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