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