1. A nurse is caring for a client who is undergoing chemotherapy and is
experiencing neutropenia. Which of the following should the nurse
implement to reduce the client’s risk for infection?
A. Place the client in a room with another patient to decrease isolation.
B. Ensure that all staff and visitors wear masks and gloves.
C. Restrict all visitors from coming into the room.
D. Offer the client fresh fruits and vegetables to promote nutrition.
Answer: B. Ensure that all staff and visitors wear masks and gloves.
Rationale: Neutropenic clients are at high risk for infection, so
precautions such as wearing personal protective equipment (PPE) by
staff and visitors can help reduce exposure to pathogens.
2. A nurse is caring for a client with chronic anemia. The nurse should
assess the client for which of the following symptoms?
A. Night sweats
B. Weight loss
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Chronic anemia reduces oxygen-carrying capacity, leading
to fatigue as a common symptom due to tissue hypoxia.
,3. A nurse is caring for a client who has a history of frequent blood
transfusions. The nurse should monitor for which of the following
complications?
A. Iron overload
B. Hypokalemia
C. Hypoglycemia
D. Hypernatremia
Answer: A. Iron overload
Rationale: Repeated blood transfusions can lead to iron overload, as the
body has no way to eliminate the excess iron, which can damage
organs.
4. A nurse is reviewing a client’s laboratory results and notices a high
white blood cell count. Which of the following conditions is most likely
responsible?
A. Hypothyroidism
B. Acute infection
C. Hypertension
D. Hyperglycemia
Answer: B. Acute infection
Rationale: An elevated white blood cell count is a common response to
infection, as the body produces more white blood cells to fight off
pathogens.
, 5. A nurse is caring for a client who is at risk for iron deficiency anemia.
The nurse should instruct the client to increase intake of which of the
following?
A. Citrus fruits
B. Whole grains
C. Leafy green vegetables
D. Red meat
Answer: D. Red meat
Rationale: Red meat is a good source of heme iron, which is more easily
absorbed by the body compared to non-heme iron from plant sources.
6. A nurse is caring for a client with thrombocytosis. The nurse should
assess for which of the following complications?
A. Stroke
B. Infection
C. Anemia
D. Hyperkalemia
Answer: A. Stroke
Rationale: Thrombocytosis involves an elevated platelet count, which
increases the risk of clot formation and can lead to complications such
as stroke.
experiencing neutropenia. Which of the following should the nurse
implement to reduce the client’s risk for infection?
A. Place the client in a room with another patient to decrease isolation.
B. Ensure that all staff and visitors wear masks and gloves.
C. Restrict all visitors from coming into the room.
D. Offer the client fresh fruits and vegetables to promote nutrition.
Answer: B. Ensure that all staff and visitors wear masks and gloves.
Rationale: Neutropenic clients are at high risk for infection, so
precautions such as wearing personal protective equipment (PPE) by
staff and visitors can help reduce exposure to pathogens.
2. A nurse is caring for a client with chronic anemia. The nurse should
assess the client for which of the following symptoms?
A. Night sweats
B. Weight loss
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Chronic anemia reduces oxygen-carrying capacity, leading
to fatigue as a common symptom due to tissue hypoxia.
,3. A nurse is caring for a client who has a history of frequent blood
transfusions. The nurse should monitor for which of the following
complications?
A. Iron overload
B. Hypokalemia
C. Hypoglycemia
D. Hypernatremia
Answer: A. Iron overload
Rationale: Repeated blood transfusions can lead to iron overload, as the
body has no way to eliminate the excess iron, which can damage
organs.
4. A nurse is reviewing a client’s laboratory results and notices a high
white blood cell count. Which of the following conditions is most likely
responsible?
A. Hypothyroidism
B. Acute infection
C. Hypertension
D. Hyperglycemia
Answer: B. Acute infection
Rationale: An elevated white blood cell count is a common response to
infection, as the body produces more white blood cells to fight off
pathogens.
, 5. A nurse is caring for a client who is at risk for iron deficiency anemia.
The nurse should instruct the client to increase intake of which of the
following?
A. Citrus fruits
B. Whole grains
C. Leafy green vegetables
D. Red meat
Answer: D. Red meat
Rationale: Red meat is a good source of heme iron, which is more easily
absorbed by the body compared to non-heme iron from plant sources.
6. A nurse is caring for a client with thrombocytosis. The nurse should
assess for which of the following complications?
A. Stroke
B. Infection
C. Anemia
D. Hyperkalemia
Answer: A. Stroke
Rationale: Thrombocytosis involves an elevated platelet count, which
increases the risk of clot formation and can lead to complications such
as stroke.
