Pathophysiology (NR-283). PATHO QUIZ 3
1. In the ICU, a postsurgical client has developed sepsis and is being treated with
multiple medications. During the mid-morning assessment, which finding leads the
nurse to suspect the client may be developing a complication called disseminated
intravascular coagulation (DIC)? Select all that apply.
A. Hemorrhage from the surgical site requiring deep pressure dressings
B. Headaches associated with light sensitivity
C. Oozing from all previous puncture and intravenous sites
D. Urine from the Foley catheter is bloody
E. Decreased O2 saturation and diminished breath sounds in lower lobes: A.
Hemorrhage from the surgical site requiring deep pressure dressings
2. A young adult is preparing to begin treatment for non-Hodgkin lymphoma
(NHL), a disease that has disseminated widely. What is the most likely treatment
regimen for this client?
A. Surgery and whole-blood transfusion
B. Radiation and chemotherapy
C. Antiviral medications
D. Bone marrow or stem cell transplantation: B. Radiation and chemotherapy 3.
Conditions that predispose to sickling of hemoglobin in persons with sickle cell
anemia include:
A. Increased iron content of blood
B. Decreased oxygen saturation
1/9
, C. Increased intravascular volume
D. Impaired red blood cell maturation: B. Decreased oxygen saturation
4. Leukocytes consist of three categories of cells that have different roles in the
inflammatory and immune responses. Which of the following leukocytes is correctly
matched with its function?
A. Eosinophils—allergic reactions
B. Basophils—engulf antigens
C. Lymphocyte—phagocytosis
D. Monocytes—release heparin: A. Eosinophils—allergic reactions
5. Following peripheral blood testing and a bone marrow biopsy, a client has been
diagnosed with chronic myelogenous leukemia. Which of the following is most likely
to have preceded the client's diagnosis?
A. The presence of a Philadelphia chromosome
B. Radiation exposure
C. Exposure to the Epstein-Barr virus
D. Down syndrome: A. The presence of a Philadelphia chromosome
6. Which of the following clients are at risk for developing blood clots and should be
assessed frequently? Select all that apply.
A. A middle-aged male who smokes three packs of cigarettes/day
B. A young adult who has a history of asthma and utilizes steroid inhalers dailyC. A
college-aged female taking oral contraceptives for irregular menstrual periods
D. A marathon runner who exercises more than 4 hours/day
2/9
1. In the ICU, a postsurgical client has developed sepsis and is being treated with
multiple medications. During the mid-morning assessment, which finding leads the
nurse to suspect the client may be developing a complication called disseminated
intravascular coagulation (DIC)? Select all that apply.
A. Hemorrhage from the surgical site requiring deep pressure dressings
B. Headaches associated with light sensitivity
C. Oozing from all previous puncture and intravenous sites
D. Urine from the Foley catheter is bloody
E. Decreased O2 saturation and diminished breath sounds in lower lobes: A.
Hemorrhage from the surgical site requiring deep pressure dressings
2. A young adult is preparing to begin treatment for non-Hodgkin lymphoma
(NHL), a disease that has disseminated widely. What is the most likely treatment
regimen for this client?
A. Surgery and whole-blood transfusion
B. Radiation and chemotherapy
C. Antiviral medications
D. Bone marrow or stem cell transplantation: B. Radiation and chemotherapy 3.
Conditions that predispose to sickling of hemoglobin in persons with sickle cell
anemia include:
A. Increased iron content of blood
B. Decreased oxygen saturation
1/9
, C. Increased intravascular volume
D. Impaired red blood cell maturation: B. Decreased oxygen saturation
4. Leukocytes consist of three categories of cells that have different roles in the
inflammatory and immune responses. Which of the following leukocytes is correctly
matched with its function?
A. Eosinophils—allergic reactions
B. Basophils—engulf antigens
C. Lymphocyte—phagocytosis
D. Monocytes—release heparin: A. Eosinophils—allergic reactions
5. Following peripheral blood testing and a bone marrow biopsy, a client has been
diagnosed with chronic myelogenous leukemia. Which of the following is most likely
to have preceded the client's diagnosis?
A. The presence of a Philadelphia chromosome
B. Radiation exposure
C. Exposure to the Epstein-Barr virus
D. Down syndrome: A. The presence of a Philadelphia chromosome
6. Which of the following clients are at risk for developing blood clots and should be
assessed frequently? Select all that apply.
A. A middle-aged male who smokes three packs of cigarettes/day
B. A young adult who has a history of asthma and utilizes steroid inhalers dailyC. A
college-aged female taking oral contraceptives for irregular menstrual periods
D. A marathon runner who exercises more than 4 hours/day
2/9
