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 Ribs
C Vertebrae
D Pelvis
E Sternum
Question #2
A Dietary intake
B Medication use
C Ethnicity
D Hair color
E Herbal supplements
Question #3
A “You will be prescribed calcium to replace what is lost during donation.”
B “You typically donate blood the day of the surgery.”
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 erythropoietin, stimulating the marrow to produce more red blood cells.
B The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce 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 he brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
Question #5
A Administer aspirin (ASA) 325 mg po, as ordered
B Reposition the client to a high Fowler position and continue to monitor the pain
C Notify the physician
D Administer acetaminophen 500 mg po, as ordered
Question #6
A Implement neutropenic precautions
B Apply prolonged pressure to needle sites or other sources of external bleeding
C Monitor temperature at least once per shift
D Monitor for edema at least once per shift
Question #7
A Production of immunoglobulins
B Phagocytosis
C Rejection of foreign tissue
D Destruction of tumor cells
Question #8
A Differentiation
B Hemoglobin
C Hematocrit
D Erythrocyte sedimentation rate (ESR)
Question #9
A Bacterial contamination
B Creutzfeld-Jakob disease
C Graft-versus-host disease
D Delayed hemolytic reaction
Question #10
A Calcium
B Hemoglobin
C Iron
D Potassium
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 having an allergic reaction to the blood.
B The client is having a febrile nonhemolytic reaction.
C The client is having decrease in tissue perfusion from a shock state.
D The client is experiencing vascular collapse.
Question #13
A Iron
B Fresh frozen plasma
C Folate
D Vitamin B12
Question #14
A Ensure there is an oxygen delivery device at the bedside.
B Remove the intravenous line.
C Administer prescribed PRN anti-anxiety agent.
D Place the client in a recumbent position with legs elevated.
Question #15
A Crackles auscultated bilaterally
B Respiratory rate of 10 breaths/minute
C Oral temperature of 97°F
D Pain and tenderness in calf area
Question #16
A Assist the client into an erect position.
B Hold firm pressure on the venipuncture site.
C Apply a tourniquet above the antecubital fossa.
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 Neutrophil
B B lymphocyte
C Basophils
D Plasma cell
Question #19
A “The condition causes abnormally rigid red blood cells.”
B “The condition is likely caused by a folate deficiency.”
C “The condition causes abnormally small red blood cells.”
D “The condition is likely caused by a vitamin B12 deficiency.”
Question #20
A Thrombocytopenia
B Myelodysplastic syndrome
C Neutropenia
D Anemia
Question #21
A Leukocytes
B T lymphocytes
C Monocytes
D B lymphocytes
Question #22
A “I will increase my daily intake of orange vegetables such as sweet potatoes and carrots.”
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 eat more dairy products such as milk, yogurt, and ice cream every day.”
Question #23
A Plasma cell
B Basophil
C T lymphocyte
D B lymphocyte
Question #24
A has leukopenia.
B has thrombocytopenia.
C may be developing anemia.
D may be developing an infection.
Question #25
A Administer aspirin (ASA) 325 mg po, as ordered
B Reposition the client to a high Fowler position and continue to monitor the pain
C Notify the physician
D Administer acetaminophen 500 mg po, as ordered
Question #26
A 20%
B 15%
C 10%
D 5%
Question #27
A Older adults have an increasing number of leukocytes over time.
B Older adults acquire damage to the bone marrow 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-positive child
C Rh-positive mother; Rh-positive child
D Rh-negative mother; Rh-negative child
Question #29
A Sickle cell anemia
B Extreme leukocytosis
C Renal transplantation
D Essential thrombocythemia
Question #30
A Supine with head of the bed elevated 30 degrees
B Lateral position with one leg flexed
C Lithotomy position
D Jackknife position
Question #31
A “I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion.”
B “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
C “I understand your concern. The blood is carefully screened but is not completely risk free.”
D “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
Question #32
A 50 year old female with pulse 95 beats/minute
B 86 year old male with blood pressure 110/70 mmHg
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 Aspirin
C Factor VIII
D Pneumococcal vaccine
Question #34
A Administer the morphine into the closest tubing port to the client for fast delivery.
B Inject the morphine into a distal port on the blood tubing.
C Disconnect the blood tubing, flush with normal saline, and administer morphine.
D Add the morphine to the blood to be slowly administered.
Question #35
A Kidney
B Large intestine
C Pancreas
D Liver
Question #36
A Neutrophil
B Lymphoid stem cell
C Monocyte
D Myeloid stem cell
Question #37
A Slow the infusion.
B Call the health care provider
C Stop the infusion.
D Assess the client’s vital signs.
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 brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
B The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
C The kidneys sense low oxygen levels in the blood and stimulate erythropoietin, 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 #40
A Neutrophils
B Monocytes
C Eosinophils
D Basophils
Question #41
A Thrombocyte count
B RBC count
C WBC count
D Levels of plasma proteins
Question #42
A Apply pressure over the site for 5–7 minutes
B Elevate the head of the bed to 45 degrees
C Pack the wound with half-inch sterile gauze
D Administer a topical analgesic to control pain at the site
Question #43
A Vitamin A deficiency
B Vitamin C deficiency
C Vitamin B12 deficiency
D Folic acid deficiency
Question #44
A Inflammation of the tongue
B Petechiae
C Inflammation of the mouth
D Dyspnea
Question #45
A Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
B Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
C This type of exercise increases arterial circulation as it returns to the heart.
D Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
Question #46
A Hemochromatosis
B Factor V Leiden
C Thalassemia
D Sickle cell disease
Question #47
A Erythropoietin
B GM-CSF
C Thrombopoietin
D Eltrombopag
Question #48
A Therapeutic phlebotomy
B Iron chelation therapy
C Anticoagulation therapy
D Oxygen therapy
Question #49
A Splintering of bone fragments
B Blood transfusion reaction
C Hemorrhage
D Shock
Question #50
A T lymphocytes
B Basophils
C Plasma cells
D Monocytes
Question #51
A Administer prescribed PRN anti-anxiety agent.
B Place the client in a recumbent position with legs elevated.
C Remove the intravenous line.
D Ensure there is an oxygen delivery device at the bedside.
Question #52
A Elevated creatinine
B Decreased hematocrit
C Elevated erythrocyte concentration
D Critically low arterial oxygen saturation
Question #53
A Globulin.
B Fibrinogen.
C Albumin.
D Prothrombin.
Question #54
A Tell the client that 2 units of blood will be needed.
B Explain the time frame needed for autologous donation.
C Provide the client with a list of the nearest donation centers.
D Remind the client to take supplemental iron before donation.
Question #55
A Basophil
B B lymphocyte
C T lymphocyte
D Plasma cell
Question #56
A Granulocyte
B Lymphocyte
C Spherocyte
D Thrombocyte