HUETHER AND MCCANCE PHATHO
CHAPTERS 23 AND 24 COMPLETE
VOLUME WITH ANSWERS
A newborn is diagnosed with congenital intrinsic factor deficiency. which of
the following types of anemia will the nurse see documented on the chart
a. iron deficiency anemia
b. pernicious anemia
c. siderblastic anemia
d. hemolytic anemia - Ans--B. pernicious anemia
A 6 year old male presents with fatigue, jaundice, and irritability, a blood
smear shows the presence of sickled cells. Erythropoiesis is compromised in
this child, which crisis should the nurse monitor the patient for
a. vaso-occlusive crisis
b. sequestration crisis
c. aplastic crisis
d. hyperhemolytic crisis - Ans--C. aplastic crisis
How should the nurse prepare a patient who is to receive a Schilling test for
pernicious anemia
a. administer radioactive cobalamin and measure its excretion in the urine
b. measure antigen-antibody immune complexes
c. measure serum ferritin and total iron-binding capacity
d. administer folate and evaluate folate content in a blood serum sample -
Ans--A. administer radioactive cobalamin and measure its excretion in the
urine
A 60 year old female emphysema patient experiences a rapid and pounding
heart, dizziness, and fatigue with exertion. which of the following respiratory
assessment findings indicate the respiratory system is compensating for the
increased oxygen demand
a. bronchoconstriction
b. increased rate and depth of breathing
c. dyspnea
,d. activation of the renin-angiotensin response - Ans--B. increased rate and
depth of breathing
Which major symptoms in a patient with sickle cell anemia indicates to the
nurse, the patient is experiencing a vaso-occlusive crisis
a. peripheral edema
b. pain
c. petechiae
d. an enlarged spleen - Ans--B. pain
A geneticist is discussing thalassemias. Which information should be
included? The alpha and beta thalassemias are inherited in an ___ fashion
a. autosomal recessive
b. autosomal dominant
c. X-linked recessive
d. X-linked dominant - Ans--A. autosomal recessive
A 2 year old male presented with growth and maturation retardation and
splenomegaly. He died shortly after arriving at the ER. autopsy revealed
thalassemia secondary to defective
a. erythrocyte membranes
b. iron metabolism
c. stem cell formation
d. hemoglobin synthesis - Ans--D. hemoglobin synthesis
A 2 year old malnourished child has vitamin B12 and folate deficiencies. a
blood smear suggests the deficiency is macrocytic and normochromic. the
nurse would expect the hemoglobin to be
a. normal
b. sporadic
c. low
d. high - Ans--A. normal
A 45 year old male is diagnosed with siderblastic anemia. when he asks what
the most likely cause of this disease is, what is the nurse's best response
a. inefficient iron uptake and abnormal hemoglobin production
b. misshapen erythrocytes with low hemoglobin
c. decreased levels of tissue iron with megaloblastic erythrocytes
,d. premature erythrocyte destruction and erythropoietin deficiency - Ans--A.
inefficient iron uptake and abnormal hemoglobin production
A 30 year old caucasian female was recently diagnosed with primary
hypertension. she reports that she eats fairly well, usually having red meat
and potatoes daily. she also reports that her father has hypertension as well.
a nurse determined which of the following risk factors is most likely
associated with this diagnosis
a. race
b. diet
c. age
d. genes - Ans--D. genes
A 75 year old male has severe chest pain and dials 911. lab tests at the
hospital reveal elevated levels of cardiac troponins I and T. based upon the
lab findings, the nurse suspects which of the following has occurred
a. Raynaud disease
b. myocardial infarction (MI)
c. orthostatic hypotension
d. varicose veins - Ans--B. Myocardial infarction (MI)
A 60 year old male presents to his primary care provider reporting chest pain.
he is diagnosed with atherosclerosis. this disease is caused by
a. arterial wall thinning and weakening
b. abnormally dilated arteries and veins
c. abnormal thickening and hardening of vessel walls
d. autonomic nervous system imbalances - Ans--C. abnormal thickening
and hardening of vessel walls
When a nurse check the patient for orthostatic hypotension, what did the
nurse have the patient do
a. physical exertion
b. eat
c. stand up
d. lie down - Ans--C. stand up
, a 32 year old female presents with lower leg pain, with swelling and redness.
while obtaining the patient's history, which finding could have caused her
condition
a. venous thrombus
b. heart valve damage
c. bacterial infection
d. arteriosclerosis - Ans--A. venous thrombus
A 72 year old female has a history of right heart failure caused by a right
ventricular myocardial infarction. which of the following symptoms are
specifically related to her right heart failure
a. significant edema to both lower legs and feet
b. hypertension
c. decreased urine output
d. dyspnea upon exertion - Ans--A. significant edema to both lower legs and
feet
Which planning care for a patient with superior vena cava syndrome (SVCS),
which principle should the nurse remember? SVCS is a progressive _____
of the superior vena cava (SVC) that leads to venous distention of the upper
extremities and head
a. inflammation
b. occlusion
c. distention
d. sclerosis - Ans--B. occlusion
A 15 year old male who is allergic to peanuts eats a peanut butter cup. he then
goes into anaphylactic shock. which assessment findings will the nurse
assess for
a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash - Ans--B. bronchoconstriction,
hives or edema, and hypotension
A 28 year old female presents with severe chest pain and shortness of
breath. She is diagnosed with pulmonary embolism, which most likely
originated from the
CHAPTERS 23 AND 24 COMPLETE
VOLUME WITH ANSWERS
A newborn is diagnosed with congenital intrinsic factor deficiency. which of
the following types of anemia will the nurse see documented on the chart
a. iron deficiency anemia
b. pernicious anemia
c. siderblastic anemia
d. hemolytic anemia - Ans--B. pernicious anemia
A 6 year old male presents with fatigue, jaundice, and irritability, a blood
smear shows the presence of sickled cells. Erythropoiesis is compromised in
this child, which crisis should the nurse monitor the patient for
a. vaso-occlusive crisis
b. sequestration crisis
c. aplastic crisis
d. hyperhemolytic crisis - Ans--C. aplastic crisis
How should the nurse prepare a patient who is to receive a Schilling test for
pernicious anemia
a. administer radioactive cobalamin and measure its excretion in the urine
b. measure antigen-antibody immune complexes
c. measure serum ferritin and total iron-binding capacity
d. administer folate and evaluate folate content in a blood serum sample -
Ans--A. administer radioactive cobalamin and measure its excretion in the
urine
A 60 year old female emphysema patient experiences a rapid and pounding
heart, dizziness, and fatigue with exertion. which of the following respiratory
assessment findings indicate the respiratory system is compensating for the
increased oxygen demand
a. bronchoconstriction
b. increased rate and depth of breathing
c. dyspnea
,d. activation of the renin-angiotensin response - Ans--B. increased rate and
depth of breathing
Which major symptoms in a patient with sickle cell anemia indicates to the
nurse, the patient is experiencing a vaso-occlusive crisis
a. peripheral edema
b. pain
c. petechiae
d. an enlarged spleen - Ans--B. pain
A geneticist is discussing thalassemias. Which information should be
included? The alpha and beta thalassemias are inherited in an ___ fashion
a. autosomal recessive
b. autosomal dominant
c. X-linked recessive
d. X-linked dominant - Ans--A. autosomal recessive
A 2 year old male presented with growth and maturation retardation and
splenomegaly. He died shortly after arriving at the ER. autopsy revealed
thalassemia secondary to defective
a. erythrocyte membranes
b. iron metabolism
c. stem cell formation
d. hemoglobin synthesis - Ans--D. hemoglobin synthesis
A 2 year old malnourished child has vitamin B12 and folate deficiencies. a
blood smear suggests the deficiency is macrocytic and normochromic. the
nurse would expect the hemoglobin to be
a. normal
b. sporadic
c. low
d. high - Ans--A. normal
A 45 year old male is diagnosed with siderblastic anemia. when he asks what
the most likely cause of this disease is, what is the nurse's best response
a. inefficient iron uptake and abnormal hemoglobin production
b. misshapen erythrocytes with low hemoglobin
c. decreased levels of tissue iron with megaloblastic erythrocytes
,d. premature erythrocyte destruction and erythropoietin deficiency - Ans--A.
inefficient iron uptake and abnormal hemoglobin production
A 30 year old caucasian female was recently diagnosed with primary
hypertension. she reports that she eats fairly well, usually having red meat
and potatoes daily. she also reports that her father has hypertension as well.
a nurse determined which of the following risk factors is most likely
associated with this diagnosis
a. race
b. diet
c. age
d. genes - Ans--D. genes
A 75 year old male has severe chest pain and dials 911. lab tests at the
hospital reveal elevated levels of cardiac troponins I and T. based upon the
lab findings, the nurse suspects which of the following has occurred
a. Raynaud disease
b. myocardial infarction (MI)
c. orthostatic hypotension
d. varicose veins - Ans--B. Myocardial infarction (MI)
A 60 year old male presents to his primary care provider reporting chest pain.
he is diagnosed with atherosclerosis. this disease is caused by
a. arterial wall thinning and weakening
b. abnormally dilated arteries and veins
c. abnormal thickening and hardening of vessel walls
d. autonomic nervous system imbalances - Ans--C. abnormal thickening
and hardening of vessel walls
When a nurse check the patient for orthostatic hypotension, what did the
nurse have the patient do
a. physical exertion
b. eat
c. stand up
d. lie down - Ans--C. stand up
, a 32 year old female presents with lower leg pain, with swelling and redness.
while obtaining the patient's history, which finding could have caused her
condition
a. venous thrombus
b. heart valve damage
c. bacterial infection
d. arteriosclerosis - Ans--A. venous thrombus
A 72 year old female has a history of right heart failure caused by a right
ventricular myocardial infarction. which of the following symptoms are
specifically related to her right heart failure
a. significant edema to both lower legs and feet
b. hypertension
c. decreased urine output
d. dyspnea upon exertion - Ans--A. significant edema to both lower legs and
feet
Which planning care for a patient with superior vena cava syndrome (SVCS),
which principle should the nurse remember? SVCS is a progressive _____
of the superior vena cava (SVC) that leads to venous distention of the upper
extremities and head
a. inflammation
b. occlusion
c. distention
d. sclerosis - Ans--B. occlusion
A 15 year old male who is allergic to peanuts eats a peanut butter cup. he then
goes into anaphylactic shock. which assessment findings will the nurse
assess for
a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash - Ans--B. bronchoconstriction,
hives or edema, and hypotension
A 28 year old female presents with severe chest pain and shortness of
breath. She is diagnosed with pulmonary embolism, which most likely
originated from the
