RNSG 2539 EXAM 2 RNSG 2539 EXAM WITH 200 EXAM
QUESTIONS AND CORRECT ANSWERS RESPECTIVELY/ LATEST
RNSG 2539 EXAM PREP TEST BANK 2025 (BRAND NEW!)
The results of a patient's most recent blood work and physical assessment are suggestive of immune
thrombocytopenic purpura (ITP). This patient should undergo testing for which of the following
potential causes? Select all that apply.
A) Hepatitis
B) Acute renal failure
C) HIV
D) Malignant melanoma
E) Cholecystitis - ANSWER>>>>-A) Hepatitis
C) HIV
A patient with a recent diagnosis of ITP has asked the nurse why the care team has not chosen to
administer platelets, stating, 'I have low platelets, so why not give me a transfusion of exactly what
I'm missing?' How should the nurse best respond?
A) 'Transfused platelets usually aren't beneficial because they're rapidly destroyed in the body.'
B) 'A platelet transfusion often blunts your body's own production of platelets even further.'
C) 'Finding a matching donor for a platelet transfusion is exceedingly difficult.'
D) 'A very small percentage of the platelets in a transfusion are actually functional.' -
ANSWER>>>>-A) 'Transfused platelets usually aren't beneficial because they're rapidly destroyed
in the body.'
In immune thrombocytopenia purpura (ITP), the client has what type of disorder that primarily
destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - ANSWER>>>>-C) Autoimmune; platelets
,A client has been admitted for immune thrombocytopenic purpura. The client has not responded to
corticosteroid treatment. The priority nursing intervention for this client would include which of the
following treatment measures?
A) Place the client in isolation, so the skin rashes will not spread to other clients.
B) Insert an intravenous catheter, so immune globulin can be administered in a timely manner.
C) Insert a Foley catheter to monitor hourly urine output.
D) Prepare a surgical permit for an emergency splenectomy. - ANSWER>>>>-B) Insert an
intravenous catheter, so immune globulin can be administered in a timely manner.
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
A client was started on a protocol for the prevention of deep vein thrombosis shortly after admission
and has been receiving 5000 units of heparin twice daily for the last week. An immune response to
this treatment may increase the client's chance of developing which health problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - ANSWER>>>>-D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have what action on the patient's
body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
,D) Promotes the inactivation of factor VIII - ANSWER>>>>-B) Blocks the formation of thrombin
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following
findings would alert the nurse to the development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - ANSWER>>>>-D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse
is monitoring the woman's serum magnesium levels. Which level would the nurse identify as
therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - ANSWER>>>>-B) 6.1 mEq/L
A nurse is providing discharge education to a patient who has recently been diagnosed with a
bleeding disorder. What topic should the nurse prioritize when teaching this patient?
A) Avoiding buses, subways, and other crowded, public sites
B) Avoiding activities that carry a risk for injury
C) Keeping immunizations current
D) Avoiding foods high in vitamin K - ANSWER>>>>-B) Avoiding activities that carry a risk for
injury
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing
discharge instructions about home care and safety recommendations to the boy and his parents.
Which response indicates a need for further teaching?
A) "We should avoid aspirin and drugs like ibuprofen."
B) "He can resume participation in football in 2 weeks."
C) "Swimming would be a great activity."
, D) "Our son cannot take any antihistamines." - ANSWER>>>>-B) "He can resume participation in
football in 2 weeks."
A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant
therapy. After teaching the woman about this treatment, the nurse determines that additional
teaching is needed when the woman states which of the following?
A) "I will use a soft toothbrush to brush my teeth."
B) "I can take ibuprofen if I have any pain."
C) "I need to avoid drinking any alcohol."
D) "I will call my health care provider if my stools are black and tarry." - ANSWER>>>>-B) "I can
take ibuprofen if I have any pain."
A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). While assessing
the patient's knowledge of the drug, what would indicate that the patient needs further instruction
concerning drug therapy?
A) "I love to eat homegrown tomatoes in the summer."
B) "I take aspirin for my arthritis."
C) "I walk 2 miles a day."
D) "I drink a glass of wine about once a week." - ANSWER>>>>-B) "I take aspirin for my arthritis."
A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching
and includes what teaching point?
A) Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain
B) Preventing trauma to the body
C) Receiving IV factor VIII therapy at home
D) Understanding the condition is an X-linked recessive disorder - ANSWER>>>>-B) Preventing
trauma to the body
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute
medical unit. How should the nurse most likely explain the pathophysiology of this patient's health
problem?
A) Toxins have accumulated and inflamed your pancreas
B) Bacteria likely migrated from your intestines and became lodged in your pancreas
QUESTIONS AND CORRECT ANSWERS RESPECTIVELY/ LATEST
RNSG 2539 EXAM PREP TEST BANK 2025 (BRAND NEW!)
The results of a patient's most recent blood work and physical assessment are suggestive of immune
thrombocytopenic purpura (ITP). This patient should undergo testing for which of the following
potential causes? Select all that apply.
A) Hepatitis
B) Acute renal failure
C) HIV
D) Malignant melanoma
E) Cholecystitis - ANSWER>>>>-A) Hepatitis
C) HIV
A patient with a recent diagnosis of ITP has asked the nurse why the care team has not chosen to
administer platelets, stating, 'I have low platelets, so why not give me a transfusion of exactly what
I'm missing?' How should the nurse best respond?
A) 'Transfused platelets usually aren't beneficial because they're rapidly destroyed in the body.'
B) 'A platelet transfusion often blunts your body's own production of platelets even further.'
C) 'Finding a matching donor for a platelet transfusion is exceedingly difficult.'
D) 'A very small percentage of the platelets in a transfusion are actually functional.' -
ANSWER>>>>-A) 'Transfused platelets usually aren't beneficial because they're rapidly destroyed
in the body.'
In immune thrombocytopenia purpura (ITP), the client has what type of disorder that primarily
destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - ANSWER>>>>-C) Autoimmune; platelets
,A client has been admitted for immune thrombocytopenic purpura. The client has not responded to
corticosteroid treatment. The priority nursing intervention for this client would include which of the
following treatment measures?
A) Place the client in isolation, so the skin rashes will not spread to other clients.
B) Insert an intravenous catheter, so immune globulin can be administered in a timely manner.
C) Insert a Foley catheter to monitor hourly urine output.
D) Prepare a surgical permit for an emergency splenectomy. - ANSWER>>>>-B) Insert an
intravenous catheter, so immune globulin can be administered in a timely manner.
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
A client was started on a protocol for the prevention of deep vein thrombosis shortly after admission
and has been receiving 5000 units of heparin twice daily for the last week. An immune response to
this treatment may increase the client's chance of developing which health problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - ANSWER>>>>-D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have what action on the patient's
body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
,D) Promotes the inactivation of factor VIII - ANSWER>>>>-B) Blocks the formation of thrombin
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following
findings would alert the nurse to the development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - ANSWER>>>>-D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse
is monitoring the woman's serum magnesium levels. Which level would the nurse identify as
therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - ANSWER>>>>-B) 6.1 mEq/L
A nurse is providing discharge education to a patient who has recently been diagnosed with a
bleeding disorder. What topic should the nurse prioritize when teaching this patient?
A) Avoiding buses, subways, and other crowded, public sites
B) Avoiding activities that carry a risk for injury
C) Keeping immunizations current
D) Avoiding foods high in vitamin K - ANSWER>>>>-B) Avoiding activities that carry a risk for
injury
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing
discharge instructions about home care and safety recommendations to the boy and his parents.
Which response indicates a need for further teaching?
A) "We should avoid aspirin and drugs like ibuprofen."
B) "He can resume participation in football in 2 weeks."
C) "Swimming would be a great activity."
, D) "Our son cannot take any antihistamines." - ANSWER>>>>-B) "He can resume participation in
football in 2 weeks."
A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant
therapy. After teaching the woman about this treatment, the nurse determines that additional
teaching is needed when the woman states which of the following?
A) "I will use a soft toothbrush to brush my teeth."
B) "I can take ibuprofen if I have any pain."
C) "I need to avoid drinking any alcohol."
D) "I will call my health care provider if my stools are black and tarry." - ANSWER>>>>-B) "I can
take ibuprofen if I have any pain."
A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). While assessing
the patient's knowledge of the drug, what would indicate that the patient needs further instruction
concerning drug therapy?
A) "I love to eat homegrown tomatoes in the summer."
B) "I take aspirin for my arthritis."
C) "I walk 2 miles a day."
D) "I drink a glass of wine about once a week." - ANSWER>>>>-B) "I take aspirin for my arthritis."
A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching
and includes what teaching point?
A) Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain
B) Preventing trauma to the body
C) Receiving IV factor VIII therapy at home
D) Understanding the condition is an X-linked recessive disorder - ANSWER>>>>-B) Preventing
trauma to the body
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute
medical unit. How should the nurse most likely explain the pathophysiology of this patient's health
problem?
A) Toxins have accumulated and inflamed your pancreas
B) Bacteria likely migrated from your intestines and became lodged in your pancreas
