Hematology Nursing Study Guide

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Sample questions from Hematology Nursing Study Guide

This material has 20 questions with answers and rationales. Here are the first 5.

1. 1.A client with hemoglobin 6.6 g/dL has chest pressure, heart rate 124/min, and oxygen saturation 98% on room air. Which interpretation is most appropriate?

   • A.The normal saturation rules out inadequate tissue oxygen delivery.
   • B.Severe anemia can impair oxygen delivery despite normal saturation and requires urgent evaluation.
   • C.Nutrition teaching should occur before additional assessment.
   • D.The pulse oximeter must be malfunctioning.

   Rationale: B is correct because saturation describes the proportion of hemoglobin carrying oxygen, not the total oxygen-carrying capacity. Chest pressure and tachycardia suggest possible ischemia. A incorrectly equates saturation with adequate delivery. C delays evaluation of an urgent problem. D assumes equipment failure without evidence.

2. 2.Twelve minutes after packed red blood cells are started, a client develops chills, flank pain, and hypotension. What should the nurse do first?

   • A.Stop the transfusion.
   • B.Obtain a urine specimen.
   • C.Slow the infusion and reassess in 15 minutes.
   • D.Administer an antipyretic before notifying the provider.

   Rationale: A immediately stops further exposure to a potentially harmful product. B may be needed after initial stabilization but is not first. C continues the suspected cause. D delays the reaction response and does not treat possible hemolysis or shock.

3. 3.A client receiving chemotherapy has an ANC of 280/mcL and an oral temperature of 38.5 C. Which action is the priority?

   • A.Give an antipyretic and wait until morning.
   • B.Encourage oral fluids and repeat the temperature in four hours.
   • C.Initiate the febrile neutropenia pathway and support prompt cultures and empiric antibiotics.
   • D.Wait for a positive culture before reporting the findings.

   Rationale: C addresses a time-sensitive infection emergency. Cultures should be collected promptly without delaying antibiotics. A and B postpone necessary evaluation. D is unsafe because cultures take time and may remain negative despite serious infection.

4. 4.A client's WBC count is 1,600/mcL, with 20% neutrophils and 5% bands. What is the ANC?

   • A.80/mcL
   • B.320/mcL
   • C.800/mcL
   • D.400/mcL

   Answer and rationale are in the full material.

5. 5.Which statement by a client prescribed oral iron indicates correct understanding?

   • A.I should take every dose with a calcium supplement.
   • B.I will keep the medication locked away from children.
   • C.Any black stool can be ignored, even if I feel faint.
   • D.I can stop treatment as soon as my fatigue improves.

   Answer and rationale are in the full material.