Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 34 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Blast crisis
B Accelerated
C Transformation
D Chronic
Question #2
A serum creatinine level 0.5 mg/dL
B serum calcium level of 7.5 mg/dL
C serum protein level 5.8 g/dL
D serum albumin level of 2.0 g/dL
Question #3
A Axillary
B Inguinal
C Popliteal
D Cervical
Question #4
A Radiation
B Chelation therapy
C Blood transfusions
D Phlebotomy
Question #5
A Ruddy complexion
B Jaundice skin and sclera
C Pale skin and mucous membranes
D Bronze skin tone
Question #6
A Iron levels
B Magnesium levels
C Potassium levels
D Creatinine and blood urea nitrogen (BUN) levels
Question #7
A A 40-year-old patient with a history of hypertension
B A 52-year-old patient with acute kidney injury
C A 24-year-old female taking oral contraceptives
D A 72-year-old patient with a history of cancer
Question #8
A “Treatment is simple and consists of single-drug therapy.”
B “Intrathecal chemotherapy is used primarily as preventive therapy.”
C “Side effects are rare with therapy.”
D “The goal of therapy is palliation.”
Question #9
A Diarrheal stools
B Adventitous lung sounds
C Laryngeal edema
D Hair loss
Question #10
A Serum sodium level of 133 mEq/L
B Platelet count 300,000/mm3
C Hemoglobin of 9.8 g/dl
D Serum calcium level 13.8 mg/dl
Question #11
A Promote safety.
B Increase mobility.
C Provide adequate hydration.
D Encourage adequate nutrition.
Question #12
A Staging of disease
B Total blood cell count
C Histology of tissue
D Involvement of lymph nodes
Question #13
A Abnormal blood cells deposit in small vessels.
B Bone marrow expands.
C Abnormal blood cells crystalize.
D Lymph nodes expand.
Question #14
A The patient can develop osteonecrosis of the jaw.
B The patient will develop gingival hyperplasia.
C The patient is at risk for tooth decay.
D The patient can develop loosening of the teeth.
Question #15
A Decrease alcohol intake
B Decrease fat intake
C Smoking cessation
D Reduce exposure to excessive sunlight
E Decrease intake of antipyretic medications such as acetaminophen
Question #16
A Induction therapy
B Supportive therapy
C Standard therapy
D Antimicrobial therapy
Question #17
A Suggest the family go to church more often.
B Educate the family about medications and side effects.
C Allow family members to express feelings.
D Suggest the prescription of antianxiety medications.
E Suggest support for household maintenance.
Question #18
A Evaluate the client’s INR.
B Ask the client whether they have recently fallen.
C Evaluate the client’s platelet count.
D Keep the client on bed rest.
Question #19
A “In acute leukemia there are not many undifferentiated cells.”
B “In chronic leukemia, the majority of leukocytes are mature.”
C “Chronic leukemia develops slowly.”
D “Acute leukemia develops slowly.”
Question #20
A Congestive heart failure
B Stroke
C Pulmonary embolus
D Tissue infarction
Question #21
A splenomegaly
B weight gain
C pale body color
D peripheral edema
Question #22
A Deficiency of erythrocytes
B Deficiency of neutrophils
C Excess of immature leukocytes
D Excess of immature erythrocytes
Question #23
A Easy bruising
B Diarrhea
C Fatigue from anemia
D Frequent infections
E Nausea and vomiting
Question #24
A Exposure to water of any temperature
B Temperature change
C Aspirin
D Alcohol consumption
E Allergic reaction to the red blood cell increase
Question #25
A “I will start slowly with medication treatment.”
B “I will need to come every week for treatment.”
C I will be in the hospital for several weeks.”
D “I know I can never be cured.”
Question #26
A Anemia
B Pancytopenia
C Thrombocytopenia
D Leukopenia
Question #27
A Polycythemia vera
B Pernicious anemia
C Sickle cell disease
D Aplastic anemia
Question #28
A Take a daily multivitamin with iron supplement
B Drink alcohol to decrease blood viscosity
C Maintain adequate blood pressure control
D Bath in tepid or cool water to control itching
Question #29
A Have the client use a soft toothbrush and electric razor, avoid using enemas, and watch for signs of bleeding.
B Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing.
C Provide a clear liquid, low-sodium diet.
D Put on a mask, gown, and gloves when entering the client’s room.
Question #30
A sickle cell disease
B pernicious anemia
C aplastic anemia
D polycythemia vera
Question #31
A Osteolytic activating factor weakens bones producing fractures
B Osteosarcomas form producing pathologic fractures.
C Osteopathic tumors destroy bone causing fractures.
D Osteoclasts break down bone cells so pathologic fractures occur.
Question #32
A Impaired tissue integrity
B Sensory-perception disturbance
C Acute pain
D Risk for falls
Question #33
A Non-Hodgkin lymphoma
B Multiple myeloma
C Hodgkin lymphoma
D Chronic myeloid leukemia
Question #34
A Neutropenia
B Pancytopenia
C Anemia
D Thrombocytopenia
Question #35
A Excess red blood cells cause vascular injury in the joints.
B The dead red blood cells occlude the small vessels in the joints.
C Excess red blood cells produce extracellular toxins that build up.
D The dead red blood cells release excess uric acid.
Question #36
A Fluid volume excess
B Polyuria
C Excessive thirst
D Diarrhea
Question #37
A Filgrastim
B Allopurinol
C Asparaginase
D Hydroxyurea
Question #38
A Place heating pads on the client’s back.
B Administer pain medication, as ordered.
C Refer the client to a chiropractor.
D Assess renal function.
Question #39
A Osteolytic activating factor weakens bones producing fractures.
B Osteosarcomas form producing pathologic fractures.
C Osteopathic tumors destroy bone causing fractures.
D Osteoclasts break down bone cells so pathologic fractures occur.
Question #40
A Teach the client to vigorously floss the teeth to prevent infections.
B Request a prescription of diphenoxylate and atropine for loose stools.
C Use contact precautions with this client
D Perform a neurologic assessment with vital signs.
Question #41
A Debilitating fatigue
B Gradual muscle paralysis
C Severe thrombocytopenia
D Bone pain in the back of the ribs
Question #42
A Magnesium levels
B Potassium levels
C Creatinine and blood urea nitrogen (BUN) levels
D Iron levels
Question #43
A Address issues of negative body image.
B Administer pain medication.
C Place the client in reverse isolation.
D Maintain nutrition.
Question #44
A Eliminate direct contact with others who are infectious.
B Apply prolonged pressure to needle sites or other sources of external bleeding.
C Implement neutropenic precautions.
D Monitor temperature at least once per shift.
Question #45
A Hemolytic anemia
B Leukemia
C Polycythemia vera
D Multiple myeloma
Question #46
A Too many erythrocytes
B A general reduction in neutrophils and basophils
C A general reduction in all white blood cells
D A decrease in granulocytes
Question #47
A “I have resources within myself that I can depend on.”
B I know I am going to die. I want to say good–bye to my family.”
C “I do not understand why this happened to me.”
D “I am going to call my clergy to pray with me.”
Question #48
A Hyperkalemia
B Hypermagnesemia
C Hypercalcemia
D Hypernatremia
Question #49
A Monitoring respiratory status
B Restricting fluid intake
C Preventing bone injury
D Balancing rest and activity
Question #50
A Encouarge increased fluid consumption.
B Maintain contact precautions.
C Monitor the client’s temperature every shift.
D Practice vigilant handwashing.
Question #51
A WBC count of 4,200 cells/mcL
B Hematocrit of 38%
C Platelet count of 9,000/mm3
D Creatinine level of 1.0 mg/dL
Question #52
A The client with painful lymph nodes in the groin.
B The client with a painful sore throat.
C The client with enlarged lymph nodes in the neck.
D The client with painful lymph nodes under the arm.
Question #53
A Assess the client’s hemoglobin and platelets.
B Check the client’s history.
C Assess the client’s skin.
D Assess the client’s pulse and blood pressure.
Question #54
A Encourage ambulation.
B Keep the feet cool.
C Assess for signs of injury.
D Elevate the client’s legs.
Question #55
A “Intrathecal chemotherapy is used primarily as preventive therapy.”
B “The goal of therapy is palliation.”
C “Side effects are rare with therapy.”
D “Treatment is simple and consists of single-drug therapy.”
Question #56
A “In acute leukemia there are not many undifferentiated cells.”
B “Chronic leukemia develops slowly.”
C “Acute leukemia develops slowly.”
D In chronic leukemia, the majority of leukocytes are mature.”
Question #57
A They are active against hypersensitivity reactions.
B They produce all blood cells.
C They produce antibodies against foreign antigens.
D They defend against bacterial infection.
Question #58
A Menstrual history
B Health history, such as bleeding, fatigue, or fainting
C Lifestyle assessments, such as exercise routines
D Age and gender
Question #59
A pathologic bone fractures
B chronic liver failure.
C hypoxemia.
D acute heart failure.
Question #60
A Graft-versus-host disease
B Remission
C Acute respiratory distress syndrome
D Bone marrow depression
Question #61
A Have the client rest.
B Send the client for a spinal x-ray study.
C Encourage ambulation.
D Have the client lie on a hard surface.
Question #62
A No evidence of edema
B Neutrophil and platelet counts within normal limits
C Absence of bone pain
D Vital signs within normal ranges
Question #63
A Thrombocyte
B Granulocyte
C Spherocyte
D Lymphocyte