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 Sternum
C Pelvis
D Ribs
E Vertebrae
Question #2
A Medication use
B Ethnicity
C Dietary intake
D Herbal supplements
E Hair color
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 he 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 erythropoietin, 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 The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
Question #5
A Notify the physician
B Administer aspirin (ASA) 325 mg po, as ordered
C Administer acetaminophen 500 mg po, as ordered
D Reposition the client to a high Fowler position and continue to monitor the pain
Question #6
A Implement neutropenic precautions
B Monitor temperature at least once per shift
C Monitor for edema at least once per shift
D Apply prolonged pressure to needle sites or other sources of external bleeding
Question #7
A Destruction of tumor cells
B Production of immunoglobulins
C Rejection of foreign tissue
D Phagocytosis
Question #8
A Hematocrit
B Differentiation
C Hemoglobin
D Erythrocyte sedimentation rate (ESR)
Question #9
A Graft-versus-host disease
B Bacterial contamination
C Delayed hemolytic reaction
D Creutzfeld-Jakob disease
Question #10
A Calcium
B Iron
C Potassium
D Hemoglobin
Question #11
A Apply supplemental oxygen to maintain the client’s oxygenation.
B Where a mask when entering the client’s room.
C Elevate the client’s head of the bed.
D Use an electric razor when assisting client with shaving.
Question #12
A The client is having decrease in tissue perfusion from a shock state.
B The client is having an allergic reaction to the blood.
C The client is having a febrile nonhemolytic reaction.
D The client is experiencing vascular collapse.
Question #13
A Fresh frozen plasma
B Iron
C Vitamin B12
D Folate
Question #14
A Administer prescribed PRN anti-anxiety agent.
B Ensure there is an oxygen delivery device at the bedside.
C Remove the intravenous line.
D Place the client in a recumbent position with legs elevated.
Question #15
A Respiratory rate of 10 breaths/minute
B Oral temperature of 97°F
C Crackles auscultated bilaterally
D Pain and tenderness in calf area
Question #16
A Lower the arm below the level of the heart.
B Assist the client into an erect position.
C Apply a tourniquet above the antecubital fossa.
D Hold firm pressure on the venipuncture site.
Question #17
A “Donated blood is tested for blood type and infections.”
B “I should expect blood withdrawal to take about 15 minutes.”
C “My family will donate blood, because it’s safer.”
D “I could donate my own blood in case I need a transfusion.”
Question #18
A Plasma cell
B Neutrophil
C Basophils
D B lymphocyte
Question #19
A “The condition causes abnormally small red blood cells.”
B “The condition causes abnormally rigid red blood cells.”
C “The condition is likely caused by a vitamin B12 deficiency.”
D “The condition is likely caused by a folate deficiency.”
Question #20
A Myelodysplastic syndrome
B Neutropenia
C Thrombocytopenia
D Anemia
Question #21
A Monocytes
B B lymphocytes
C Leukocytes
D T 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 T lymphocyte
B Basophil
C Plasma cell
D B lymphocyte
Question #24
A may be developing an infection.
B has leukopenia.
C may be developing anemia.
D has thrombocytopenia.
Question #25
A Administer aspirin (ASA) 325 mg po, as ordered
B Administer acetaminophen 500 mg po, as ordered
C Reposition the client to a high Fowler position and continue to monitor the pain
D Notify the physician
Question #26
A 5%
B 10%
C 20%
D 15%
Question #27
A Older adults acquire damage to the DNA of stem cells over time.
B Older adults have an increasing number of leukocytes over time.
C Older adults are exposed to more infectious disease over time.
D Older adults acquire damage to the bone marrow over time.
Question #28
A Rh-negative mother; Rh-positive child
B Rh-positive mother; Rh-positive child
C Rh-negative mother; Rh-negative child
D Rh-positive mother; Rh-negative child
Question #29
A Extreme leukocytosis
B Sickle cell anemia
C Renal transplantation
D Essential thrombocythemia
Question #30
A Lateral position with one leg flexed
B Supine with head of the bed elevated 30 degrees
C Jackknife position
D Lithotomy position
Question #31
A “I understand your concern. The blood is carefully screened but is not completely risk free.”
B “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
C “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
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 50 year old female with pulse 95 beats/minute
B 86 year old male with blood pressure 110/70 mmHg
C 26 year old female with hemoglobin 11.0 g/dL
D 18 year old male weighing 52 kg.
Question #33
A Pneumococcal vaccine
B Aspirin
C Factor VIII
D Immunoglobulin G (IgG)
Question #34
A Inject the morphine into a distal port on the blood tubing.
B Administer the morphine into the closest tubing port to the client for fast delivery.
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 Pancreas
B Liver
C Large intestine
D Kidney
Question #36
A Monocyte
B Myeloid stem cell
C Neutrophil
D Lymphoid stem cell
Question #37
A Assess the client’s vital signs.
B Slow the infusion.
C Call the health care provider
D Stop the infusion.
Question #38
A The health care provider may ask for a court order if the client refuses.
B The client has a right to refuse the transfusion.
C The health care provider may first call the client’s parents if the client refuses.
D The client can only refuse the transfusion if the consent form has not been signed.
Question #39
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 brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to 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 Basophils
B Neutrophils
C Eosinophils
D Monocytes
Question #41
A Thrombocyte count
B WBC count
C Levels of plasma proteins
D RBC count
Question #42
A Apply pressure over the site for 5–7 minutes
B Pack the wound with half-inch sterile gauze
C Administer a topical analgesic to control pain at the site
D Elevate the head of the bed to 45 degrees
Question #43
A Vitamin C deficiency
B Folic acid deficiency
C Vitamin B12 deficiency
D Vitamin A deficiency
Question #44
A Dyspnea
B Petechiae
C Inflammation of the mouth
D Inflammation of the tongue
Question #45
A Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
B This type of exercise increases arterial circulation as it returns to the heart.
C Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
D Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
Question #46
A Sickle cell disease
B Thalassemia
C Hemochromatosis
D Factor V Leiden
Question #47
A GM-CSF
B Thrombopoietin
C Erythropoietin
D Eltrombopag
Question #48
A Anticoagulation therapy
B Therapeutic phlebotomy
C Iron chelation therapy
D Oxygen therapy
Question #49
A Splintering of bone fragments
B Hemorrhage
C Shock
D Blood transfusion reaction
Question #50
A T lymphocytes
B Basophils
C Plasma cells
D Monocytes
Question #51
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 #52
A Decreased hematocrit
B Critically low arterial oxygen saturation
C Elevated erythrocyte concentration
D Elevated creatinine
Question #53
A Globulin.
B Fibrinogen.
C Albumin.
D Prothrombin.
Question #54
A Remind the client to take supplemental iron before donation.
B Tell the client that 2 units of blood will be needed.
C Provide the client with a list of the nearest donation centers.
D Explain the time frame needed for autologous donation.
Question #55
A B lymphocyte
B Basophil
C Plasma cell
D T lymphocyte
Question #56
A Granulocyte
B Spherocyte
C Lymphocyte
D Thrombocyte