MCCANCE CHAPTER 36 PULMONARY
TEST BANK EXAM QUESTIONS WITH
CORRECT ANSWERS
A nurse is admitting a patient with immune thrombocytopenic purpura to the unit. In
completing the admission assessment, the nurse must be alert for what medications
that potentially alter platelet function? Select all that apply.
A) Antihypertensives
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Answer-C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
The nurse must be alert for sulfa-containing medications and others that alter platelet
function (e.g., aspirin-based or other NSAIDs). Antihypertensive drugs and the
penicillins do not alter platelet function.
A patient, 25 years of age, comes to the emergency department complaining of
excessive bleeding from a cut sustained when cleaning a knife. Blood work shows a
prolonged PT but a vitamin K deficiency is ruled out. When assessing the patient, areas
of ecchymosis are noted on other areas of the body. Which of the following is the most
plausible cause of the patients signs and symptoms?
A) Lymphoma
B) Leukemia
C) Hemophilia
D) Hepatic dysfunction - Answer-D) Hepatic dysfunction
Prolongation of the PT, unless it is caused by vitamin K deficiency, may indicate severe
hepatic dysfunction. The majority of hemophiliacs are diagnosed as children. The
scenario does not describe signs or symptoms of lymphoma or leukemia.
,A patient with a history of cirrhosis is admitted to the ICU with a diagnosis of bleeding
esophageal varices; an attempt to stop the bleeding has been only partially successful.
What would the critical care nurse expect the care team to order for this patient?
A) Packed red blood cells (PRBCs)
B) Vitamin K
C) Oral anticoagulants
D) Heparin infusion - Answer-A) Packed red blood cells (PRBCs)
Patients with liver dysfunction may have life-threatening hemorrhage from peptic ulcers
or esophageal varices. In these cases, replacement with fresh frozen plasma, PRBCs,
and platelets is usually required. Vitamin K may be ordered once the bleeding is
stopped, but that is not what is needed to stop the bleeding of the varices.
Anticoagulants would exacerbate the patients bleeding.
The nurse on the pediatric unit is caring for a 10-year-old boy with a diagnosis of
hemophilia. The nurse knows that a priority nursing diagnosis for a patient with
hemophilia is what?
A) Hypothermia
B) Diarrhea
C) Ineffective coping
D) Imbalanced nutrition: Less than body requirements - Answer-C) Ineffective coping
Most patients with hemophilia are diagnosed as children. They often require assistance
in coping with the condition because it is chronic, places restrictions on their lives, and
is an inherited disorder that can be passed to future generations. Children with
hemophilia are not at risk of hypothermia, diarrhea, or imbalanced nutrition.
A group of nurses are learning about the high incidence and prevalence of anemia
among different populations. Which of the following individuals is most likely to have
anemia?
A) A 50-year-old African-American woman who is going through menopause
B) An 81-year-old woman who has chronic heart failure
C) A 48-year-old man who travels extensively and has a high-stress job
, D) A 13-year-old girl who has just experienced menarche - Answer-B) An 81-year-old
woman who has chronic heart failure
The incidence and prevalence of anemia are exceptionally high among older adults, and
the risk of anemia is compounded by the presence of heart disease. None of the other
listed individuals exhibits high-risk factors for anemia, though exceptionally heavy
menstrual flow can result in anemia.
An adult patient has been diagnosed with iron-deficiency anemia. What nursing
diagnosis is most likely to apply to this patients health status?
A) Risk for deficient fluid volume related to impaired erythropoiesis
B) Risk for infection related to tissue hypoxia
C) Acute pain related to uncontrolled hemolysis
D) Fatigue related to decreased oxygen-carrying capacity - Answer-D) Fatigue related
to decreased oxygen-carrying capacity
Fatigue is the major assessment finding common to all forms of anemia. Anemia does
not normally result in acute pain or fluid deficit. The patient may have an increased risk
of infection due to impaired immune function, but fatigue is more likely.
A patient has been living with a diagnosis of anemia for several years and has
experienced recent declines in her hemoglobin levels despite active treatment. What
assessment finding would signal complications of anemia?
A) Venous ulcers and visual disturbances
B) Fever and signs of hyperkalemia
C) Epistaxis and gastroesophageal reflux
D) Ascites and peripheral edema - Answer-D) Ascites and peripheral edema
A significant complication of anemia is heart failure from chronic diminished blood
volume and the hearts compensatory effort to increase cardiac output. Patients with
anemia should be assessed for signs and symptoms of heart failure, including ascites
and peripheral edema. None of the other listed signs and symptoms is characteristic of
heart failure.
A woman who is in her third trimester of pregnancy has been experiencing an
exacerbation of iron- deficiency anemia in recent weeks. When providing the patient
with nutritional guidelines and meal suggestions, what foods would be most likely to
increase the womans iron stores?
TEST BANK EXAM QUESTIONS WITH
CORRECT ANSWERS
A nurse is admitting a patient with immune thrombocytopenic purpura to the unit. In
completing the admission assessment, the nurse must be alert for what medications
that potentially alter platelet function? Select all that apply.
A) Antihypertensives
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Answer-C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
The nurse must be alert for sulfa-containing medications and others that alter platelet
function (e.g., aspirin-based or other NSAIDs). Antihypertensive drugs and the
penicillins do not alter platelet function.
A patient, 25 years of age, comes to the emergency department complaining of
excessive bleeding from a cut sustained when cleaning a knife. Blood work shows a
prolonged PT but a vitamin K deficiency is ruled out. When assessing the patient, areas
of ecchymosis are noted on other areas of the body. Which of the following is the most
plausible cause of the patients signs and symptoms?
A) Lymphoma
B) Leukemia
C) Hemophilia
D) Hepatic dysfunction - Answer-D) Hepatic dysfunction
Prolongation of the PT, unless it is caused by vitamin K deficiency, may indicate severe
hepatic dysfunction. The majority of hemophiliacs are diagnosed as children. The
scenario does not describe signs or symptoms of lymphoma or leukemia.
,A patient with a history of cirrhosis is admitted to the ICU with a diagnosis of bleeding
esophageal varices; an attempt to stop the bleeding has been only partially successful.
What would the critical care nurse expect the care team to order for this patient?
A) Packed red blood cells (PRBCs)
B) Vitamin K
C) Oral anticoagulants
D) Heparin infusion - Answer-A) Packed red blood cells (PRBCs)
Patients with liver dysfunction may have life-threatening hemorrhage from peptic ulcers
or esophageal varices. In these cases, replacement with fresh frozen plasma, PRBCs,
and platelets is usually required. Vitamin K may be ordered once the bleeding is
stopped, but that is not what is needed to stop the bleeding of the varices.
Anticoagulants would exacerbate the patients bleeding.
The nurse on the pediatric unit is caring for a 10-year-old boy with a diagnosis of
hemophilia. The nurse knows that a priority nursing diagnosis for a patient with
hemophilia is what?
A) Hypothermia
B) Diarrhea
C) Ineffective coping
D) Imbalanced nutrition: Less than body requirements - Answer-C) Ineffective coping
Most patients with hemophilia are diagnosed as children. They often require assistance
in coping with the condition because it is chronic, places restrictions on their lives, and
is an inherited disorder that can be passed to future generations. Children with
hemophilia are not at risk of hypothermia, diarrhea, or imbalanced nutrition.
A group of nurses are learning about the high incidence and prevalence of anemia
among different populations. Which of the following individuals is most likely to have
anemia?
A) A 50-year-old African-American woman who is going through menopause
B) An 81-year-old woman who has chronic heart failure
C) A 48-year-old man who travels extensively and has a high-stress job
, D) A 13-year-old girl who has just experienced menarche - Answer-B) An 81-year-old
woman who has chronic heart failure
The incidence and prevalence of anemia are exceptionally high among older adults, and
the risk of anemia is compounded by the presence of heart disease. None of the other
listed individuals exhibits high-risk factors for anemia, though exceptionally heavy
menstrual flow can result in anemia.
An adult patient has been diagnosed with iron-deficiency anemia. What nursing
diagnosis is most likely to apply to this patients health status?
A) Risk for deficient fluid volume related to impaired erythropoiesis
B) Risk for infection related to tissue hypoxia
C) Acute pain related to uncontrolled hemolysis
D) Fatigue related to decreased oxygen-carrying capacity - Answer-D) Fatigue related
to decreased oxygen-carrying capacity
Fatigue is the major assessment finding common to all forms of anemia. Anemia does
not normally result in acute pain or fluid deficit. The patient may have an increased risk
of infection due to impaired immune function, but fatigue is more likely.
A patient has been living with a diagnosis of anemia for several years and has
experienced recent declines in her hemoglobin levels despite active treatment. What
assessment finding would signal complications of anemia?
A) Venous ulcers and visual disturbances
B) Fever and signs of hyperkalemia
C) Epistaxis and gastroesophageal reflux
D) Ascites and peripheral edema - Answer-D) Ascites and peripheral edema
A significant complication of anemia is heart failure from chronic diminished blood
volume and the hearts compensatory effort to increase cardiac output. Patients with
anemia should be assessed for signs and symptoms of heart failure, including ascites
and peripheral edema. None of the other listed signs and symptoms is characteristic of
heart failure.
A woman who is in her third trimester of pregnancy has been experiencing an
exacerbation of iron- deficiency anemia in recent weeks. When providing the patient
with nutritional guidelines and meal suggestions, what foods would be most likely to
increase the womans iron stores?
