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 Ribs
B Pelvis
C Tibia
D Sternum
E Vertebrae
Question #2
A Ethnicity
B Hair color
C Medication use
D Herbal supplements
E Dietary intake
Question #3
A “You typically donate blood the day of the surgery.”
B “You will be prescribed calcium to replace what is lost during donation.”
C “You typically donate blood 4 to 6 weeks before the surgery.”
D “You will likely not need the blood that is donated.”
Question #4
A The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce 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 erythropoietin, stimulating the marrow to produce more red blood cells.
D he brain senses low oxygen levels in the blood and stimulates hemoglobin, which binds to more red blood cells.
Question #5
A Reposition the client to a high Fowler position and continue to monitor the pain
B Administer aspirin (ASA) 325 mg po, as ordered
C Administer acetaminophen 500 mg po, as ordered
D Notify the physician
Question #6
A Monitor for edema at least once per shift
B Apply prolonged pressure to needle sites or other sources of external bleeding
C Monitor temperature at least once per shift
D Implement neutropenic precautions
Question #7
A Destruction of tumor cells
B Production of immunoglobulins
C Rejection of foreign tissue
D Phagocytosis
Question #8
A Hemoglobin
B Differentiation
C Hematocrit
D Erythrocyte sedimentation rate (ESR)
Question #9
A Creutzfeld-Jakob disease
B Bacterial contamination
C Delayed hemolytic reaction
D Graft-versus-host disease
Question #10
A Potassium
B Iron
C Hemoglobin
D Calcium
Question #11
A Apply supplemental oxygen to maintain the client’s oxygenation.
B Use an electric razor when assisting client with shaving.
C Elevate the client’s head of the bed.
D Where a mask when entering the client’s room.
Question #12
A The client is having an allergic reaction to the blood.
B The client is having a febrile nonhemolytic reaction.
C The client is having decrease in tissue perfusion from a shock state.
D The client is experiencing vascular collapse.
Question #13
A Iron
B Vitamin B12
C Folate
D Fresh frozen plasma
Question #14
A Ensure there is an oxygen delivery device at the bedside.
B Administer prescribed PRN anti-anxiety agent.
C Remove the intravenous line.
D Place the client in a recumbent position with legs elevated.
Question #15
A Crackles auscultated bilaterally
B Pain and tenderness in calf area
C Respiratory rate of 10 breaths/minute
D Oral temperature of 97°F
Question #16
A Hold firm pressure on the venipuncture site.
B Apply a tourniquet above the antecubital fossa.
C Lower the arm below the level of the heart.
D Assist the client into an erect position.
Question #17
A “I could donate my own blood in case I need a transfusion.”
B “Donated blood is tested for blood type and infections.”
C “My family will donate blood, because it’s safer.”
D “I should expect blood withdrawal to take about 15 minutes.”
Question #18
A Neutrophil
B Plasma cell
C Basophils
D B lymphocyte
Question #19
A “The condition causes abnormally rigid red blood cells.”
B “The condition is likely caused by a vitamin B12 deficiency.”
C “The condition is likely caused by a folate deficiency.”
D “The condition causes abnormally small red blood cells.”
Question #20
A Anemia
B Thrombocytopenia
C Neutropenia
D Myelodysplastic syndrome
Question #21
A Monocytes
B Leukocytes
C T lymphocytes
D B lymphocytes
Question #22
A “I will eat a spinach salad with lunch and dinner.”
B “I will eat a meat source such as chicken or pork with each meal.”
C “I will increase my daily intake of orange vegetables such as sweet potatoes and carrots.”
D “I will eat more dairy products such as milk, yogurt, and ice cream every day.”
Question #23
A Plasma cell
B Basophil
C T lymphocyte
D B lymphocyte
Question #24
A has thrombocytopenia.
B has leukopenia.
C may be developing an infection.
D may be developing anemia.
Question #25
A Administer aspirin (ASA) 325 mg po, as ordered
B Reposition the client to a high Fowler position and continue to monitor the pain
C Notify the physician
D Administer acetaminophen 500 mg po, as ordered
Question #26
A 20%
B 10%
C 5%
D 15%
Question #27
A Older adults have an increasing number of leukocytes over time.
B Older adults acquire damage to the bone marrow over time.
C Older adults acquire damage to the DNA of stem cells over time.
D Older adults are exposed to more infectious disease over time.
Question #28
A Rh-positive mother; Rh-negative child
B Rh-positive mother; Rh-positive child
C Rh-negative mother; Rh-positive child
D Rh-negative mother; Rh-negative child
Question #29
A Renal transplantation
B Sickle cell anemia
C Extreme leukocytosis
D Essential thrombocythemia
Question #30
A Jackknife position
B Supine with head of the bed elevated 30 degrees
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 “You will have to decide if refusing the blood transfusion is worth the risk to your health.”
C “I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion.”
D “The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
Question #32
A 50 year old female with pulse 95 beats/minute
B 26 year old female with hemoglobin 11.0 g/dL
C 18 year old male weighing 52 kg.
D 86 year old male with blood pressure 110/70 mmHg
Question #33
A Aspirin
B Pneumococcal vaccine
C Factor VIII
D Immunoglobulin G (IgG)
Question #34
A Administer the morphine into the closest tubing port to the client for fast delivery.
B Add the morphine to the blood to be slowly administered.
C Inject the morphine into a distal port on the blood tubing.
D Disconnect the blood tubing, flush with normal saline, and administer morphine.
Question #35
A Liver
B Kidney
C Pancreas
D Large intestine
Question #36
A Lymphoid stem cell
B Myeloid stem cell
C Neutrophil
D Monocyte
Question #37
A Call the health care provider
B Stop the infusion.
C Slow the infusion.
D Assess the client’s vital signs.
Question #38
A The health care provider may ask for a court order 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 first call the client’s parents if the client refuses.
Question #39
A The kidneys sense low oxygen levels in the blood and stimulate hemoglobin, stimulating the marrow to produce more 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 bone marrow is stimulated by low oxygen levels in the blood and stimulates erythropoietin, maturing the 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 #40
A Basophils
B Neutrophils
C Eosinophils
D Monocytes
Question #41
A Thrombocyte count
B WBC count
C Levels of plasma proteins
D RBC count
Question #42
A Apply pressure over the site for 5–7 minutes
B Elevate the head of the bed to 45 degrees
C Administer a topical analgesic to control pain at the site
D Pack the wound with half-inch sterile gauze
Question #43
A Vitamin B12 deficiency
B Vitamin C deficiency
C Folic acid deficiency
D Vitamin A deficiency
Question #44
A Inflammation of the mouth
B Inflammation of the tongue
C Petechiae
D Dyspnea
Question #45
A Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
B Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
C This type of exercise increases arterial circulation as it returns to the heart.
D Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
Question #46
A Factor V Leiden
B Thalassemia
C Hemochromatosis
D Sickle cell disease
Question #47
A Erythropoietin
B Eltrombopag
C Thrombopoietin
D GM-CSF
Question #48
A Iron chelation therapy
B Anticoagulation therapy
C Oxygen therapy
D Therapeutic phlebotomy
Question #49
A Shock
B Splintering of bone fragments
C Hemorrhage
D Blood transfusion reaction
Question #50
A Plasma cells
B T lymphocytes
C Monocytes
D Basophils
Question #51
A Place the client in a recumbent position with legs elevated.
B Administer prescribed PRN anti-anxiety agent.
C Remove the intravenous line.
D Ensure there is an oxygen delivery device at the bedside.
Question #52
A Critically low arterial oxygen saturation
B Elevated creatinine
C Decreased hematocrit
D Elevated erythrocyte concentration
Question #53
A Prothrombin.
B Albumin.
C Globulin.
D Fibrinogen.
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 B lymphocyte
C Basophil
D T lymphocyte
Question #56
A Lymphocyte
B Thrombocyte
C Granulocyte
D Spherocyte