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