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 Sternum
B Vertebrae
C Ribs
D Tibia
E Pelvis
Question #2
A Ethnicity
B Herbal supplements
C Hair color
D Dietary intake
E Medication use
Question #3
A “You will likely not need the blood that is donated.”
B “You will be prescribed calcium to replace what is lost during donation.”
C “You typically donate blood the day of the surgery.”
D “You typically donate blood 4 to 6 weeks before the surgery.”
Question #4
A he brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
B The bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the red blood cells.
C The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
D The kidneys sense low oxygen levels in the blood and stimulate erythropoietin, stimulating the marrow to produce more red blood cells.
Question #5
A Administer aspirin (ASA) 325 mg po, as ordered
B Notify the physician
C Reposition the client to a high Fowler position and continue to monitor the pain
D Administer acetaminophen 500 mg po, as ordered
Question #6
A Monitor for edema at least once per shift
B Monitor temperature at least once per shift
C Implement neutropenic precautions
D Apply prolonged pressure to needle sites or other sources of external bleeding
Question #7
A Rejection of foreign tissue
B Phagocytosis
C Production of immunoglobulins
D Destruction of tumor cells
Question #8
A Erythrocyte sedimentation rate (ESR)
B Differentiation
C Hemoglobin
D Hematocrit
Question #9
A Delayed hemolytic reaction
B Creutzfeld-Jakob disease
C Bacterial contamination
D Graft-versus-host disease
Question #10
A Iron
B Calcium
C Hemoglobin
D Potassium
Question #11
A Where a mask when entering the client’s room.
B Elevate the client’s head of the bed.
C Apply supplemental oxygen to maintain the client’s oxygenation.
D Use an electric razor when assisting client with shaving.
Question #12
A The client is experiencing vascular collapse.
B The client is having an allergic reaction to the blood.
C The client is having decrease in tissue perfusion from a shock state.
D The client is having a febrile nonhemolytic reaction.
Question #13
A Iron
B Folate
C Vitamin B12
D Fresh frozen plasma
Question #14
A Remove the intravenous line.
B Place the client in a recumbent position with legs elevated.
C Ensure there is an oxygen delivery device at the bedside.
D Administer prescribed PRN anti-anxiety agent.
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 Hold firm pressure on the venipuncture site.
B Lower the arm below the level of the heart.
C Assist the client into an erect position.
D Apply a tourniquet above the antecubital fossa.
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 B lymphocyte
B Basophils
C Plasma cell
D Neutrophil
Question #19
A “The condition is likely caused by a vitamin B12 deficiency.”
B “The condition causes abnormally rigid red blood cells.”
C “The condition causes abnormally small red blood cells.”
D “The condition is likely caused by a folate deficiency.”
Question #20
A Neutropenia
B Thrombocytopenia
C Myelodysplastic syndrome
D Anemia
Question #21
A T lymphocytes
B Monocytes
C Leukocytes
D B lymphocytes
Question #22
A “I will eat a meat source such as chicken or pork with each meal.”
B “I will eat a spinach salad with lunch and dinner.”
C “I will eat more dairy products such as milk, yogurt, and ice cream every day.”
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 anemia.
B may be developing an infection.
C has leukopenia.
D has thrombocytopenia.
Question #25
A Administer acetaminophen 500 mg po, as ordered
B Reposition the client to a high Fowler position and continue to monitor the pain
C Administer aspirin (ASA) 325 mg po, as ordered
D Notify the physician
Question #26
A 20%
B 15%
C 5%
D 10%
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 acquire damage to the bone marrow over time.
D Older adults are exposed to more infectious disease over time.
Question #28
A Rh-negative mother; Rh-positive child
B Rh-positive mother; Rh-negative child
C Rh-positive mother; Rh-positive child
D Rh-negative mother; Rh-negative child
Question #29
A Extreme leukocytosis
B Essential thrombocythemia
C Renal transplantation
D Sickle cell anemia
Question #30
A Supine with head of the bed elevated 30 degrees
B Jackknife position
C Lateral position with one leg flexed
D Lithotomy position
Question #31
A “I understand your concern. The blood is carefully screened but is not completely risk free.”
B “I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion.”
C “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
D “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
Question #32
A 26 year old female with hemoglobin 11.0 g/dL
B 50 year old female with pulse 95 beats/minute
C 18 year old male weighing 52 kg.
D 86 year old male with blood pressure 110/70 mmHg
Question #33
A Pneumococcal vaccine
B Immunoglobulin G (IgG)
C Aspirin
D Factor VIII
Question #34
A Administer the morphine into the closest tubing port to the client for fast delivery.
B Disconnect the blood tubing, flush with normal saline, and administer morphine.
C Inject the morphine into a distal port on the blood tubing.
D Add the morphine to the blood to be slowly administered.
Question #35
A Large intestine
B Liver
C Kidney
D Pancreas
Question #36
A Neutrophil
B Myeloid stem cell
C Lymphoid stem cell
D Monocyte
Question #37
A Call the health care provider
B Assess the client’s vital signs.
C Stop the infusion.
D Slow the infusion.
Question #38
A The health care provider may first call the client’s parents if the client refuses.
B The client has a right to refuse the transfusion.
C The client can only refuse the transfusion if the consent form has not been signed.
D The health care provider may ask for a court order if the client refuses.
Question #39
A The bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the red blood cells.
B The brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to 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 kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more red blood cells.
Question #40
A Neutrophils
B Basophils
C Monocytes
D Eosinophils
Question #41
A WBC count
B Thrombocyte count
C RBC count
D Levels of plasma proteins
Question #42
A Pack the wound with half-inch sterile gauze
B Administer a topical analgesic to control pain at the site
C Apply pressure over the site for 5–7 minutes
D Elevate the head of the bed to 45 degrees
Question #43
A Vitamin C deficiency
B Vitamin B12 deficiency
C Vitamin A deficiency
D Folic acid deficiency
Question #44
A Inflammation of the tongue
B Inflammation of the mouth
C Dyspnea
D Petechiae
Question #45
A Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
B Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
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 Factor V Leiden
B Thalassemia
C Sickle cell disease
D Hemochromatosis
Question #47
A GM-CSF
B Thrombopoietin
C Eltrombopag
D Erythropoietin
Question #48
A Oxygen therapy
B Anticoagulation therapy
C Therapeutic phlebotomy
D Iron chelation therapy
Question #49
A Hemorrhage
B Splintering of bone fragments
C Blood transfusion reaction
D Shock
Question #50
A Basophils
B Monocytes
C T lymphocytes
D Plasma cells
Question #51
A Remove the intravenous line.
B Place the client in a recumbent position with legs elevated.
C Ensure there is an oxygen delivery device at the bedside.
D Administer prescribed PRN anti-anxiety agent.
Question #52
A Decreased hematocrit
B Critically low arterial oxygen saturation
C Elevated creatinine
D Elevated erythrocyte concentration
Question #53
A Albumin.
B Fibrinogen.
C Prothrombin.
D Globulin.
Question #54
A Remind the client to take supplemental iron before donation.
B Provide the client with a list of the nearest donation centers.
C Tell the client that 2 units of blood will be needed.
D Explain the time frame needed for autologous donation.
Question #55
A Plasma cell
B T lymphocyte
C Basophil
D B lymphocyte
Question #56
A Spherocyte
B Granulocyte
C Lymphocyte
D Thrombocyte