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