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 Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
B Increased blood viscosity, resulting from an overproduction of white cells
C Reduced plasma volume in response to a reduced production of cellular elements
D Compensatory polycythemia stimulated by thrombocytopenia
Question #2
A Iron
B B12
C Thiamine
D Folate
Question #3
A stomatitis
B ataxia
C dementia
D glossitis
Question #4
A Angina pectoris, double vision, and anorexia
B Pallor, tachycardia, and a sore tongue
C Sore tongue, dyspnea, and weight gain
D Pallor, bradycardia, and reduced pulse pressure
Question #5
A Acute muscular strain
B Pneumocystis pneumonia
C Vaso-occlusive crisis
D Acute chest syndrome
Question #6
A Meat, egg yolks, oysters, and shellfish
B Vitamin E
C Sources of vitamin B12
D Rich sources of vitamin C
Question #7
A Thrombocytopenia
B Pancytopenia
C Leukopenia
D Anemia
Question #8
A Decreased level of erythropoietin
B Increased reticulocyte count
C Decreased total iron-binding capacity
D Increased mean corpuscular volume
Question #9
A Leafy green vegetables
B Orange juice
C Milk
D Kidney beans
Question #10
A Megaloblastic anemia
B Iron deficiency anemia
C Aplastic anemia
D Sickle cell anemia
Question #11
A Encourage frequent handwashing.
B Plan for frequent periods of rest.
C Use a disposable razor when shaving.
D Avoid contact with family/friends who are sick.
Question #12
A To instruct the client to rest immediately if chest pain develops
B To administer vitamin B12 injections
C To assess for enlargement and tenderness over the liver and spleen
D To closely monitor the rate of administration
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 Checks the clients’s BUN and creatinine
D Questions the physician about the use of both medications
Question #14
A Exhibits a temperature more than 100.3°F
B Takes hydroxyurea during her pregnancy
C Reports joint pain less than 3 on a scale of 0 to 10
D Describes the importance of staying cool
Question #15
A Holds the epoetin alfa if the BUN is elevated
B Questions the administration of both medications
C Assesses the hemoglobin level
D Ensures the client has completed dialysis treatment
Question #16
A Eliminates use of alcohol
B Takes a daily multiple vitamin pill
C Takes 60 grams of protein each day
D Takes over–the–counter iron supplements
Question #17
A Impaired oral mucous membranes
B Activity intolerance
C Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI
D Impaired tissue integrity
Question #18
A Magnetic resonance imaging (MRI) study
B Bone marrow biopsy
C Schilling test
D Bone marrow aspiration
Question #19
A Eating a steak with mushrooms
B Eating apple slices with carrots
C Eating calf’s liver with a glass of orange juice
D Eating leafy green vegetables with a glass of water
Question #20
A Narcan
B Vitamin K
C Ipecac
D Protamine sulphate
Question #21
A Stop the nosebleed
B Notify the physician
C Ask someone to clean the bedpan
D Put in an IV line
Question #22
A Severity of the disease
B Insufficient intake of dietary nutrients
C Loss of vibratory and position senses
D Neurologic involvement
Question #23
A Have the client limit physical activity.
B Administer the prescribed enoxaparin (Lovenox).
C Monitor partial thromboplastin (PTT) time.
D Encourage a diet high in vitamin K.
Question #24
A normal blood smear.
B normal hematocrit.
C low hematocrit.
D high hematocrit.
Question #25
A Truncal obesity
B Hypertension
C Muscle wasting
D Osteoporosis
Question #26
A Pressure point control
B Elevation of the extremity
C Direct pressure
D Application of a tourniquet
Question #27
A Folate
B A
C B12
D C
Question #28
A Decrease the intake of citrus fruits because they interfere with iron absorption.
B Increase the intake of green, leafy vegetables.
C Decrease the intake of high-fat red meats, especially organ meats.
D Take an iron supplement with meals to reduce gastric irritation.
Question #29
A Folate levels
B Creatinine level
C Hemoglobin level
D Potassium level
Question #30
A Low ferritin level concentration
B Elevated hematocrit concentration
C Enlarged mean corpuscular volume (MCV)
D Elevated red blood cell (RBC) count
Question #31
A Abnormal erythrocyte production
B Infection
C Blood loss
D Destruction of normally formed red blood cells
E Inadequate formed white blood cells
Question #32
A ataxia
B dementia
C glossitis
D stomatitis
Question #33
A Avoid vitamin C as it prevents absorption.
B Drink liquid iron preparations with a straw.
C Take iron with an antacid to avoid stomach upset.
D Taking iron pills with milk aids in absorption.
Question #34
A iron malabsorption.
B bleeding.
C menorrhagia.
D chronic alcoholism.
Question #35
A Pallor, bradycardia, and reduced pulse pressure
B Angina pectoris, double vision, and anorexia
C Pallor, tachycardia, and a sore tongue
D Sore tongue, dyspnea, and weight gain
Question #36
A A hemolytic allergic reaction caused by an antigen reaction
B A hemolytic reaction to mismatched blood
C A hemolytic reaction caused by bacterial contamination of donor blood
D A hemolytic reaction to Rh-incompatible blood
Question #37
A Reduced plasma volume in response to a reduced production of cellular elements
B Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
C Increased blood viscosity, resulting from an overproduction of white cells
D Compensatory polycythemia stimulated by thrombocytopenia
Question #38
A Diarrhea
B Bleeding
C Abdominal pain
D The onset of a bacterial infection
Question #39
A Creatinine level of 6 mg/100 mL
B Calcium level of 9.4 mg/dL
C Potassium level of 5.2 mEq/L
D Magnesium level of 2.5 mg/dL
Question #40
A It is part of the required assessment information.
B It will determine what type of anemia the patient has.
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 Iron deficiency anemia
B Sickle cell anemia
C Aplastic anemia
D Megaloblastic anemia
Question #42
A Limit foods that contain folic acid
B Encouraging the client to ambulate immediately
C Administering and evaluating the effectiveness of opioid analgesics
D Limiting the client’s intake of oral and IV fluids
Question #43
A Monitoring the client’s breathing and reviewing the client’s arterial blood gases
B Monitoring the client’s blood pressure and reviewing the client’s hematocrit
C Monitoring the client’s temperature and reviewing the client’s complete blood count (CBC) with differential
D Monitoring the client’s heart rate and reviewing the client’s hemoglobin
Question #44
A Aspirin
B Protamine sulfate
C Vitamin K
D Clopidogrel
Question #45
A Ask if taking a blood pressure has ever produced the need for medication.
B Ask if taking a blood pressure has ever produced pain in the upper arm.
C Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
D Ask if taking a blood pressure has ever caused bruising in the hand and wrist.
Question #46
A Encourage the client to use a wheelchair.
B Limit visits by family members
C Maintain accurate fluid intake and output records.
D Use the smallest needle possible for injections.
Question #47
A Decreased total iron-binding capacity
B Decreased level of erythropoietin
C Increased reticulocyte count
D Increased mean corpuscular volume
Question #48
A An increased number of erythrocytes
B Clustering of platelets with sickled red blood cells
C Erythrocytes that are microcytic and hypochromic
D Erythrocytes that are macrocytic and hyperchromic
Question #49
A Observe client for facial droop.
B Observe the gums for bleeding after the client brushes teeth.
C Observe the sputum for signs of blood.
D Observe stools for blood.
Question #50
A D
B E
C A
D C
Question #51
A Tachycardia
B Pallor
C Jaundice
D Flow murmurs
Question #52
A Sickle cell anemia
B Autoimmune hemolytic anemia
C Hypersplenism
D Cold agglutinin disease
Question #53
A Immediately stop the transfusion, infuse dextrose 5% in water (D5W), and call the health care provider.
B Stop the transfusion, notify the blood bank, and administer antihistamines.
C Immediately stop the transfusion, infuse normal saline solution, call the health care provider, and notify the blood bank.
D Slow the transfusion and monitor the client closely.
Question #54
A Nights sweats, weight loss, and diarrhea
B Itching, rash, and jaundice
C Nausea, vomiting, and anorexia
D Dyspnea, tachycardia, and pallor
Question #55
A “I’ll report unexplained or severe bruising to my doctor right away.”
B “I’ll watch my gums for bleeding when I brush my teeth.”
C “I’ll eat four servings of fresh, dark green vegetables every day.”
D “I’ll use an electric razor to shave.”
Question #56
A “I have an increase in my appetite.”
B “I have a difficult time falling asleep at night.”
C “I have difficulty breathing when walking 30 feet.”
D “I feel hot all of the time.”
Question #57
A Hypochromic
B Hyperchromic
C Normocytic
D Microcytic
Question #58
A Has a history of viral hepatitis as a teenager 10 years ago
B Received a blood transfusion within 1 year
C Reports having a cold 1 month ago that resolved quickly
D Had a dental extraction 2 days ago for caries in a tooth
Question #59
A Age and gender
B Lifestyle assessments, such as exercise routines
C Menstrual history
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 Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels
D Electrolyte imbalance that could affect the blood’s ability to coagulate properly
Question #61
A Fibrinogen level, WBC, and platelet count
B Thrombin time, calcium levels, and potassium levels
C Platelet count, blood glucose levels, and white blood cell (WBC) count
D Platelet count, prothrombin time, and partial thromboplastin time
Question #62
A “I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear.”
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 vitamin B12 level returns to normal.”
D “I will receive parenteral vitamin B12 therapy for the rest of my life.”
Question #63
A to the bathroom.
B to the bedside commode.
C to a standing position so he can urinate.
D onto the bedpan.
Question #64
A Vitamin A
B Vitamin D
C Vitamin K
D Vitamin E
Question #65
A A hemolytic reaction caused by bacterial contamination of donor blood
B A hemolytic allergic reaction caused by an antigen reaction
C A hemolytic reaction to mismatched blood
D A hemolytic reaction to Rh-incompatible blood
Question #66
A There is a strong correlation between iron stores and hemoglobin characteristics.
B There is an inverse relationship between iron stores and hemoglobin levels.
C There is a weak correlation between iron stores and hemoglobin levels.
D There is a strong correlation between iron stores and hemoglobin levels.
Question #67
A Risk for falls related to complaints of dizziness
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 Fatigue related to decreased hemoglobin and hematocrit
Question #68
A Bronzing of the skin
B Inflammation of the tongue
C Weight gain
D Inflammation of the mouth
Question #69
A antibiotic
B CBC
C chest radiograph
D ECG
Question #70
A Thrombocytopenia
B Anemia
C Bandemia
D Leukopenia