SCI 225 Final Exam | Nightingale College | UPDATED Questions
with 100% Verified Answers
Question: Leukocytosis can be defined as
Answer:
B. a high leukocyte count
Question: A. A normal leukocyte count B. a high leukocyte count C. a low leukocyte count D. Another term
for loop leukopenia
Answer:
Rational: Leukocytosis is present when the count is higher than normal it is not another term for leukopenia
Question: An IV drug user was diagnosed with Hepatitis C 5 years ago. The patient is now experiencing
impaired blood clotting. The nurse suspects a decrease in which of the following vitamins: A. Vitamin K B.
Vitamin D C. Vitamin E D. Vitamin B12
Answer:
A. Vitamin K Rational: Lack of vitamin k not D or B12, interferes with clotting
Question: What is the most likely cause of eosinophilia
Answer:
A. parasitic invasion and allergic reactions
Question: A. parasitic invasion and allergic reactions B. viral and bacterial infections C. stress and anxiety
reactions D. fungal interactions and delayed hypersensitivity
Answer:
Rational: parasitic invasions and allergic disorders are associated with eosinophilia viral infections do not lead
to eosinophilia nor do stress and anxiety reactions or fungal infections
Question: Which mother fetus combination is at most risk for maternal fetal blood incompatibility A. a mother
is RH positive, and fetus is RH negative B. mother is RH negative and fetus is RH positive C. mother has type
A blood and fetus has type O blood D. mother has type AB blood and fetus has type B blood
Answer:
B. mother is RH negative and fetus is RH positive Rationale: maternal fetal incompatibility exists if mother and
fetus differ in AB and O blood type or if the fetus is RH positive and the mother is RH negative. Symptoms do
not occur in a type O fetus symptoms do not occur in type AB baby mothers
, Question: A nurse is planning care for a child with iron deficiency anemia. Characteristics of iron deficiency
anemia include which of the following: Select all that apply A. It is most common between the ages of six
months and two years old B. it is related to gender and race C. it may be related to socioeconomic factors D. it
is rare among teenagers E. it is difficult to diagnose in early stages
Answer:
A. It is most common between the ages of six months and two years old C. it may be related to socioeconomic
factors E. it is difficult to diagnose in early stages
Question: A three-year old child presents with bruising on the legs and trunk and a petechial rash. The mother
also reports frequent nosebleeds. Lab tests reveal a decreased platelet count. This symptomology supports
which medical diagnosis A. Immune thrombocytopenic purpura ITP B. Leukemia C. Thalassemia D.
Hemophilia
Answer:
A. Immune thrombocytopenic purpura ITP Rational: a decreased platelet count is the cause of ITP neither
leukemia thalassemia nor hemophilia is related to platelets.
Question: A 51 year old male is at the health clinic for an annual physical exam. After walking from the car to
the clinic he developed substernal pain he also reported discomfort in his left shoulder and his jaw lasting 2 to 3
minutes and then subsiding with rest he indicates that this has occurred frequently over the past few months
with similar exertion the nurse suspects he is most likely experiencing A. stable angina B. unstable angina C.
Prinzmetal angina D. myocardial infarction
Answer:
A. stable angina Rational: stable angina is associated with activity and subsides with rest unstable angina is a
form of acute coronary syndrome that results from reversible myocardial ischemia and occurs at rest chest pain
that occurs at rest. Chest pain that occurs at rest and at night is descriptive of prinzmetal angina MI does not
subside with rest
Question: An 82 year old female was admitted to the hospital with confusion and severe hypotension her
body's compensatory mechanisms are increased heart rate vasoconstriction and movement of large volumes of
interstitial fluid to the vascular compartment what kind of shock does the nurse suspect the patient is
experiencing? A. anaphylactic B. hypovolemic C. neurogenic D. septic
Answer:
B. hypovolemic Rationale: Confusion and severe hypotension indicate decreased perfusion to vital organs,
especially the brain. Compensatory mechanisms like: Increased heart rate (tachycardia) Vasoconstriction (to
maintain blood pressure) Movement of interstitial fluid into the vascular compartment (to try to restore blood
volume)
Question: A 50 year old male with a 30 year history of smoking was diagnosed with Bronco genic cancer he
developed edema and venous distension in the upper extremities and face which of the following diagnosis will
the nurse observe on the chart? A. Thromboembolism B. deep vein thrombosis C. superior vena cava syndrome
with 100% Verified Answers
Question: Leukocytosis can be defined as
Answer:
B. a high leukocyte count
Question: A. A normal leukocyte count B. a high leukocyte count C. a low leukocyte count D. Another term
for loop leukopenia
Answer:
Rational: Leukocytosis is present when the count is higher than normal it is not another term for leukopenia
Question: An IV drug user was diagnosed with Hepatitis C 5 years ago. The patient is now experiencing
impaired blood clotting. The nurse suspects a decrease in which of the following vitamins: A. Vitamin K B.
Vitamin D C. Vitamin E D. Vitamin B12
Answer:
A. Vitamin K Rational: Lack of vitamin k not D or B12, interferes with clotting
Question: What is the most likely cause of eosinophilia
Answer:
A. parasitic invasion and allergic reactions
Question: A. parasitic invasion and allergic reactions B. viral and bacterial infections C. stress and anxiety
reactions D. fungal interactions and delayed hypersensitivity
Answer:
Rational: parasitic invasions and allergic disorders are associated with eosinophilia viral infections do not lead
to eosinophilia nor do stress and anxiety reactions or fungal infections
Question: Which mother fetus combination is at most risk for maternal fetal blood incompatibility A. a mother
is RH positive, and fetus is RH negative B. mother is RH negative and fetus is RH positive C. mother has type
A blood and fetus has type O blood D. mother has type AB blood and fetus has type B blood
Answer:
B. mother is RH negative and fetus is RH positive Rationale: maternal fetal incompatibility exists if mother and
fetus differ in AB and O blood type or if the fetus is RH positive and the mother is RH negative. Symptoms do
not occur in a type O fetus symptoms do not occur in type AB baby mothers
, Question: A nurse is planning care for a child with iron deficiency anemia. Characteristics of iron deficiency
anemia include which of the following: Select all that apply A. It is most common between the ages of six
months and two years old B. it is related to gender and race C. it may be related to socioeconomic factors D. it
is rare among teenagers E. it is difficult to diagnose in early stages
Answer:
A. It is most common between the ages of six months and two years old C. it may be related to socioeconomic
factors E. it is difficult to diagnose in early stages
Question: A three-year old child presents with bruising on the legs and trunk and a petechial rash. The mother
also reports frequent nosebleeds. Lab tests reveal a decreased platelet count. This symptomology supports
which medical diagnosis A. Immune thrombocytopenic purpura ITP B. Leukemia C. Thalassemia D.
Hemophilia
Answer:
A. Immune thrombocytopenic purpura ITP Rational: a decreased platelet count is the cause of ITP neither
leukemia thalassemia nor hemophilia is related to platelets.
Question: A 51 year old male is at the health clinic for an annual physical exam. After walking from the car to
the clinic he developed substernal pain he also reported discomfort in his left shoulder and his jaw lasting 2 to 3
minutes and then subsiding with rest he indicates that this has occurred frequently over the past few months
with similar exertion the nurse suspects he is most likely experiencing A. stable angina B. unstable angina C.
Prinzmetal angina D. myocardial infarction
Answer:
A. stable angina Rational: stable angina is associated with activity and subsides with rest unstable angina is a
form of acute coronary syndrome that results from reversible myocardial ischemia and occurs at rest chest pain
that occurs at rest. Chest pain that occurs at rest and at night is descriptive of prinzmetal angina MI does not
subside with rest
Question: An 82 year old female was admitted to the hospital with confusion and severe hypotension her
body's compensatory mechanisms are increased heart rate vasoconstriction and movement of large volumes of
interstitial fluid to the vascular compartment what kind of shock does the nurse suspect the patient is
experiencing? A. anaphylactic B. hypovolemic C. neurogenic D. septic
Answer:
B. hypovolemic Rationale: Confusion and severe hypotension indicate decreased perfusion to vital organs,
especially the brain. Compensatory mechanisms like: Increased heart rate (tachycardia) Vasoconstriction (to
maintain blood pressure) Movement of interstitial fluid into the vascular compartment (to try to restore blood
volume)
Question: A 50 year old male with a 30 year history of smoking was diagnosed with Bronco genic cancer he
developed edema and venous distension in the upper extremities and face which of the following diagnosis will
the nurse observe on the chart? A. Thromboembolism B. deep vein thrombosis C. superior vena cava syndrome
