Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 32 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Tibia
B Sternum
C Ribs
D Pelvis
E Vertebrae
Question #2
A Medication use
B Herbal supplements
C Hair color
D Ethnicity
E Dietary intake
Question #3
A “You will be prescribed calcium to replace what is lost during donation.”
B “You will likely not need the blood that is donated.”
C “You typically donate blood the day of the surgery.”
D “You typically donate blood 4 to 6 weeks before the surgery.”
Question #4
A The kidneys sense low oxygen levels in the blood and stimulate erythropoietin, stimulating the marrow to produce more red blood cells.
B he brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
C The bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the red blood cells.
D The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
Question #5
A Notify the physician
B Administer acetaminophen 500 mg po, as ordered
C Reposition the client to a high Fowler position and continue to monitor the pain
D Administer aspirin (ASA) 325 mg po, as ordered
Question #6
A Monitor for edema at least once per shift
B Implement neutropenic precautions
C Monitor temperature at least once per shift
D Apply prolonged pressure to needle sites or other sources of external bleeding
Question #7
A Production of immunoglobulins
B Rejection of foreign tissue
C Phagocytosis
D Destruction of tumor cells
Question #8
A Hematocrit
B Hemoglobin
C Erythrocyte sedimentation rate (ESR)
D Differentiation
Question #9
A Bacterial contamination
B Delayed hemolytic reaction
C Creutzfeld-Jakob disease
D Graft-versus-host disease
Question #10
A Hemoglobin
B Iron
C Calcium
D Potassium
Question #11
A Apply supplemental oxygen to maintain the client’s oxygenation.
B Use an electric razor when assisting client with shaving.
C Elevate the client’s head of the bed.
D Where a mask when entering the client’s room.
Question #12
A The client is having decrease in tissue perfusion from a shock state.
B The client is experiencing vascular collapse.
C The client is having a febrile nonhemolytic reaction.
D The client is having an allergic reaction to the blood.
Question #13
A Vitamin B12
B Fresh frozen plasma
C Folate
D Iron
Question #14
A Place the client in a recumbent position with legs elevated.
B Administer prescribed PRN anti-anxiety agent.
C Remove the intravenous line.
D Ensure there is an oxygen delivery device at the bedside.
Question #15
A Respiratory rate of 10 breaths/minute
B Crackles auscultated bilaterally
C Pain and tenderness in calf area
D Oral temperature of 97°F
Question #16
A Assist the client into an erect position.
B Hold firm pressure on the venipuncture site.
C Lower the arm below the level of the heart.
D Apply a tourniquet above the antecubital fossa.
Question #17
A “I could donate my own blood in case I need a transfusion.”
B “My family will donate blood, because it’s safer.”
C “I should expect blood withdrawal to take about 15 minutes.”
D “Donated blood is tested for blood type and infections.”
Question #18
A Basophils
B B lymphocyte
C Neutrophil
D Plasma cell
Question #19
A “The condition causes abnormally rigid red blood cells.”
B “The condition is likely caused by a vitamin B12 deficiency.”
C “The condition causes abnormally small red blood cells.”
D “The condition is likely caused by a folate deficiency.”
Question #20
A Thrombocytopenia
B Anemia
C Neutropenia
D Myelodysplastic syndrome
Question #21
A T lymphocytes
B Leukocytes
C Monocytes
D B lymphocytes
Question #22
A “I will eat more dairy products such as milk, yogurt, and ice cream every day.”
B “I will eat a spinach salad with lunch and dinner.”
C “I will increase my daily intake of orange vegetables such as sweet potatoes and carrots.”
D “I will eat a meat source such as chicken or pork with each meal.”
Question #23
A B lymphocyte
B T lymphocyte
C Basophil
D Plasma cell
Question #24
A may be developing anemia.
B may be developing an infection.
C has thrombocytopenia.
D has leukopenia.
Question #25
A Administer acetaminophen 500 mg po, as ordered
B Reposition the client to a high Fowler position and continue to monitor the pain
C Notify the physician
D Administer aspirin (ASA) 325 mg po, as ordered
Question #26
A 5%
B 15%
C 20%
D 10%
Question #27
A Older adults acquire damage to the DNA of stem cells over time.
B Older adults acquire damage to the bone marrow over time.
C Older adults are exposed to more infectious disease over time.
D Older adults have an increasing number of leukocytes over time.
Question #28
A Rh-negative mother; Rh-positive child
B Rh-positive mother; Rh-negative child
C Rh-positive mother; Rh-positive child
D Rh-negative mother; Rh-negative child
Question #29
A Essential thrombocythemia
B Sickle cell anemia
C Renal transplantation
D Extreme leukocytosis
Question #30
A Lithotomy position
B Supine with head of the bed elevated 30 degrees
C Lateral position with one leg flexed
D Jackknife position
Question #31
A “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
B “I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion.”
C “I understand your concern. The blood is carefully screened but is not completely risk free.”
D “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
Question #32
A 18 year old male weighing 52 kg.
B 86 year old male with blood pressure 110/70 mmHg
C 50 year old female with pulse 95 beats/minute
D 26 year old female with hemoglobin 11.0 g/dL
Question #33
A Pneumococcal vaccine
B Immunoglobulin G (IgG)
C Factor VIII
D Aspirin
Question #34
A Administer the morphine into the closest tubing port to the client for fast delivery.
B Add the morphine to the blood to be slowly administered.
C Disconnect the blood tubing, flush with normal saline, and administer morphine.
D Inject the morphine into a distal port on the blood tubing.
Question #35
A Liver
B Large intestine
C Kidney
D Pancreas
Question #36
A Monocyte
B Myeloid stem cell
C Lymphoid stem cell
D Neutrophil
Question #37
A Assess the client’s vital signs.
B Stop the infusion.
C Call the health care provider
D Slow the infusion.
Question #38
A The health care provider may ask for a court order if the client refuses.
B The client can only refuse the transfusion if the consent form has not been signed.
C The health care provider may first call the client’s parents if the client refuses.
D The client has a right to refuse the transfusion.
Question #39
A The bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the red blood cells.
B The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
C The brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
D The kidneys sense low oxygen levels in the blood and stimulate erythropoietin, stimulating the marrow to produce more red blood cells
Question #40
A Neutrophils
B Basophils
C Monocytes
D Eosinophils
Question #41
A RBC count
B Thrombocyte count
C Levels of plasma proteins
D WBC count
Question #42
A Administer a topical analgesic to control pain at the site
B Elevate the head of the bed to 45 degrees
C Pack the wound with half-inch sterile gauze
D Apply pressure over the site for 5–7 minutes
Question #43
A Folic acid deficiency
B Vitamin C deficiency
C Vitamin B12 deficiency
D Vitamin A deficiency
Question #44
A Petechiae
B Dyspnea
C Inflammation of the tongue
D Inflammation of the mouth
Question #45
A Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
B Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
C Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
D This type of exercise increases arterial circulation as it returns to the heart.
Question #46
A Factor V Leiden
B Hemochromatosis
C Thalassemia
D Sickle cell disease
Question #47
A Erythropoietin
B Eltrombopag
C GM-CSF
D Thrombopoietin
Question #48
A Therapeutic phlebotomy
B Iron chelation therapy
C Oxygen therapy
D Anticoagulation therapy
Question #49
A Hemorrhage
B Blood transfusion reaction
C Splintering of bone fragments
D Shock
Question #50
A Monocytes
B Basophils
C Plasma cells
D T lymphocytes
Question #51
A Administer prescribed PRN anti-anxiety agent.
B Remove the intravenous line.
C Ensure there is an oxygen delivery device at the bedside.
D Place the client in a recumbent position with legs elevated.
Question #52
A Elevated creatinine
B Critically low arterial oxygen saturation
C Elevated erythrocyte concentration
D Decreased hematocrit
Question #53
A Albumin.
B Fibrinogen.
C Globulin.
D Prothrombin.
Question #54
A Tell the client that 2 units of blood will be needed.
B Provide the client with a list of the nearest donation centers.
C Explain the time frame needed for autologous donation.
D Remind the client to take supplemental iron before donation.
Question #55
A T lymphocyte
B B lymphocyte
C Basophil
D Plasma cell
Question #56
A Thrombocyte
B Granulocyte
C Lymphocyte
D Spherocyte