Where are lymphocytes produced?
Spleen
Tonsils
Bone Marrow
Thymus gland - ANSWER C.
Lymphocytes are produced in the bone marrow. The speel is a peripheral lymph organ and is
the primary site for filtering foreign antigens from the blood. The thymus gland is involved in
the differentiation and maturation or T lymphocytes. The tonsils are a peripheral lymphoid
organ
Which lab test would provide information about the number of megakaryoctyes in a patient
w/ thrombocytopenia?
Prothrombin time (PT)
Peripheral blood smear
14C serotonin release assay
Bone Marrow examination - ANSWER D.
Bone marrow examination is performed to rule out production problems such as leukemia,
aplastic anemia, and other myeloproliferative disorders as the cause of thrombocytopenia.
Therefore to confirm that the absence or decreased number of megakaryoctyes to be the
cause of thrombocytopenia, bone marrow examination will be done. PT will be tested to as-
sess secondary homeostasis. A peripheral blood smear will be done to distinguish immune
thrombocytopenic pupura (ITP) from congenital disorders. 14C serotonin release assay as-
sists with the diagnosis of ITP
1
,Which functional ability would the nurse anticipate for the patient who sustained a severe
spinal cord injury in the sacral and thoracolumbar regions of the veretbral column?
Inability to urinate
ability to ambulate to the bathroom
Need to use a urinal/ bedpan to urinate
Need to call for assistance when needing to void. - ANSWER A.
Together, the bladder, urethra, and pelvic floor muscles form what is called the urethrovesi-
cal unit. Voluntary control of this unit is defined as continenence. Stimulating and inhibiting
impulses are sent from the brain through the thoracolumbar (T11-L2) and sacral (S2 to S4)
areas of the spinal cord to control voiding. Damage in this area will prevent voluntary control
and lead to incontinence. W/o contol, the pt may no be aware of the need to go to the bath-
rrom, to use a urinal/ bedpan, or to call for assistance.
Which action by a nurse in a community-based clinic can help to address potential dispari-
ties with a large Hispanic population?
providing translators and materials in the Spanish language
Ensuring that child care services are available for families during visits to the clinic
Making sure that the values of all clinic providers align with those of the Hispanic population
Requiring "English as a second language" classes so that the population can become literate
in the English language - ANSWER A.
Providing translators and materials in the native language of the population being served
can best address potential biases and prejudices and thus increase health care access. Ensur-
ing that child care services are abailable may increase ease of access to care but does not
necessarily address biases and prejudices. Providers must respect and acknowledge the be-
liefs and values of the population being served, but it is not necessary that their values align.
Providing "English as a second language" classes can assist the population to acclimate and
become more literate in the English language but does not necessarily directly affect bias
and prejudice.
2
, The nurse provides care for a patient with a chest tube flutter valve in place and recalls
which information about the device?
it allows patient mobility
it is used to evacuate fluide from the plueral space.
It is attached to the internal end of the chest tube.
It opens when the chest pressure is less than atmospheric pressure. - ANSWER A.
A fluttter falve (also called the Hemlich valve) is used to remove air from the pleural space. It
allows for patient mobility b/c the smaller drainage bag can be hidden under the clothes
while the patient ambulates. The valve evacuates air, not fluid, from the pleural space. It is
attached to the external end of the chest tube. A flutter valve opens whenever the pressure
in the chest is greater than the atmospheric pressure.
In the mneumonic "DELIRIUM", the M represents which cause of delirium?
Medication
Malnutrition
Memory Loss
Metabolic disorders - ANSWER D.
the letter "M" represents metabolic disorders in the mnemonic of causes for delirum. The
"R" for RX represents medication. The "D" for dementia and dehydration represents memory
loss. Malnurtition is not part of this mnemonic
which is the appropriate method for a nurse to use when ascultating a patient's abdomen?
Use the bell of the stethoscope for auscultation.
Use the diaphragm of the stethoscope for auscultation
Hold the diaphragm lightly to the skin of the abdomen
Use the inferface of the diaphragm and the bell for auscultation - ANSWER B.
3
Spleen
Tonsils
Bone Marrow
Thymus gland - ANSWER C.
Lymphocytes are produced in the bone marrow. The speel is a peripheral lymph organ and is
the primary site for filtering foreign antigens from the blood. The thymus gland is involved in
the differentiation and maturation or T lymphocytes. The tonsils are a peripheral lymphoid
organ
Which lab test would provide information about the number of megakaryoctyes in a patient
w/ thrombocytopenia?
Prothrombin time (PT)
Peripheral blood smear
14C serotonin release assay
Bone Marrow examination - ANSWER D.
Bone marrow examination is performed to rule out production problems such as leukemia,
aplastic anemia, and other myeloproliferative disorders as the cause of thrombocytopenia.
Therefore to confirm that the absence or decreased number of megakaryoctyes to be the
cause of thrombocytopenia, bone marrow examination will be done. PT will be tested to as-
sess secondary homeostasis. A peripheral blood smear will be done to distinguish immune
thrombocytopenic pupura (ITP) from congenital disorders. 14C serotonin release assay as-
sists with the diagnosis of ITP
1
,Which functional ability would the nurse anticipate for the patient who sustained a severe
spinal cord injury in the sacral and thoracolumbar regions of the veretbral column?
Inability to urinate
ability to ambulate to the bathroom
Need to use a urinal/ bedpan to urinate
Need to call for assistance when needing to void. - ANSWER A.
Together, the bladder, urethra, and pelvic floor muscles form what is called the urethrovesi-
cal unit. Voluntary control of this unit is defined as continenence. Stimulating and inhibiting
impulses are sent from the brain through the thoracolumbar (T11-L2) and sacral (S2 to S4)
areas of the spinal cord to control voiding. Damage in this area will prevent voluntary control
and lead to incontinence. W/o contol, the pt may no be aware of the need to go to the bath-
rrom, to use a urinal/ bedpan, or to call for assistance.
Which action by a nurse in a community-based clinic can help to address potential dispari-
ties with a large Hispanic population?
providing translators and materials in the Spanish language
Ensuring that child care services are available for families during visits to the clinic
Making sure that the values of all clinic providers align with those of the Hispanic population
Requiring "English as a second language" classes so that the population can become literate
in the English language - ANSWER A.
Providing translators and materials in the native language of the population being served
can best address potential biases and prejudices and thus increase health care access. Ensur-
ing that child care services are abailable may increase ease of access to care but does not
necessarily address biases and prejudices. Providers must respect and acknowledge the be-
liefs and values of the population being served, but it is not necessary that their values align.
Providing "English as a second language" classes can assist the population to acclimate and
become more literate in the English language but does not necessarily directly affect bias
and prejudice.
2
, The nurse provides care for a patient with a chest tube flutter valve in place and recalls
which information about the device?
it allows patient mobility
it is used to evacuate fluide from the plueral space.
It is attached to the internal end of the chest tube.
It opens when the chest pressure is less than atmospheric pressure. - ANSWER A.
A fluttter falve (also called the Hemlich valve) is used to remove air from the pleural space. It
allows for patient mobility b/c the smaller drainage bag can be hidden under the clothes
while the patient ambulates. The valve evacuates air, not fluid, from the pleural space. It is
attached to the external end of the chest tube. A flutter valve opens whenever the pressure
in the chest is greater than the atmospheric pressure.
In the mneumonic "DELIRIUM", the M represents which cause of delirium?
Medication
Malnutrition
Memory Loss
Metabolic disorders - ANSWER D.
the letter "M" represents metabolic disorders in the mnemonic of causes for delirum. The
"R" for RX represents medication. The "D" for dementia and dehydration represents memory
loss. Malnurtition is not part of this mnemonic
which is the appropriate method for a nurse to use when ascultating a patient's abdomen?
Use the bell of the stethoscope for auscultation.
Use the diaphragm of the stethoscope for auscultation
Hold the diaphragm lightly to the skin of the abdomen
Use the inferface of the diaphragm and the bell for auscultation - ANSWER B.
3
