Show:
CBC & Hemoglobin
Hematocrit and fluid status
WBC and Infection
Platelets and Clotting
Anticoag and INR
Urinalysis and Protein
100

A patient's Hbg drops from 15.6 --> 8.5. What is the priority concern?

A. Dehydration
B. Bleeding
C. Infection
D. Polycythemia

What is B. Bleeding?

100

This lab helps determine hydration status.

What is hematocrit?

100

A “left shift” indicates:

A. Viral infection
B. Increased mature neutrophils
C. Immature neutrophils in circulation
D. Decreased infection

C. Immature neutrophils in circulation

100

A platelet count of 40,000 places the patient at risk for:
A. Clotting
B. Bleeding
C. Infection
D. Dehydration

B. Bleeding

100

An INR of 1.5 indicates:

A. Too much warfarin
B. Therapeutic
C. Not enough warfarin
D. Bleeding

C. Not enough warfarin

100

These are abnormal characteristics of urine that may indicate a UTI.

Cloudy

Foul odor

Bacteria

What are characteristics of normal urine?


200

Low hemoglobin may indicate: SATA

A. Anemia
B. Hemorrhage
C. Dehydration
D. Bone marrow suppression

What are A. Anemia, B. Hemorrhage, and D. Bone marrow suppression?

200

Causes of decreased hematocrit include:Select all that apply.
A. Chronic bleeding
B. Vitamin deficiency
C. Severe diarrhea
D. Overhydration

A. Chronic bleeding
B. Vitamin deficiency
D. Overhydration

200

These precautions are used when a patient's WBC is very low.

What are neutropenic precautions?

200

Nursing interventions for low platelets include:
A. Avoid injury

B. Monitor bruising

C. Monitor bleeding

D. Give aspirin

A. Avoid injury

B. Monitor bruising

C. Monitor bleeding

200
This is the test used to monitor warfarin therapy.

What is INR

Bonus: What does INR stand for and why is it called that?

200

Positive nitrites in the urine indicate:

A. Dehydration
B. Infection
C. Kidney failure
D. Diabetes

B. Infection

300

Which Hgb value is critical?

A. 12 g/dL
B. 8 g/dL
C. 4 g/dL
D. 10 g/dL

C. 4 g/dL

300

Low hematocrit is commonly seen in this condition.

What is anemia?

300

Nursing interventions for high WBC include SATA:
A. Monitor vital signs
B. Administer antibiotics
C. Neutropenic precautions
D. Monitor labs

A. Monitor vital signs
B. Administer antibiotics
D. Monitor labs

300

This is the first line of defense in clot formation.

What are platelets?

300
This medication is the antidote for warfarin. 


and


This medication is the antidote for heparin

What is vitamin K?

and

What is protamine sulfate?

300

This lab test is used to grow bacteria and guide antibiotics.

What is culture and sensitivity?

400

Too many RBCs is called this.

What is polycythemia?

400

What does an Hct of 65% indicate?

Dehydration

400

A WBC of 1,800/mm³ indicates:
A. Leukocytosis
B. Leukopenia
C. Normal
D. Sepsis

B. Leukopenia

400

This medication interferes with clotting.

What is aspirin?

400

Which statements are true about anticoagulants? SATA

A. Warfarin has delayed onset
B. LMWH requires routine INR checks
C. Heparin requires aPTT monitoring
D. Heparin works immediately

A. Warfarin has delayed onset
C. Heparin requires aPTT monitoring
D. Heparin works immediately

400

Best treatment for UTI:
A. Albumin
B. Antibiotics
C. Bed rest
D. Fluids only 

B. Antibiotics

500

A 68-year-old patient admitted for GI bleeding has the following labs:

  • Day 1: Hgb 12.5 g/dL
  • Day 2: Hgb 10.2 g/dL
  • Day 3: Hgb 8.1 g/dL
  • Day 4: Hgb 7.4 g/dL

Vital signs: HR 112, BP 88/54, RR 24, SpO₂ 94%

Question:

Identify the appropriate nursing actions and why:

Notify provider immediately

Prepare for blood transfusion

Monitor for fatigue/SOB

What else?

500

A patient with severe vomiting has the following labs:

  • Hct: 45% → 52% → 60%
  • BUN elevated
  • Dry mucous membranes, poor skin turgor

Question:

Which of these interpretation is most accurate?

A. The patient is experiencing acute bleeding
B. The patient is overhydrated
C. The patient is experiencing hemoconcentration
D. The labs are within normal variation

C. The patient is experiencing hemoconcentration

Follow up question: Which nursing interventions are most appropriate? SATA

A. Start IV fluids
B. Restrict fluids
C. Monitor intake/output
D. Administer diuretics


500

A chemotherapy patient has:

  • WBC: 1,200/mm³
  • Neutrophils: 20%
  • Temp: 100.8°F (38.2°C)

Which interventions should the nurse implement immediately?

A. Place in private room
B. Limit visitors
C. Universal masking
D. Perform strict hand hygiene
E. Monitor temperature frequently

All of them

A. Place in private room
B. Limit visitors
C. Universal masking
D. Perform strict hand hygiene
E. Monitor temperature frequently

500

A patient has:

  • Platelets: 18,000/mm³
  • Reports headache and bruising
  • BP: 150/90

Question:

Which of these findings is most concerning?

A. Bruising
B. Headache
C. Elevated BP
D. Platelet level

B. Headache 

Why? What could it indicate?

500

A patient on warfarin presents with:

  • INR: 6.2
  • Reports dark stools and bleeding gums

Question:

Which action is the priority?

A. Administer next dose of warfarin
B. Hold warfarin and notify provider
C. Encourage ambulation
D. Increase vitamin K foods

Which findings indicate worsening condition? SATA

A. Hematuria
B. Bruising
C. Chest pain
D. Low back pain

Pt 1: 

B. Hold warfarin and notify provider

Pt 2: 

A. Hematuria
B. Bruising
D. Low back pain

500

A patient reports dysuria and urgency. Urinalysis shows:

  • Cloudy urine
  • Positive nitrites
  • Positive leukocyte esterase
  • WBCs >10

Question:

Which diagnosis is most likely?

What is a urinary tract infection (UTI)?