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