3.13 Learning Activities
Learning Activities
Hematological Case Study (Case Study answers are located in the Answer Key at the end of the book.)[1]
Mia, a 16-year-old high school student, had always been an active and vibrant teenager. Lately, though, she found herself struggling with a variety of symptoms that seemed to be taking a toll on her daily life. As she navigated through her busy schedule of classes, extracurricular activities, and social engagements, she couldn’t shake off the persistent fatigue that had settled upon her like a heavy fog.
In her English class, Mia’s friends noticed that her once rosy complexion had given way to a subtle pallor. They remarked on how her usually energetic demeanor had been replaced by a general sense of weariness. However, Mia attributed it to the stress of exams and her packed schedule, not giving it much thought. During physical education class, Mia’s usual enthusiasm for sports had waned. As she attempted to participate in a simple jog around the track, she found herself becoming short of breath much sooner than usual. Her classmates, unaware of the subtle changes, joked about how she must have been slacking off during the weekend.
One afternoon, Mia sat in the cafeteria with her friends, absentmindedly picking at her lunch. As she bit into an apple, she winced, realizing that her gums felt a bit sore. Unbeknownst to her, her friends noticed her reluctance to eat the iron-rich foods on her plate. They exchanged concerned glances, wondering why Mia seemed disinterested in the hearty meals she used to enjoy.
As the weeks passed, Mia’s symptoms persisted. She began experiencing frequent headaches and dizziness, often needing to sit down to regain her composure. In class, she found it challenging to concentrate, and her grades started slipping, causing her additional stress.
One day, Mia’s friend, Emma, gently approached her about the changes she noticed and asked if everything was okay. Mia, trying to dismiss the worries, insisted it was just a phase and that she would bounce back soon. Emma encouraged Mia to make an appointment with her health care provider for a check-up.
Questions:
- Which symptoms is Mia exhibiting that make you concerned about her hematological system?
- Which assessments and diagnostic tests do you anticipate the health care provider would initially do for Mia?
- What modifications to Mia’s routine and lifestyle could assist her in symptom management?
“Hematology Glossary Cards” by Open RN is licensed under CC BY-NC 4.0
“Hematology Question Set 1” by Open RN is licensed under CC BY-NC 4.0
“Hematology Question Set 2” by Open RN is licensed under CC BY-NC 4.0
“Case Study: Thrombocytopenia” by Open RN and Codaptive Labs is licensed under CC BY-NC 4.0
“Case Study: Sickle Cell Disease” by Open RN and Codaptive Labs is licensed under CC BY-NC 4.0
Test your knowledge on hematology using this NCLEX Next Generation-style highlight question. You may reset and resubmit your answers to this question an unlimited number of times.[2]
Test your knowledge on hematology using this NCLEX Next Generation-style bowtie question. You may reset and resubmit your answers to this question an unlimited number of times.[3]
Test your knowledge on iron deficiency anemia using this NCLEX Next Generation-style case study. You may reset and resubmit your answers to this question an unlimited number of times.[4]
Test your knowledge on sickle cell disease using this NCLEX Next Generation-style case study. You may reset and resubmit your answers to this question an unlimited number of times.[5]
Test your knowledge on splenic laceration using a sample NCLEX Next Generation case study provided by the NCSBN in their Sample Pack. Note that correct answers are not provided by the NCSBN but have been indicated in this case study by nursing faculty with associated rationale. This sample is provided as an example to help students prepare for the NCLEX.[6]
- "Hematological Case Study" by Open RN is licensed by CC BY-NC 4.0 ↵
- “Hematology Highlight” by Kellea Ewen and OpenRN is licensed under CC BY-NC 4.0 ↵
- “Pediatric Hematology Bowtie” by Kellea Ewen, Jennifer Hinz, and OpenRN is licensed under CC BY-NC 4.0 ↵
- “Iron Deficiency Anemia” by Carrie Abrahamson for OpenRN is licensed under CC BY-NC 4.0 ↵
- “Sickle Cell Disease” by Carrie Abrahamson for OpenRN is licensed under CC BY-NC 4.0 ↵
- National Council of State Boards of Nursing. (2025). NCLEX Sample Questions & Exam Preview. NCSBN. https://www.nclex.com/prepare.page ↵