Test 2 ch 47

Question 1

what is the process by which certain cells engulf and digest microorganisms and cellular debris?

a. erythrocytosis
b. hematocrit
c. phagocytocis
d. hemostatis

Answer 1

c. phagocytosis

Question 2

the nurse explains that because it is a reliable and predictable indicator of the bodys level of infection or recovery, which is a common diagnostic tool?

a. hemoglobin
b. hematocrit
c. mean cell volume (mcv)
d. differential

Answer 2

d. differential

Question 3

the nurse is assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates which concern?

a. a significant hemorrhage
b. aplastic anemia
c.. an infection or stress
d. beginning recovery from an infection

Answer 3

c. an infection or stress

Question 4

B cells and T cells fit under which classification?

a. erythrocytes
b. basophils
c. lymphocytes
d. monocytes

Answer 4

c. lymphocytes

Question 5

The nurse id reading the results of a white blood cell count differential. which abnormal reading indicates a severe allergic reaction?

a. increased basophil count
b. increased lymphocyte count
c. increased monocyte count
d. increased neutrophil count

Answer 5

a. increased basophil count

Question 6

the presence of excess bands in the peripheral blood that indicate severe infection is indicated in which manner?

a. shift to the left
b. shift to the right
c. bone marrow aspiration
d. thrombocytosis

Answer 6

a. shift to the left

Question 7

a patient has been diagnosed with pernicious anemia. when reinforcing instructions, the nurse explains the disorder results from which process?

a. poor nutritional intake of iron
b. lack of the intrinsic factor
c. blood loss due to hemorrhage
d. excess production of red blood cells

Answer 7

b. lack of intrinsic factor

Question 8

erythropoiesis is the term referring to which process?

a. destruction of older red blood cells
b. lack of folic acid to create new red blood cells
c. releasing white blood cells in response to infection
d. production of new red blood cells in the bone marrow

Answer 8

d. production of new red blood cells in the bone marrow

Question 9

which does the elevation in the eosinophil count to 10% indicate?

a. anemia
b. allergy
c. infection
d. hypoxia

Answer 9

b. allergy

Question 10

which would the nurse reinforce in a teaching plan for a home health patient with a hemoglobin of 8.4mg?

a. exercising for periods of 30 minutes daily
b. limiting fluid intake
c. Alternating activity with rest periods
d. avoiding the use of oxygen

Answer 10

c. alternating activity with rest periods

Question 11

approximately how much blood is stored in the spleen that can be released in a hypovolemic emergency?

a. 100 ml
b. 300 ml
c. 500 ml
d. 1000 ml

Answer 11

c. 500 ml

Question 12

the nurse is caring for a patient with pernicious anemia should make provisions for which intervention?

a. frequent iced drinks
b. lightweight blanket
c. a fan to circulate the air
d. reverse isolation

Answer 12

b. lightweight blanket

Question 13

when reinforcing instructions for the patient taking an oral liquid iron preparation, which should the nurse include?

a. information relative to taking the iron with milk
b. information relative to the bowel movement color changing to dark red
c. information relative to taking preparation through a straw to prevent staining of teeth
d. information relative to taking a drug with meals or a snack

Answer 13

c. information relative to taking preparation through a straw to prevent staining of teeth

Question 14

when the 14 year old patient comes into the emergency room in sickle cell crisis, which should be the primary focus of care?

a. genetic counseling
b. applying ice packs
c. pain relief measures
d. providing iron replacements

Answer 14

c. pain relief measures

Question 15

the nurse expects the plan of care for a patient with leukemia to focus on which aspect of care?

a. prevention of abnormal clotting
b. promotion of mobility activities
c. frequent transfusions of plasma
d. prevention of infectious diseases

Answer 15

d. prevention of infectious diseases

Question 16

which must a patient undergo before a bone marrow transplant?

a. a thorough nutritional plan to support the new marrow
b. chemotherapy to eradicate malignant bone marrow cells
c. a physical therapy program to strengthen the body
d. inhalation therapy to reduce possible pathogens in the lungs

Answer 16

b. chemotherapy to eradicate malignant bone marrow cells

Question 17

the 9 year old child with leukemia who is on palliative care has drawn a picture of a bow under a huge black cloud that has lighting coming out of it. which would be an appropriate intervention for the nurse?

a. what is this picture about?
b. are you afraid of lightening?
c. i bet this is a picture of you, isnt it?
d. is it about to rain in your picture?

Answer 17

a. what is this picture about?

Question 18

the home health nurse recommends to the mother of a 12 year old child with leukemia that the child should have which vaccine?

a.the series for prevention of hepatitis b
b. an annual influenza vaccine
c. an annual pneumococcal vaccine
d. vitamin b12 shots

Answer 18

b. an annual influenza vaccine

Question 19

which patient statement from a 15 year old girl with thrombocytopenia would require more assessment to report to the charge nurse?

a. i think these red spots on my skin are going away
b. i am so bored lying in bed i can scream
c. i cant tell if the corticosteroids are helping
d. i started my menstrual period this morning.

Answer 19

d. i started my menstrual period this morning.

Question 20

a 23 year old male patient with hemophilia A says, how can i keep my children from having hemophilia A? which is the most informative response?

a. you need to select a very dependable mode of birth control
b. you can only pass hemophilia B to your sons
c. your daughter may be a carrier and her children may have hemophilia A
d. your sons should have coagulation studies

Answer 20

c. your daughter may be a carrier and her children may have hemophilia A

Question 21

A child with hemophilia is hospitalized with hemarthrosis. which should the nurse caring for that child expect to implement when following the plan of care?

a. use analgesia sparingly
b. apply warm compresses to reduce hemorrhages in the joint
c encourage vigorous joint movement exercises to keep the joints flexible
d. reinforce instructions to receive factor VII infusions prophylactically

Answer 21

d. reinforce instructions to receive factor VII infusions prophylactically

Question 22

in caring for a patient with multiple myeloma, which should the prioritize from the plan of care?

a. limit fluid intake to less than 1000ml/day
b. closely supervise and assist when ambulating
c. strain all urine for kidney crystals
d. limit the use of an alagesic

Answer 22

b. closely supervise and assist when ambulating

Question 23

the nurse is aware that a person with hodgkin disease, who has two or more abnormal lymph nodes on the same side of the diaphragm and cancer extending locally from one lymph node area into a nearby organ, would be in which stage?

a. stage I
b. stage II
c. stage III
d. stage IV

Answer 23

b. stage II

Question 24

The nurse explains to a patient with non-hodgkin’s lymphoma that a positron emission tomography (PET) has been ordered for which reason?

a. assess bone marrow depression
b. measure bone density
c. radiate and destroy diseased lymph nodes
d. determine the extent of possible metastasis

Answer 24

d. determine the extent of possible metastasis

Question 25

which food would the nurse recommend to a person with iron-deficiency anemia as an excellent meat source for erythropoiesis? a. dark meat of chicken b. cured ham c. pork chops d. processed meat

Answer 25

a. dark meat of chicken

Question 26

the peripheral smear is a diagnostic test performed for which reason? a. assesses the level of hemoglobin b. measures antibody production c. examines the shape and structure of cells d. identifies possible sources of infection

Answer 26

c. examines the shape and structure of cells

Question 27

the typical medical treatment of polycythemia vera involves repeated phlebotomies for which included benefit? a. stimulate bone marrow b. reduce blood viscosity c. increase hemoglobin d. reduce symptoms of gout

Answer 27

b. reduce blood viscosity

Question 28

which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults? a. chronic lymphocytic leukemia (CLL) b. Acute myeloid leukemia (AML) c. acute lymphocytic leukemia (ALL) d. chronic myeloid leukemia (CML)

Answer 28

c. acute lymphocytic leukemia (ALL)

Question 29

the nurse is aware that some persons of the Jehovas witness faith accept which types of blood tranfusions? a. no type of blood transfusion b. blood that has been blessed by their religious leader c. transfusions only for persons who have not yet been baptized d. autologous blood transfusions

Answer 29

d. autologous blood transfusions

Question 30

which mandatory practice is the most effective and significant to prevent the spread of infection for a patient with agranulocytosis? a. strict and frequent hand washing by all people having contact with the patient b. placement of patients in private rooms with high efficiency particulate air filtration (HEPA) c. administration of combinations of prophylactic antibiotics d. the creation of a sterile environment for the patient with the use of laminar air flow rooms

Answer 30

a. strict and frequent hand washing by all people having contact with the patient

Question 31

which is the average life span of an erythrocyte? a. 7 days b. 60 days c. 120 days d. up to several years

Answer 31

c. 120 days

Question 32

because older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding, the nurse should assess for symptoms of which blood disorder? a. leukemia b. iron-deficiency anemia c. sickle cell anemia d. polycythemia

Answer 32

b. iron-deficiency anemia

Question 33

the nurse explains that the treatment of hemophilia has been revolutionized with the use of which medical intervention? a. corticosteroids b. large doses of testosterone c. prophylactic use of factors VIII and IX d. transfusions with packed red cells

Answer 33

c. prophylactic use of factors VIII and IX

Question 34

the nurse will prepare the adult patient who will be undergoing bone marrow sampling explaining the sample will be obtained from which site? a. sternum b. posterior superior iliac crest c. posterior iliac crest d. femur

Answer 34

c. posterior iliac crest

Question 35

which is the first step in the process of hemostasis? a. prothrombin converts to thrombin b. formation of thrombin c. formation of fibrin d. trapping of RBC and platelets e. clot f. release of thromboplastin from platelets

Answer 35

f. release of thromboplastin from platelets

Question 36

which event causes the kidney to produce erythropoetin? a. decreased erythrocytes b. decreased oxygen levels c. extensive systemic infection d. excessive circulating clotting factor

Answer 36

b. decreased oxygen levels

Question 37

multiple response The hematopoietic stem cell transplant (Bone marrow transplant) is used for a patient with which disease? (Select all that apply.) a. Iron deficiency anemia b. Aplastic anemia c. Leukemia d. Pernicious anemia e. Myelodysplastic syndrome

Answer 37

B, C, E

Question 38

multiple response The spleen is a highly vascularized organ located in the left upper quadrant of the abdominal cavity. Which is the main function of the spleen? (Select all that apply.) a. Serve as reservoir for blood. b. Destroy worn-out RBCs.c. Promote phagocytosis. d. Responsible for development of T lymphocytes. e. Continuously produce RBCs during lifetime.

Answer 38

A, B, C

Question 39

multiple response The nurse examines the complete blood count (CBC) to assess which level? (Select all that apply.) a. hematocrit. b. red cell count. c. differential white blood cell count. d. plasma level. e. blood type. f. hemoglobin.

Answer 39

A, B, C, F

Question 40

multiple response Which is a necessary factor that supports healthy erythropoiesis? (Select all that apply.) a. Dietary magnesium b. Healthy bone marrow and kidney function c. Adequate oxygen source d. Vitamin B12 e. Amino acids f. Vitamin B6

Answer 40

B, D, E, F

Question 41

multiple response The nurse caring for a patient in the emergency room with suspected internal injuries will assess for hypovolemic shock, which is evidenced by which symptom? (Select all that apply.) a. irritability. b. restlessness. c. slow bounding pulse. d. decreased respirations. e. pallor. f. hypotension.

Answer 41

A, B, E, F

Question 42

multiple response Which of the following are “B” symptoms of a patient with Hodgkin disease? (Select all that apply.) a. Hematuria b. Night sweats c. Severe diarrhea d. Weight gain from edema e. Fever f. Persistent dry cough

Answer 42

B, E