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 Tibia
B Vertebrae
C Sternum
D Ribs
E Pelvis
Question #2
A Ethnicity
B Hair color
C Herbal supplements
D Dietary intake
E Medication use
Question #3
A “You typically donate blood 4 to 6 weeks before the surgery.”
B “You will likely not need the blood that is donated.”
C “You typically donate blood the day of the surgery.”
D “You will be prescribed calcium to replace what is lost during donation.”
Question #4
A The kidneys sense low oxygen levels in the blood and stimulate erythropoietin, stimulating the marrow to produce more red blood cells.
B he brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
C The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce 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 Notify the physician
B Administer aspirin (ASA) 325 mg po, as ordered
C Reposition the client to a high Fowler position and continue to monitor the pain
D Administer acetaminophen 500 mg po, as ordered
Question #6
A Implement neutropenic precautions
B Monitor for edema at least once per shift
C Monitor temperature at least once per shift
D Apply prolonged pressure to needle sites or other sources of external bleeding
Question #7
A Rejection of foreign tissue
B Production of immunoglobulins
C Phagocytosis
D Destruction of tumor cells
Question #8
A Hemoglobin
B Hematocrit
C Erythrocyte sedimentation rate (ESR)
D Differentiation
Question #9
A Creutzfeld-Jakob disease
B Bacterial contamination
C Graft-versus-host disease
D Delayed hemolytic reaction
Question #10
A Potassium
B Hemoglobin
C Calcium
D Iron
Question #11
A Elevate the client’s head of the bed.
B Where a mask when entering the client’s room.
C Use an electric razor when assisting client with shaving.
D Apply supplemental oxygen to maintain the client’s oxygenation.
Question #12
A The client is experiencing vascular collapse.
B The client is having decrease in tissue perfusion from a shock state.
C The client is having an allergic reaction to the blood.
D The client is having a febrile nonhemolytic reaction.
Question #13
A Folate
B Iron
C Vitamin B12
D Fresh frozen plasma
Question #14
A Place the client in a recumbent position with legs elevated.
B Ensure there is an oxygen delivery device at the bedside.
C Administer prescribed PRN anti-anxiety agent.
D Remove the intravenous line.
Question #15
A Oral temperature of 97°F
B Pain and tenderness in calf area
C Crackles auscultated bilaterally
D Respiratory rate of 10 breaths/minute
Question #16
A Apply a tourniquet above the antecubital fossa.
B Assist the client into an erect position.
C Hold firm pressure on the venipuncture site.
D Lower the arm below the level of the heart.
Question #17
A “I should expect blood withdrawal to take about 15 minutes.”
B “Donated blood is tested for blood type and infections.”
C “I could donate my own blood in case I need a transfusion.”
D “My family will donate blood, because it’s safer.”
Question #18
A Plasma cell
B Neutrophil
C Basophils
D B lymphocyte
Question #19
A “The condition is likely caused by a folate deficiency.”
B “The condition causes abnormally small red blood cells.”
C “The condition is likely caused by a vitamin B12 deficiency.”
D “The condition causes abnormally rigid red blood cells.”
Question #20
A Thrombocytopenia
B Myelodysplastic syndrome
C Anemia
D Neutropenia
Question #21
A T lymphocytes
B Leukocytes
C Monocytes
D B lymphocytes
Question #22
A “I will eat a spinach salad with lunch and dinner.”
B “I will eat more dairy products such as milk, yogurt, and ice cream every day.”
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 B lymphocyte
B T lymphocyte
C Plasma cell
D Basophil
Question #24
A has thrombocytopenia.
B has leukopenia.
C may be developing an infection.
D may be developing anemia.
Question #25
A Notify the physician
B Administer aspirin (ASA) 325 mg po, as ordered
C Reposition the client to a high Fowler position and continue to monitor the pain
D Administer acetaminophen 500 mg po, as ordered
Question #26
A 15%
B 20%
C 5%
D 10%
Question #27
A Older adults are exposed to more infectious disease over time.
B Older adults acquire damage to the DNA of stem cells over time.
C Older adults acquire damage to the bone marrow over time.
D Older adults have an increasing number of leukocytes over time.
Question #28
A Rh-negative mother; Rh-negative child
B Rh-positive mother; Rh-positive child
C Rh-negative mother; Rh-positive child
D Rh-positive mother; Rh-negative child
Question #29
A Essential thrombocythemia
B Sickle cell anemia
C Extreme leukocytosis
D Renal transplantation
Question #30
A Supine with head of the bed elevated 30 degrees
B Lithotomy position
C Lateral position with one leg flexed
D Jackknife position
Question #31
A “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
B “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
C “I understand your concern. The blood is carefully screened but is not completely risk free.”
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 26 year old female with hemoglobin 11.0 g/dL
B 18 year old male weighing 52 kg.
C 86 year old male with blood pressure 110/70 mmHg
D 50 year old female with pulse 95 beats/minute
Question #33
A Immunoglobulin G (IgG)
B Aspirin
C Pneumococcal vaccine
D Factor VIII
Question #34
A Disconnect the blood tubing, flush with normal saline, and administer morphine.
B Inject the morphine into a distal port on the blood tubing.
C Add the morphine to the blood to be slowly administered.
D Administer the morphine into the closest tubing port to the client for fast delivery.
Question #35
A Liver
B Kidney
C Large intestine
D Pancreas
Question #36
A Monocyte
B Myeloid stem cell
C Neutrophil
D Lymphoid stem cell
Question #37
A Assess the client’s vital signs.
B Call the health care provider
C Slow the infusion.
D Stop the infusion.
Question #38
A The health care provider may ask for a court order if the client refuses.
B The client can only refuse the transfusion if the consent form has not been signed.
C The client has a right to refuse the transfusion.
D The health care provider may first call the client’s parents if the client refuses.
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 bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the red blood cells.
C The brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more 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 Basophils
B Monocytes
C Neutrophils
D Eosinophils
Question #41
A Thrombocyte count
B RBC count
C Levels of plasma proteins
D WBC count
Question #42
A Administer a topical analgesic to control pain at the site
B Elevate the head of the bed to 45 degrees
C Pack the wound with half-inch sterile gauze
D Apply pressure over the site for 5–7 minutes
Question #43
A Vitamin C deficiency
B Vitamin A deficiency
C Folic acid deficiency
D Vitamin B12 deficiency
Question #44
A Inflammation of the mouth
B Dyspnea
C Inflammation of the tongue
D Petechiae
Question #45
A This type of exercise increases arterial circulation as it returns to the heart.
B Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
C Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
D Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
Question #46
A Factor V Leiden
B Hemochromatosis
C Thalassemia
D Sickle cell disease
Question #47
A Erythropoietin
B Thrombopoietin
C GM-CSF
D Eltrombopag
Question #48
A Anticoagulation therapy
B Iron chelation therapy
C Therapeutic phlebotomy
D Oxygen therapy
Question #49
A Hemorrhage
B Shock
C Blood transfusion reaction
D Splintering of bone fragments
Question #50
A Basophils
B Plasma cells
C Monocytes
D T lymphocytes
Question #51
A Administer prescribed PRN anti-anxiety agent.
B Place the client in a recumbent position with legs elevated.
C Ensure there is an oxygen delivery device at the bedside.
D Remove the intravenous line.
Question #52
A Elevated erythrocyte concentration
B Critically low arterial oxygen saturation
C Decreased hematocrit
D Elevated creatinine
Question #53
A Fibrinogen.
B Albumin.
C Globulin.
D Prothrombin.
Question #54
A Provide the client with a list of the nearest donation centers.
B Tell the client that 2 units of blood will be needed.
C Explain the time frame needed for autologous donation.
D Remind the client to take supplemental iron before donation.
Question #55
A Plasma cell
B B lymphocyte
C T lymphocyte
D Basophil
Question #56
A Thrombocyte
B Lymphocyte
C Granulocyte
D Spherocyte