Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 34 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Blast crisis
B Transformation
C Accelerated
D Chronic
Question #2
A serum creatinine level 0.5 mg/dL
B serum calcium level of 7.5 mg/dL
C serum protein level 5.8 g/dL
D serum albumin level of 2.0 g/dL
Question #3
A Popliteal
B Axillary
C Inguinal
D Cervical
Question #4
A Chelation therapy
B Blood transfusions
C Radiation
D Phlebotomy
Question #5
A Jaundice skin and sclera
B Bronze skin tone
C Pale skin and mucous membranes
D Ruddy complexion
Question #6
A Magnesium levels
B Iron levels
C Potassium levels
D Creatinine and blood urea nitrogen (BUN) levels
Question #7
A A 72-year-old patient with a history of cancer
B A 52-year-old patient with acute kidney injury
C A 40-year-old patient with a history of hypertension
D A 24-year-old female taking oral contraceptives
Question #8
A “The goal of therapy is palliation.”
B “Side effects are rare with therapy.”
C “Intrathecal chemotherapy is used primarily as preventive therapy.”
D “Treatment is simple and consists of single-drug therapy.”
Question #9
A Adventitous lung sounds
B Diarrheal stools
C Hair loss
D Laryngeal edema
Question #10
A Platelet count 300,000/mm3
B Hemoglobin of 9.8 g/dl
C Serum sodium level of 133 mEq/L
D Serum calcium level 13.8 mg/dl
Question #11
A Encourage adequate nutrition.
B Promote safety.
C Increase mobility.
D Provide adequate hydration.
Question #12
A Histology of tissue
B Involvement of lymph nodes
C Total blood cell count
D Staging of disease
Question #13
A Abnormal blood cells crystalize.
B Bone marrow expands.
C Lymph nodes expand.
D Abnormal blood cells deposit in small vessels.
Question #14
A The patient can develop osteonecrosis of the jaw.
B The patient will develop gingival hyperplasia.
C The patient can develop loosening of the teeth.
D The patient is at risk for tooth decay.
Question #15
A Decrease fat intake
B Reduce exposure to excessive sunlight
C Smoking cessation
D Decrease alcohol intake
E Decrease intake of antipyretic medications such as acetaminophen
Question #16
A Induction therapy
B Antimicrobial therapy
C Standard therapy
D Supportive therapy
Question #17
A Allow family members to express feelings.
B Educate the family about medications and side effects.
C Suggest support for household maintenance.
D Suggest the prescription of antianxiety medications.
E Suggest the family go to church more often.
Question #18
A Ask the client whether they have recently fallen.
B Keep the client on bed rest.
C Evaluate the client’s INR.
D Evaluate the client’s platelet count.
Question #19
A “In acute leukemia there are not many undifferentiated cells.”
B “Chronic leukemia develops slowly.”
C “Acute leukemia develops slowly.”
D “In chronic leukemia, the majority of leukocytes are mature.”
Question #20
A Congestive heart failure
B Tissue infarction
C Stroke
D Pulmonary embolus
Question #21
A weight gain
B pale body color
C peripheral edema
D splenomegaly
Question #22
A Deficiency of neutrophils
B Deficiency of erythrocytes
C Excess of immature leukocytes
D Excess of immature erythrocytes
Question #23
A Easy bruising
B Frequent infections
C Fatigue from anemia
D Nausea and vomiting
E Diarrhea
Question #24
A Aspirin
B Alcohol consumption
C Allergic reaction to the red blood cell increase
D Exposure to water of any temperature
E Temperature change
Question #25
A I will be in the hospital for several weeks.”
B “I will start slowly with medication treatment.”
C “I know I can never be cured.”
D “I will need to come every week for treatment.”
Question #26
A Pancytopenia
B Anemia
C Leukopenia
D Thrombocytopenia
Question #27
A Pernicious anemia
B Aplastic anemia
C Polycythemia vera
D Sickle cell disease
Question #28
A Take a daily multivitamin with iron supplement
B Bath in tepid or cool water to control itching
C Maintain adequate blood pressure control
D Drink alcohol to decrease blood viscosity
Question #29
A Put on a mask, gown, and gloves when entering the client’s room.
B Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing.
C Provide a clear liquid, low-sodium diet.
D Have the client use a soft toothbrush and electric razor, avoid using enemas, and watch for signs of bleeding.
Question #30
A aplastic anemia
B sickle cell disease
C pernicious anemia
D polycythemia vera
Question #31
A Osteolytic activating factor weakens bones producing fractures
B Osteopathic tumors destroy bone causing fractures.
C Osteosarcomas form producing pathologic fractures.
D Osteoclasts break down bone cells so pathologic fractures occur.
Question #32
A Risk for falls
B Acute pain
C Sensory-perception disturbance
D Impaired tissue integrity
Question #33
A Multiple myeloma
B Hodgkin lymphoma
C Chronic myeloid leukemia
D Non-Hodgkin lymphoma
Question #34
A Neutropenia
B Thrombocytopenia
C Pancytopenia
D Anemia
Question #35
A Excess red blood cells produce extracellular toxins that build up.
B The dead red blood cells release excess uric acid.
C The dead red blood cells occlude the small vessels in the joints.
D Excess red blood cells cause vascular injury in the joints.
Question #36
A Fluid volume excess
B Polyuria
C Excessive thirst
D Diarrhea
Question #37
A Hydroxyurea
B Filgrastim
C Allopurinol
D Asparaginase
Question #38
A Assess renal function.
B Administer pain medication, as ordered.
C Place heating pads on the client’s back.
D Refer the client to a chiropractor.
Question #39
A Osteoclasts break down bone cells so pathologic fractures occur.
B Osteopathic tumors destroy bone causing fractures.
C Osteolytic activating factor weakens bones producing fractures.
D Osteosarcomas form producing pathologic fractures.
Question #40
A Use contact precautions with this client
B Teach the client to vigorously floss the teeth to prevent infections.
C Perform a neurologic assessment with vital signs.
D Request a prescription of diphenoxylate and atropine for loose stools.
Question #41
A Gradual muscle paralysis
B Severe thrombocytopenia
C Bone pain in the back of the ribs
D Debilitating fatigue
Question #42
A Magnesium levels
B Iron levels
C Potassium levels
D Creatinine and blood urea nitrogen (BUN) levels
Question #43
A Place the client in reverse isolation.
B Address issues of negative body image.
C Administer pain medication.
D Maintain nutrition.
Question #44
A Eliminate direct contact with others who are infectious.
B Apply prolonged pressure to needle sites or other sources of external bleeding.
C Implement neutropenic precautions.
D Monitor temperature at least once per shift.
Question #45
A Multiple myeloma
B Polycythemia vera
C Leukemia
D Hemolytic anemia
Question #46
A A general reduction in neutrophils and basophils
B A decrease in granulocytes
C Too many erythrocytes
D A general reduction in all white blood cells
Question #47
A I know I am going to die. I want to say good–bye to my family.”
B “I am going to call my clergy to pray with me.”
C “I do not understand why this happened to me.”
D “I have resources within myself that I can depend on.”
Question #48
A Hypermagnesemia
B Hypernatremia
C Hypercalcemia
D Hyperkalemia
Question #49
A Restricting fluid intake
B Monitoring respiratory status
C Preventing bone injury
D Balancing rest and activity
Question #50
A Encouarge increased fluid consumption.
B Practice vigilant handwashing.
C Monitor the client’s temperature every shift.
D Maintain contact precautions.
Question #51
A Platelet count of 9,000/mm3
B WBC count of 4,200 cells/mcL
C Creatinine level of 1.0 mg/dL
D Hematocrit of 38%
Question #52
A The client with enlarged lymph nodes in the neck.
B The client with a painful sore throat.
C The client with painful lymph nodes under the arm.
D The client with painful lymph nodes in the groin.
Question #53
A Assess the client’s hemoglobin and platelets.
B Assess the client’s pulse and blood pressure.
C Assess the client’s skin.
D Check the client’s history.
Question #54
A Elevate the client’s legs.
B Assess for signs of injury.
C Keep the feet cool.
D Encourage ambulation.
Question #55
A “Intrathecal chemotherapy is used primarily as preventive therapy.”
B “Side effects are rare with therapy.”
C “The goal of therapy is palliation.”
D “Treatment is simple and consists of single-drug therapy.”
Question #56
A In chronic leukemia, the majority of leukocytes are mature.”
B “In acute leukemia there are not many undifferentiated cells.”
C “Chronic leukemia develops slowly.”
D “Acute leukemia develops slowly.”
Question #57
A They are active against hypersensitivity reactions.
B They produce antibodies against foreign antigens.
C They produce all blood cells.
D They defend against bacterial infection.
Question #58
A Lifestyle assessments, such as exercise routines
B Health history, such as bleeding, fatigue, or fainting
C Age and gender
D Menstrual history
Question #59
A pathologic bone fractures
B hypoxemia.
C chronic liver failure.
D acute heart failure.
Question #60
A Graft-versus-host disease
B Bone marrow depression
C Remission
D Acute respiratory distress syndrome
Question #61
A Send the client for a spinal x-ray study.
B Have the client rest.
C Encourage ambulation.
D Have the client lie on a hard surface.
Question #62
A No evidence of edema
B Vital signs within normal ranges
C Absence of bone pain
D Neutrophil and platelet counts within normal limits
Question #63
A Spherocyte
B Lymphocyte
C Thrombocyte
D Granulocyte