Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 33 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Compensatory polycythemia stimulated by thrombocytopenia
B Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
C Increased blood viscosity, resulting from an overproduction of white cells
D Reduced plasma volume in response to a reduced production of cellular elements
Question #2
A B12
B Folate
C Iron
D Thiamine
Question #3
A ataxia
B dementia
C glossitis
D stomatitis
Question #4
A Sore tongue, dyspnea, and weight gain
B Pallor, bradycardia, and reduced pulse pressure
C Pallor, tachycardia, and a sore tongue
D Angina pectoris, double vision, and anorexia
Question #5
A Acute muscular strain
B Acute chest syndrome
C Vaso-occlusive crisis
D Pneumocystis pneumonia
Question #6
A Vitamin E
B Sources of vitamin B12
C Rich sources of vitamin C
D Meat, egg yolks, oysters, and shellfish
Question #7
A Anemia
B Thrombocytopenia
C Leukopenia
D Pancytopenia
Question #8
A Decreased level of erythropoietin
B Decreased total iron-binding capacity
C Increased mean corpuscular volume
D Increased reticulocyte count
Question #9
A Milk
B Kidney beans
C Orange juice
D Leafy green vegetables
Question #10
A Sickle cell anemia
B Iron deficiency anemia
C Megaloblastic anemia
D Aplastic anemia
Question #11
A Use a disposable razor when shaving.
B Encourage frequent handwashing.
C Plan for frequent periods of rest.
D Avoid contact with family/friends who are sick.
Question #12
A To instruct the client to rest immediately if chest pain develops
B To administer vitamin B12 injections
C To assess for enlargement and tenderness over the liver and spleen
D To closely monitor the rate of administration
Question #13
A Instructs the client not to lift more than 20 pounds
B Checks the clients’s BUN and creatinine
C Teaches the client to bend at the back when lifting objects
D Questions the physician about the use of both medications
Question #14
A Reports joint pain less than 3 on a scale of 0 to 10
B Exhibits a temperature more than 100.3°F
C Takes hydroxyurea during her pregnancy
D Describes the importance of staying cool
Question #15
A Questions the administration of both medications
B Holds the epoetin alfa if the BUN is elevated
C Ensures the client has completed dialysis treatment
D Assesses the hemoglobin level
Question #16
A Eliminates use of alcohol
B Takes a daily multiple vitamin pill
C Takes 60 grams of protein each day
D Takes over–the–counter iron supplements
Question #17
A Impaired oral mucous membranes
B Impaired tissue integrity
C Activity intolerance
D Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI
Question #18
A Schilling test
B Bone marrow biopsy
C Bone marrow aspiration
D Magnetic resonance imaging (MRI) study
Question #19
A Eating calf’s liver with a glass of orange juice
B Eating leafy green vegetables with a glass of water
C Eating a steak with mushrooms
D Eating apple slices with carrots
Question #20
A Ipecac
B Protamine sulphate
C Vitamin K
D Narcan
Question #21
A Stop the nosebleed
B Put in an IV line
C Notify the physician
D Ask someone to clean the bedpan
Question #22
A Neurologic involvement
B Insufficient intake of dietary nutrients
C Loss of vibratory and position senses
D Severity of the disease
Question #23
A Monitor partial thromboplastin (PTT) time.
B Have the client limit physical activity.
C Encourage a diet high in vitamin K.
D Administer the prescribed enoxaparin (Lovenox).
Question #24
A low hematocrit.
B normal hematocrit.
C high hematocrit.
D normal blood smear.
Question #25
A Osteoporosis
B Muscle wasting
C Hypertension
D Truncal obesity
Question #26
A Pressure point control
B Elevation of the extremity
C Application of a tourniquet
D Direct pressure
Question #27
A A
B B12
C Folate
D C
Question #28
A Increase the intake of green, leafy vegetables.
B Decrease the intake of citrus fruits because they interfere with iron absorption.
C Take an iron supplement with meals to reduce gastric irritation.
D Decrease the intake of high-fat red meats, especially organ meats.
Question #29
A Hemoglobin level
B Potassium level
C Creatinine level
D Folate levels
Question #30
A Elevated hematocrit concentration
B Enlarged mean corpuscular volume (MCV)
C Low ferritin level concentration
D Elevated red blood cell (RBC) count
Question #31
A Blood loss
B Abnormal erythrocyte production
C Infection
D Inadequate formed white blood cells
E Destruction of normally formed red blood cells
Question #32
A stomatitis
B glossitis
C dementia
D ataxia
Question #33
A Taking iron pills with milk aids in absorption.
B Avoid vitamin C as it prevents absorption.
C Take iron with an antacid to avoid stomach upset.
D Drink liquid iron preparations with a straw.
Question #34
A menorrhagia.
B chronic alcoholism.
C iron malabsorption.
D bleeding.
Question #35
A Angina pectoris, double vision, and anorexia
B Sore tongue, dyspnea, and weight gain
C Pallor, bradycardia, and reduced pulse pressure
D Pallor, tachycardia, and a sore tongue
Question #36
A A hemolytic reaction caused by bacterial contamination of donor blood
B A hemolytic reaction to mismatched blood
C A hemolytic allergic reaction caused by an antigen reaction
D A hemolytic reaction to Rh-incompatible blood
Question #37
A Increased blood viscosity, resulting from an overproduction of white cells
B Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
C Compensatory polycythemia stimulated by thrombocytopenia
D Reduced plasma volume in response to a reduced production of cellular elements
Question #38
A Diarrhea
B Bleeding
C Abdominal pain
D The onset of a bacterial infection
Question #39
A Calcium level of 9.4 mg/dL
B Magnesium level of 2.5 mg/dL
C Creatinine level of 6 mg/100 mL
D Potassium level of 5.2 mEq/L
Question #40
A It is part of the required assessment information.
B It may indicate deficiencies in essential nutrients.
C It is important for the nurse to determine what type of foods the patient will eat.
D It will determine what type of anemia the patient has.
Question #41
A Iron deficiency anemia
B Megaloblastic anemia
C Sickle cell anemia
D Aplastic anemia
Question #42
A Limiting the client’s intake of oral and IV fluids
B Encouraging the client to ambulate immediately
C Limit foods that contain folic acid
D Administering and evaluating the effectiveness of opioid analgesics
Question #43
A Monitoring the client’s blood pressure and reviewing the client’s hematocrit
B Monitoring the client’s temperature and reviewing the client’s complete blood count (CBC) with differential
C Monitoring the client’s breathing and reviewing the client’s arterial blood gases
D Monitoring the client’s heart rate and reviewing the client’s hemoglobin
Question #44
A Clopidogrel
B Protamine sulfate
C Vitamin K
D Aspirin
Question #45
A Ask if taking a blood pressure has ever caused bruising in the hand and wrist.
B Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
C Ask if taking a blood pressure has ever produced pain in the upper arm.
D Ask if taking a blood pressure has ever produced the need for medication.
Question #46
A Limit visits by family members
B Maintain accurate fluid intake and output records.
C Encourage the client to use a wheelchair.
D Use the smallest needle possible for injections.
Question #47
A Decreased level of erythropoietin
B Increased mean corpuscular volume
C Decreased total iron-binding capacity
D Increased reticulocyte count
Question #48
A Erythrocytes that are microcytic and hypochromic
B An increased number of erythrocytes
C Erythrocytes that are macrocytic and hyperchromic
D Clustering of platelets with sickled red blood cells
Question #49
A Observe the gums for bleeding after the client brushes teeth.
B Observe the sputum for signs of blood.
C Observe stools for blood.
D Observe client for facial droop.
Question #50
A C
B A
C D
D E
Question #51
A Tachycardia
B Flow murmurs
C Pallor
D Jaundice
Question #52
A Sickle cell anemia
B Autoimmune hemolytic anemia
C Hypersplenism
D Cold agglutinin disease
Question #53
A Stop the transfusion, notify the blood bank, and administer antihistamines.
B Immediately stop the transfusion, infuse dextrose 5% in water (D5W), and call the health care provider.
C Immediately stop the transfusion, infuse normal saline solution, call the health care provider, and notify the blood bank.
D Slow the transfusion and monitor the client closely.
Question #54
A Nausea, vomiting, and anorexia
B Itching, rash, and jaundice
C Dyspnea, tachycardia, and pallor
D Nights sweats, weight loss, and diarrhea
Question #55
A “I’ll use an electric razor to shave.”
B “I’ll report unexplained or severe bruising to my doctor right away.”
C “I’ll eat four servings of fresh, dark green vegetables every day.”
D “I’ll watch my gums for bleeding when I brush my teeth.”
Question #56
A “I have an increase in my appetite.”
B “I feel hot all of the time.”
C “I have a difficult time falling asleep at night.”
D “I have difficulty breathing when walking 30 feet.”
Question #57
A Microcytic
B Hypochromic
C Normocytic
D Hyperchromic
Question #58
A Has a history of viral hepatitis as a teenager 10 years ago
B Received a blood transfusion within 1 year
C Reports having a cold 1 month ago that resolved quickly
D Had a dental extraction 2 days ago for caries in a tooth
Question #59
A Menstrual history
B Age and gender
C Health history, such as bleeding, fatigue, or fainting
D Lifestyle assessments, such as exercise routines
Question #60
A Low levels of urine constituents normally excreted in the urine
B Electrolyte imbalance that could affect the blood’s ability to coagulate properly
C Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) and creatinine levels
D Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels
Question #61
A Platelet count, prothrombin time, and partial thromboplastin time
B Thrombin time, calcium levels, and potassium levels
C Fibrinogen level, WBC, and platelet count
D Platelet count, blood glucose levels, and white blood cell (WBC) count
Question #62
A “I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear.”
B “I will receive parenteral vitamin B12 therapy monthly for 6 months to a year.”
C “I will receive parenteral vitamin B12 therapy for the rest of my life.”
D “I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal.”
Question #63
A to the bathroom.
B onto the bedpan.
C to the bedside commode.
D to a standing position so he can urinate.
Question #64
A Vitamin D
B Vitamin A
C Vitamin E
D Vitamin K
Question #65
A A hemolytic reaction to mismatched blood
B A hemolytic reaction to Rh-incompatible blood
C A hemolytic reaction caused by bacterial contamination of donor blood
D A hemolytic allergic reaction caused by an antigen reaction
Question #66
A There is a strong correlation between iron stores and hemoglobin levels.
B There is an inverse relationship between iron stores and hemoglobin levels.
C There is a strong correlation between iron stores and hemoglobin characteristics.
D There is a weak correlation between iron stores and hemoglobin levels.
Question #67
A Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit
B Risk for falls related to complaints of dizziness
C Fatigue related to decreased hemoglobin and hematocrit
D Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients
Question #68
A Inflammation of the tongue
B Bronzing of the skin
C Weight gain
D Inflammation of the mouth
Question #69
A chest radiograph
B CBC
C ECG
D antibiotic
Question #70
A Bandemia
B Thrombocytopenia
C Leukopenia
D Anemia