NURS 623 EXAM 1

1. Sandra is 42 years old and has just been diagnosed with leukemia. She is complaining of bone and joint pain. Which type of leukemia is most likely the culprit? a. Acute lymphocytic leukemia b. Acute myelogenous leukemia c. Chronic myelogenous leukemia d. Chronic lymphocytic leukemia - b 2. Which type of bone marrow transplant is obtained from an identical twin? a. Autogenic b. Autologous c. Allogeneic d. Syngeneic - d 3. During treatment for anaphylaxis, what site is used for the initial injection of epinephrine? a. IV b. Abdomen c. Upper lateral thigh d. Deltoid - c 4. After the initial treatment for anaphylaxis, which medication should be added to prevent late-phase anaphylactic reactions? a. Albuterol b. Diphenhydramine c. An H2 blocker d. Corticosteroids - d 5. When analyzing synovial fluid, if it is opaque, white, or translucent; has 5,000 leukocytes/Ml; 80% polymorphonuclear leukocytes (PMN); and a low red blood cell count, it may be indicative of which of the following conditions? a. This is a normal result. b. Scleroderma c. Rheumatoid arthritis d. Sickle cell disease - c 6. Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist? a. Methotrexate (Rheumatrex) b. Etanercept (Enbrel) c. Rituximab (Rituxan) d. Anakinra (Kineret) - a 7. If the international normalized ratio (INR) result is above the therapeutic range in a patient with atrial fibrillation on warfarin, what might the clinician do? a. Stop the warfarin for 1 week, and then repeat the INR. b. Withhold one or more days of anticoagulant therapy. c. Restart therapy at a lower dose immediately. d. The prothrombin time and INR should be reevaluated within 1 month of the dosage adjustments. - b 8. As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? a. Two b. Three c. Four d. Five - b 9. What is the most common cause of microcytic anemia? a. Anemia of chronic disease b. Sideroblastic anemia c. Iron-deficiency anemia d. Thalassemia - c 10. The cardinal subjective symptom of sickle cell crisis is which of the following? a. Pain b. Nausea c. Light-headedness d. Palpitations - a