Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 33 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
B Compensatory polycythemia stimulated by thrombocytopenia
C Increased blood viscosity, resulting from an overproduction of white cells
D Reduced plasma volume in response to a reduced production of cellular elements
Question #2
A Folate
B B12
C Iron
D Thiamine
Question #3
A stomatitis
B dementia
C glossitis
D ataxia
Question #4
A Angina pectoris, double vision, and anorexia
B Pallor, bradycardia, and reduced pulse pressure
C Pallor, tachycardia, and a sore tongue
D Sore tongue, dyspnea, and weight gain
Question #5
A Acute chest syndrome
B Acute muscular strain
C Pneumocystis pneumonia
D Vaso-occlusive crisis
Question #6
A Meat, egg yolks, oysters, and shellfish
B Vitamin E
C Sources of vitamin B12
D Rich sources of vitamin C
Question #7
A Leukopenia
B Pancytopenia
C Anemia
D Thrombocytopenia
Question #8
A Decreased total iron-binding capacity
B Increased reticulocyte count
C Increased mean corpuscular volume
D Decreased level of erythropoietin
Question #9
A Orange juice
B Milk
C Leafy green vegetables
D Kidney beans
Question #10
A Aplastic anemia
B Sickle cell anemia
C Megaloblastic anemia
D Iron deficiency anemia
Question #11
A Avoid contact with family/friends who are sick.
B Use a disposable razor when shaving.
C Encourage frequent handwashing.
D Plan for frequent periods of rest.
Question #12
A To administer vitamin B12 injections
B To instruct the client to rest immediately if chest pain develops
C To assess for enlargement and tenderness over the liver and spleen
D To closely monitor the rate of administration
Question #13
A Instructs the client not to lift more than 20 pounds
B Checks the clients’s BUN and creatinine
C Teaches the client to bend at the back when lifting objects
D Questions the physician about the use of both medications
Question #14
A Describes the importance of staying cool
B Takes hydroxyurea during her pregnancy
C Reports joint pain less than 3 on a scale of 0 to 10
D Exhibits a temperature more than 100.3°F
Question #15
A Questions the administration of both medications
B Assesses the hemoglobin level
C Holds the epoetin alfa if the BUN is elevated
D Ensures the client has completed dialysis treatment
Question #16
A Takes over–the–counter iron supplements
B Takes 60 grams of protein each day
C Eliminates use of alcohol
D Takes a daily multiple vitamin pill
Question #17
A Activity intolerance
B Impaired oral mucous membranes
C Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI
D Impaired tissue integrity
Question #18
A Bone marrow biopsy
B Schilling test
C Magnetic resonance imaging (MRI) study
D Bone marrow aspiration
Question #19
A Eating apple slices with carrots
B Eating a steak with mushrooms
C Eating leafy green vegetables with a glass of water
D Eating calf’s liver with a glass of orange juice
Question #20
A Vitamin K
B Ipecac
C Protamine sulphate
D Narcan
Question #21
A Notify the physician
B Ask someone to clean the bedpan
C Stop the nosebleed
D Put in an IV line
Question #22
A Neurologic involvement
B Loss of vibratory and position senses
C Severity of the disease
D Insufficient intake of dietary nutrients
Question #23
A Encourage a diet high in vitamin K.
B Have the client limit physical activity.
C Monitor partial thromboplastin (PTT) time.
D Administer the prescribed enoxaparin (Lovenox).
Question #24
A high hematocrit.
B normal blood smear.
C low hematocrit.
D normal hematocrit.
Question #25
A Hypertension
B Osteoporosis
C Truncal obesity
D Muscle wasting
Question #26
A Pressure point control
B Application of a tourniquet
C Direct pressure
D Elevation of the extremity
Question #27
A C
B A
C B12
D Folate
Question #28
A Increase the intake of green, leafy vegetables.
B Take an iron supplement with meals to reduce gastric irritation.
C Decrease the intake of citrus fruits because they interfere with iron absorption.
D Decrease the intake of high-fat red meats, especially organ meats.
Question #29
A Folate levels
B Creatinine level
C Hemoglobin level
D Potassium level
Question #30
A Low ferritin level concentration
B Elevated red blood cell (RBC) count
C Elevated hematocrit concentration
D Enlarged mean corpuscular volume (MCV)
Question #31
A Abnormal erythrocyte production
B Blood loss
C Destruction of normally formed red blood cells
D Infection
E Inadequate formed white blood cells
Question #32
A ataxia
B glossitis
C stomatitis
D dementia
Question #33
A Taking iron pills with milk aids in absorption.
B Avoid vitamin C as it prevents absorption.
C Drink liquid iron preparations with a straw.
D Take iron with an antacid to avoid stomach upset.
Question #34
A menorrhagia.
B chronic alcoholism.
C iron malabsorption.
D bleeding.
Question #35
A Pallor, tachycardia, and a sore tongue
B Sore tongue, dyspnea, and weight gain
C Angina pectoris, double vision, and anorexia
D Pallor, bradycardia, and reduced pulse pressure
Question #36
A A hemolytic allergic reaction caused by an antigen reaction
B A hemolytic reaction caused by bacterial contamination of donor blood
C A hemolytic reaction to mismatched blood
D A hemolytic reaction to Rh-incompatible blood
Question #37
A Compensatory polycythemia stimulated by thrombocytopenia
B Reduced plasma volume in response to a reduced production of cellular elements
C Increased blood viscosity, resulting from an overproduction of white cells
D Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
Question #38
A Bleeding
B Diarrhea
C Abdominal pain
D The onset of a bacterial infection
Question #39
A Magnesium level of 2.5 mg/dL
B Creatinine level of 6 mg/100 mL
C Potassium level of 5.2 mEq/L
D Calcium level of 9.4 mg/dL
Question #40
A It is part of the required assessment information.
B It will determine what type of anemia the patient has.
C It is important for the nurse to determine what type of foods the patient will eat.
D It may indicate deficiencies in essential nutrients.
Question #41
A Iron deficiency anemia
B Sickle cell anemia
C Megaloblastic anemia
D Aplastic anemia
Question #42
A Limiting the client’s intake of oral and IV fluids
B Encouraging the client to ambulate immediately
C Limit foods that contain folic acid
D Administering and evaluating the effectiveness of opioid analgesics
Question #43
A Monitoring the client’s temperature and reviewing the client’s complete blood count (CBC) with differential
B Monitoring the client’s breathing and reviewing the client’s arterial blood gases
C Monitoring the client’s heart rate and reviewing the client’s hemoglobin
D Monitoring the client’s blood pressure and reviewing the client’s hematocrit
Question #44
A Vitamin K
B Aspirin
C Protamine sulfate
D Clopidogrel
Question #45
A Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
B Ask if taking a blood pressure has ever produced the need for medication.
C Ask if taking a blood pressure has ever produced pain in the upper arm.
D Ask if taking a blood pressure has ever caused bruising in the hand and wrist.
Question #46
A Maintain accurate fluid intake and output records.
B Encourage the client to use a wheelchair.
C Limit visits by family members
D Use the smallest needle possible for injections.
Question #47
A Increased reticulocyte count
B Decreased level of erythropoietin
C Decreased total iron-binding capacity
D Increased mean corpuscular volume
Question #48
A Clustering of platelets with sickled red blood cells
B Erythrocytes that are macrocytic and hyperchromic
C An increased number of erythrocytes
D Erythrocytes that are microcytic and hypochromic
Question #49
A Observe the gums for bleeding after the client brushes teeth.
B Observe stools for blood.
C Observe the sputum for signs of blood.
D Observe client for facial droop.
Question #50
A A
B E
C D
D C
Question #51
A Jaundice
B Flow murmurs
C Tachycardia
D Pallor
Question #52
A Hypersplenism
B Autoimmune hemolytic anemia
C Cold agglutinin disease
D Sickle cell anemia
Question #53
A Slow the transfusion and monitor the client closely.
B Immediately stop the transfusion, infuse normal saline solution, call the health care provider, and notify the blood bank.
C Immediately stop the transfusion, infuse dextrose 5% in water (D5W), and call the health care provider.
D Stop the transfusion, notify the blood bank, and administer antihistamines.
Question #54
A Itching, rash, and jaundice
B Nausea, vomiting, and anorexia
C Nights sweats, weight loss, and diarrhea
D Dyspnea, tachycardia, and pallor
Question #55
A “I’ll use an electric razor to shave.”
B “I’ll watch my gums for bleeding when I brush my teeth.”
C “I’ll report unexplained or severe bruising to my doctor right away.”
D “I’ll eat four servings of fresh, dark green vegetables every day.”
Question #56
A “I have a difficult time falling asleep at night.”
B “I have difficulty breathing when walking 30 feet.”
C “I feel hot all of the time.”
D “I have an increase in my appetite.”
Question #57
A Hyperchromic
B Hypochromic
C Microcytic
D Normocytic
Question #58
A Received a blood transfusion within 1 year
B Has a history of viral hepatitis as a teenager 10 years ago
C Had a dental extraction 2 days ago for caries in a tooth
D Reports having a cold 1 month ago that resolved quickly
Question #59
A Age and gender
B Health history, such as bleeding, fatigue, or fainting
C Lifestyle assessments, such as exercise routines
D Menstrual history
Question #60
A Low levels of urine constituents normally excreted in the urine
B Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels
C Electrolyte imbalance that could affect the blood’s ability to coagulate properly
D Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) and creatinine levels
Question #61
A Platelet count, blood glucose levels, and white blood cell (WBC) count
B Thrombin time, calcium levels, and potassium levels
C Platelet count, prothrombin time, and partial thromboplastin time
D Fibrinogen level, WBC, and platelet count
Question #62
A “I will receive parenteral vitamin B12 therapy monthly for 6 months to a year.”
B “I will receive parenteral vitamin B12 therapy for the rest of my life.”
C “I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal.”
D “I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear.”
Question #63
A to the bathroom.
B to the bedside commode.
C onto the bedpan.
D to a standing position so he can urinate.
Question #64
A Vitamin E
B Vitamin D
C Vitamin A
D Vitamin K
Question #65
A A hemolytic allergic reaction caused by an antigen reaction
B A hemolytic reaction caused by bacterial contamination of donor blood
C A hemolytic reaction to mismatched blood
D A hemolytic reaction to Rh-incompatible blood
Question #66
A There is an inverse relationship between iron stores and hemoglobin levels.
B There is a weak correlation between iron stores and hemoglobin levels.
C There is a strong correlation between iron stores and hemoglobin characteristics.
D There is a strong correlation between iron stores and hemoglobin levels.
Question #67
A Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit
B Risk for falls related to complaints of dizziness
C Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients
D Fatigue related to decreased hemoglobin and hematocrit
Question #68
A Weight gain
B Inflammation of the mouth
C Inflammation of the tongue
D Bronzing of the skin
Question #69
A antibiotic
B chest radiograph
C CBC
D ECG
Question #70
A Thrombocytopenia
B Bandemia
C Anemia
D Leukopenia