Med Surg 15,16

Question 1

Which statement(s) describe functions of blood? (Select all that apply.)

a. To absorb nutrients
b. To transport blood gases
c. To regulate pH by buffering
d. To regulate fluid distribution
e. To regulate body temperature

Answer 1

B, C, D, E

Question 2

Which organ(s) compose the lymphatic system? (Select all that apply.)

a. Thymus
b. Lymph nodes
c. Kidneys
d. Spleen
e. Tonsils

Answer 2

A, B, D

Question 3

Which age-related changes occur in the hematologic system? (Select all that apply.)

a. Decreased blood volume
b. Decreased bone marrow production
c. Decreased rate of blood cell production
d. Increased immune response
e. Increased clotting time

Answer 3

A, B, C, E

Question 4

Which assessment technique assures accuracy in daily abdominal girth measurement? (Select all that apply.)

a. Place marks on the lateral sides of the abdomen where the tape is placed.
b. Use the same tape every day.
c. Measure girth with the tape placed 1 inch above the umbilicus.
d. Measure the same area every day.
e. Measure girth at the same time every day

Answer 4

A, B, D, E

Question 5

The nurse is assessing a patient with a dark complexion for cyanosis. To ensure the most accurate assessment, which
locations should the nurse inspect? (Select all that apply.)
a. Conjunctiva
b. Gums
c. Roof of the mouth
d. Nail beds
e. Palms of the hands

Answer 5

B, C

Question 6

Which actions should the nurse take to help the severely anemic patient conserve energy? (Select all that apply.)

a. Manage care to include frequent rest periods.
b. Assist with activities of daily living (ADLs).
c. Place personal care items close at hand.
d. Arrange for small meals with between-meal snacks.
e. Ensure that exercise sessions are planned during the morning.

Answer 6

A, B, C, D

Question 7

The normal range of hemoglobin is from _____ g/dL to _____ g/dL.

Answer 7

12.0; 18.0

Question 8

In making an assessment of a patient with a bleeding disorder who has a dark complexion, the nurse should check the
palms of the hands and the soles of the feet for ____________

Answer 8

petechiae

Question 9

A female patient being seen in an outpatient clinic states she is having excessive menstruation and reports saturating
four peri-pads per day. The nurse estimates the blood loss for this patient as ______ mL per day

Answer 9

200

Question 10

a. Becomes a phagocyte
b. Becomes a macrophage
c. Engulfs bacteria
d. Migrates into tissues
e. Becomes a monocyte
f. Becomes a leukocyte

Answer 10

F, E, B, D, A, C

Question 11

A patient with a nutritional anemia may lack which nutrients? (Select all that apply.)

a. Proteins
b. Vitamin B1
c. Folic acid
d. Zinc
e. Iron

Answer 11

A, C, E

Question 12

The nurse makes a visual aid differentiating between mild, moderate, and severe anemia. Which signs and symptoms
are manifestations of mild anemia? (Select all that apply.)
a. Hemoglobin of 14.4 g/dL
b. Palpitations
c. Dyspnea on exertion
d. Pallor
e. Fatigue

Answer 12

B, C

Question 13

The nurse is caring for patient with iron deficiency anemia. The nurse should encourage intake of which food(s)? 
(Select all that apply.)
a. Liver
b. Lima beans
c. Prune juice
d. Cabbage
e. Dried apricots

Answer 13

A, B, C, E

Question 14

Which medication(s) may cause aplastic anemia? (Select all that apply.)

a. Antimetabolite cancer drugs
b. Phenylbutazone (Butazolidin)
c. Oral contraception drugs
d. Chloramphenicol (Chloromycetin)
e. Sulfonamides

Answer 14

A, B, D, E

Question 15

Which factor(s) may be causative for leukemia? (Select all that apply.)

a. Radiation exposure
b. Pesticides exposure
c. Benzene exposure
d. Frequent bacterial infections
e. Virulent viral infections

Answer 15

A, B, C

Question 16

The patient with AML has a platelet count of 95,000. What interventions should the nurse include in the patient’s care
plan? (Select all that apply.)
a. Observe for melena and hematuria.
b. Instruct the patient to brush and floss at least twice daily.
c. Measure abdominal girth daily.
d. Apply ice and pressure to puncture sites.
e. Instruct the patient to use an electric razor.

Answer 16

A, C, D, E

Question 17

The nurse is monitoring a patient who is receiving a blood transfusion. Which finding(s) would lead the nurse to stop 
the infusion? (Select all that apply.)
a. Report of chills
b. Headache
c. Back pain
d. Report of a rash
e. Fever

Answer 17

B, C, D, E

Question 18

The nurse is aware that bone marrow transplantation (BMT) is a treatment alternative for aplastic anemia for people
under the age of ____________________.

Answer 18

45

Question 19

When assessing a complete blood count (CBC) of a patient with acute lymphocytic leukemia (ALL), the nurse would
anticipate large numbers of immature white cells, called ____________________.

Answer 19

blasts

Question 20

The patient with acute myelogenous leukemia (AML) has a volume of blood extracted by machine, white cells are
extracted in the machine, and the blood is then returned to the patient. This process is called ____________________

Answer 20

leukapheresis

Question 21

The nurse explains to a person who has undergone bone marrow transplantation (BMT) that engraftment takes up to
____________________ weeks.

Answer 21

5