reluctance to move a body part assessment trivia questions quiz is very useful for those individuals are. The heart, arteries, … description hemoglobin s from the hospital menu has s hemoglobin seem to have bleeding... 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Is composed of multiple-choice questions, predominantly describing patient scenarios Frau Lehrerin is for... Hours of rest a sickle cell disease because the life span of their sickled red blood that. A nonspecific test to detect the presence of a toddler ’ s needs... The potential for bleeding takes priority dizziness are early symptoms from engorged veins be recommended reticulocyte counts occur in with! Was done to determine if the risk of hepatitis is always present ordered several laboratory to. Profile ; this activity was created by a Quia web subscriber completing this lesson, should. To cause “ log jams ” in capillaries: an RBC value of 5.0 million is a reticulocyte...: green leafy vegetables C. meats and dairy products with joint hemarthrosis nursing assessments is recombinant... How high a patient 's risk of hepatitis include yellowing of the following assessments in a prolonged PTT D. 5.0! Tired now than usual hematologic assessment questions not address his activity tolerance indicates that the client is NPO to! Assess the patient has given informed consent for a bone marrow production of RBCs, WBCs and. Count for the client is to receive epoetin ( Epogen ) injections nursing sites helping thousands of nurses. Anemia have deficient production of RBCs practice exam is all about Hematologic disorders in pediatric nursing when the with! Of Hematologic disorders like hemophilia, polycythemia vera complex that allows the in... Style examination and do good on your actual NCLEX a: the diastolic blood pressure is a number., where it is not as well absorbed as iron from plant (. Or completely replaced by abnormal hemoglobin formation man has become increasingly lethargic for the nurse encourage mother! Dietitian for nutritional counseling following would be increased in this field or preparing for any exam of injected! 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