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Patho Exam #3 Questions And Answers
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. Low
B. High
C. Normal
D. Sporadic - Answers✔Normal
A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse
monitors for which of the following conditions that could result secondary to the treatment?
A. Monocytosis
B. Lymphocytosis
C. Eosinophilia
D. Basophilia - Answers✔Basophilia
In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after
intravascular clotting because:
A. Inflammatory mediators are released.
B. Clotting factors are depleted.
C. Tissue factor (TF) is inactivated.
D. Prothrombin is activated. - Answers✔Clotting factors are depleted
Thrombocytopenia may be:
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A. Transient or consistent
B. Congenital or acquired
C. Normal or abnormal
D. Active or inactive - Answers✔Congenital or acquired
A nurse recalls posthemorrhagic anemia can result in death when a patient's blood loss is in
excess of:
A. 30% to 39%
B. 20% to 29%
C. 40% to 49%
D. 50% to 59% - Answers✔40% to 49%
A patient has microcytic hypochromic anemia. Which of the following
pathogenic mechanisms may cause anemia in this patient? (Select all that apply.)
A. Failure of mechanisms of compensatory erythropoiesis
B. Swelling in the tissues
C. Increased basal metabolic rate
D. Disturbances of the iron cycle
E. Decreased erythrocyte life span - Answers✔Failure of mechanisms of compensatory
erythropoiesis
Disturbances of the iron cycle
Decreased erythrocyte life span
A 30-year-old female presents with hematuria, menorrhagia, and bleeding gums. She is
diagnosed with immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is:
A. Allergy-induced platelet lysis
B. Antibody destruction of platelets
C. T cell injury to megakaryocytes
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D. An immune response to hypersplenism - Answers✔Antibody destruction of platelets
A nurse checks individuals with liver disease for clotting problems because:
A. High levels of bilirubin interfere with the clotting system.
B. The liver is often the site of platelet pooling.
C. Clotting factors are produced in the liver.
D. Treatment medications for liver failure cause fibrinolysis. - Answers✔Clotting factors are
produced in the liver
A 67-year-old female has chronic gastrointestinal bleeding. A nurse recalls the primary cause of
her anemia is:
A. Bone marrow failure
B. Vitamin B12 deficiency
C. Iron deficiency
D. Folate deficiency - Answers✔Iron deficiency
A 20-year-old female has an increase in eosinophils. When the patient wants to know the most
likely cause of the eosinophilia. What is the nurse's best response?
A. Parasitic invasion and allergic reactions
B. Viral and bacterial infections
C. Fungal infections and delayed hypersensitivity
D. Stress and anxiety reactions - Answers✔Parasitic invasions and allergic reactions
A 45-year-old male is diagnosed with sideroblastic anemia. When he asks what the most likely
cause of this disease is, what is the nurse's best response?
A. Decreased levels of tissue iron with megaloblastic erythrocytes
B. Premature erythrocyte destruction and erythropoietin deficiency
C. Misshapen erythrocytes with low hemoglobin
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ALL RIGHTS RESERVED.
D. Ineffective iron uptake and abnormal hemoglobin production - Answers✔Ineffective iron
uptake and abnormal hemoglobin production
A 58-year-old female presents in the clinic presenting with fatigue, weight loss, and tingling in
her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean corpuscular
volume, and normal plasma iron. These assessment findings are consistent with which type of
anemia?
A. Pernicious anemia
B. Aplastic anemia
C. Iron deficiency anemia
D. Hemolytic anemia - Answers✔Pernicious anemia
A 15-year-old male is diagnosed with infectious mononucleosis. Which of
the following assessment findings would he most likely demonstrate?
(Select all that apply.)
A. Fatigue
B. Rash on the trunk and extremities
C. Lymph node enlargement.
D. Fever and sore throat
E. Enlargement of liver and spleen - Answers✔Fatigue
Lymph node enlargement
Fever and sore throat
Enlargement of liver and spleen
A nurse is teaching the staff about disseminated intravascular coagulation (DIC). Which
information should the nurse include? The sequence of events in DIC is initiated by the release
of:
A. Plasmin
B. Fibrin
C. Tissue factor
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ALL RIGHTS RESERVED.
Patho Exam #3 Questions And Answers
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. Low
B. High
C. Normal
D. Sporadic - Answers✔Normal
A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse
monitors for which of the following conditions that could result secondary to the treatment?
A. Monocytosis
B. Lymphocytosis
C. Eosinophilia
D. Basophilia - Answers✔Basophilia
In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after
intravascular clotting because:
A. Inflammatory mediators are released.
B. Clotting factors are depleted.
C. Tissue factor (TF) is inactivated.
D. Prothrombin is activated. - Answers✔Clotting factors are depleted
Thrombocytopenia may be:
1|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A. Transient or consistent
B. Congenital or acquired
C. Normal or abnormal
D. Active or inactive - Answers✔Congenital or acquired
A nurse recalls posthemorrhagic anemia can result in death when a patient's blood loss is in
excess of:
A. 30% to 39%
B. 20% to 29%
C. 40% to 49%
D. 50% to 59% - Answers✔40% to 49%
A patient has microcytic hypochromic anemia. Which of the following
pathogenic mechanisms may cause anemia in this patient? (Select all that apply.)
A. Failure of mechanisms of compensatory erythropoiesis
B. Swelling in the tissues
C. Increased basal metabolic rate
D. Disturbances of the iron cycle
E. Decreased erythrocyte life span - Answers✔Failure of mechanisms of compensatory
erythropoiesis
Disturbances of the iron cycle
Decreased erythrocyte life span
A 30-year-old female presents with hematuria, menorrhagia, and bleeding gums. She is
diagnosed with immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is:
A. Allergy-induced platelet lysis
B. Antibody destruction of platelets
C. T cell injury to megakaryocytes
2|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
D. An immune response to hypersplenism - Answers✔Antibody destruction of platelets
A nurse checks individuals with liver disease for clotting problems because:
A. High levels of bilirubin interfere with the clotting system.
B. The liver is often the site of platelet pooling.
C. Clotting factors are produced in the liver.
D. Treatment medications for liver failure cause fibrinolysis. - Answers✔Clotting factors are
produced in the liver
A 67-year-old female has chronic gastrointestinal bleeding. A nurse recalls the primary cause of
her anemia is:
A. Bone marrow failure
B. Vitamin B12 deficiency
C. Iron deficiency
D. Folate deficiency - Answers✔Iron deficiency
A 20-year-old female has an increase in eosinophils. When the patient wants to know the most
likely cause of the eosinophilia. What is the nurse's best response?
A. Parasitic invasion and allergic reactions
B. Viral and bacterial infections
C. Fungal infections and delayed hypersensitivity
D. Stress and anxiety reactions - Answers✔Parasitic invasions and allergic reactions
A 45-year-old male is diagnosed with sideroblastic anemia. When he asks what the most likely
cause of this disease is, what is the nurse's best response?
A. Decreased levels of tissue iron with megaloblastic erythrocytes
B. Premature erythrocyte destruction and erythropoietin deficiency
C. Misshapen erythrocytes with low hemoglobin
3|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
D. Ineffective iron uptake and abnormal hemoglobin production - Answers✔Ineffective iron
uptake and abnormal hemoglobin production
A 58-year-old female presents in the clinic presenting with fatigue, weight loss, and tingling in
her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean corpuscular
volume, and normal plasma iron. These assessment findings are consistent with which type of
anemia?
A. Pernicious anemia
B. Aplastic anemia
C. Iron deficiency anemia
D. Hemolytic anemia - Answers✔Pernicious anemia
A 15-year-old male is diagnosed with infectious mononucleosis. Which of
the following assessment findings would he most likely demonstrate?
(Select all that apply.)
A. Fatigue
B. Rash on the trunk and extremities
C. Lymph node enlargement.
D. Fever and sore throat
E. Enlargement of liver and spleen - Answers✔Fatigue
Lymph node enlargement
Fever and sore throat
Enlargement of liver and spleen
A nurse is teaching the staff about disseminated intravascular coagulation (DIC). Which
information should the nurse include? The sequence of events in DIC is initiated by the release
of:
A. Plasmin
B. Fibrin
C. Tissue factor
4|Page
