NR324 Exam 2 Study Guide
*Make sure that you understand all of the terms you are studying, if you don’t know what a term means,
look it up before you continue studying. Take your thinking a step further by asking yourself “why” as you
are reviewing material you are studying. This will lead to understanding of the material versus
memorization which will better help you answer application questions. Remember, this study guide
does not mirror the exam and you are responsible for all course content; ensure that you have an
understanding of concepts. That being said, if you complete and understand this study guide, you will be
well prepared for the next exam.
*Remember when you can and can’t delegate in situations
*Remember to always be thinking which patients would be your priority assessments
Chapter 30: Nursing Assessment: Hematologic System
* Know normal lab ranges and critical values for the following:
WBC
RBC
Hemoglobin
Hematocrit
Platelets
PT
INR
o Normal
o Patient on Coumadin
PTT
1. What is the function of the bone marrow?
2. What is the function of the spleen?
3. What is found in plasma?
4. What are erythrocytes and their function?
a. When is erythropoiesis stimulation?
b. What hormone controls this?
5. What are thrombocytes and their function?
6. What are leukocytes and their function?
7. What is thrombocytopenia?
a. At what platelet levels does it because dangerous?
8. What is petechiae?
a. What are possible causes of petechiae?
b. What medications could cause this?
, c. What does petechiae indicate?
9. What are nursing interventions for a patient on bleeding precautions?
Chapter 31: Nursing Management: Hematologic Problems
10. What is the difference between acute and chronic leukemia?
11. What are the clinical manifestations of leukemia?
a. Why do they occur?
12. Describe nursing interventions for caring for a patient with leukemia.
13. Describe the different types of leukemia:
a. Which type do children mostly get?
b. Which type(s) is responsive to chemo and often goes into remission?
14. Describe the pathophysiology, clinical manifestations, nursing assessments, nursing
diagnosis, diagnostic tests, complications and treatments for the following:
a. Anemia
i. What lab values would you check to confirm assessment findings?
b. Iron deficiency anemia
c. Pernicious anemia
d. Megoblastic anemia
e. Aplastic anemia
f. Heparin Induced Thrombocytopenia
15. When do we hold Coumadin?
a. Platelet count less than _________
b. For a patient in afib, INR >
16. Describe how to care for a client in neutropenic precuations.
a. When would these precautions be ordered? WBC level < _____
17. What is the main different between hodgkins and nonhodgkins lymphoma?
18. What is Rituxan?
a. When is it used?
b. What are possible side effects?
Chapter 32: Nursing Assessment: Cardiovascular System
You should be very familiar with this chapter from health assessment and
pathophysiology, make sure to review if you need to as this information will help you
answer exam questions in the other cardiac chapters
19. What labs are associated with the CV system?
*Make sure that you understand all of the terms you are studying, if you don’t know what a term means,
look it up before you continue studying. Take your thinking a step further by asking yourself “why” as you
are reviewing material you are studying. This will lead to understanding of the material versus
memorization which will better help you answer application questions. Remember, this study guide
does not mirror the exam and you are responsible for all course content; ensure that you have an
understanding of concepts. That being said, if you complete and understand this study guide, you will be
well prepared for the next exam.
*Remember when you can and can’t delegate in situations
*Remember to always be thinking which patients would be your priority assessments
Chapter 30: Nursing Assessment: Hematologic System
* Know normal lab ranges and critical values for the following:
WBC
RBC
Hemoglobin
Hematocrit
Platelets
PT
INR
o Normal
o Patient on Coumadin
PTT
1. What is the function of the bone marrow?
2. What is the function of the spleen?
3. What is found in plasma?
4. What are erythrocytes and their function?
a. When is erythropoiesis stimulation?
b. What hormone controls this?
5. What are thrombocytes and their function?
6. What are leukocytes and their function?
7. What is thrombocytopenia?
a. At what platelet levels does it because dangerous?
8. What is petechiae?
a. What are possible causes of petechiae?
b. What medications could cause this?
, c. What does petechiae indicate?
9. What are nursing interventions for a patient on bleeding precautions?
Chapter 31: Nursing Management: Hematologic Problems
10. What is the difference between acute and chronic leukemia?
11. What are the clinical manifestations of leukemia?
a. Why do they occur?
12. Describe nursing interventions for caring for a patient with leukemia.
13. Describe the different types of leukemia:
a. Which type do children mostly get?
b. Which type(s) is responsive to chemo and often goes into remission?
14. Describe the pathophysiology, clinical manifestations, nursing assessments, nursing
diagnosis, diagnostic tests, complications and treatments for the following:
a. Anemia
i. What lab values would you check to confirm assessment findings?
b. Iron deficiency anemia
c. Pernicious anemia
d. Megoblastic anemia
e. Aplastic anemia
f. Heparin Induced Thrombocytopenia
15. When do we hold Coumadin?
a. Platelet count less than _________
b. For a patient in afib, INR >
16. Describe how to care for a client in neutropenic precuations.
a. When would these precautions be ordered? WBC level < _____
17. What is the main different between hodgkins and nonhodgkins lymphoma?
18. What is Rituxan?
a. When is it used?
b. What are possible side effects?
Chapter 32: Nursing Assessment: Cardiovascular System
You should be very familiar with this chapter from health assessment and
pathophysiology, make sure to review if you need to as this information will help you
answer exam questions in the other cardiac chapters
19. What labs are associated with the CV system?
