1. A nurse is caring for a client who is receiving chemotherapy and has
developed anemia. The nurse should anticipate administering which of
the following treatments?
A. Iron supplements
B. Erythropoiesis-stimulating agents
C. Vitamin B12 injections
D. Platelet transfusions
Answer: B. Erythropoiesis-stimulating agents
Rationale: Erythropoiesis-stimulating agents promote the production
of red blood cells, which can be helpful for clients with chemotherapy-
induced anemia.
2. A nurse is caring for a client with an elevated white blood cell count.
The nurse should assess the client for which of the following?
A. Infection
B. Dehydration
C. Hypoxia
D. Thrombosis
Answer: A. Infection
Rationale: An elevated white blood cell count typically indicates an
immune response, often due to an infection.
,3. A nurse is caring for a client with anemia. The nurse understands
that which of the following conditions is the most common cause of
anemia in adults?
A. Iron deficiency
B. Vitamin B12 deficiency
C. Sickle cell disease
D. Aplastic anemia
Answer: A. Iron deficiency
Rationale: Iron deficiency anemia is the most common type of anemia in
adults, often due to inadequate dietary intake or chronic blood loss.
4. A nurse is assessing a client with a history of sickle cell disease. The
nurse should expect to find which of the following during a crisis?
A. Increased blood pressure
B. Severe pain
C. Jaundice
D. Pallor
Answer: B. Severe pain
Rationale: A sickle cell crisis occurs when sickled red blood cells block
blood flow, causing tissue ischemia and severe pain.
, 5. A nurse is assessing a client with suspected leukemia. Which of the
following findings would be most indicative of leukemia?
A. Cyanosis
B. Jaundice
C. Unexplained bruising
D. Muscle wasting
Answer: C. Unexplained bruising
Rationale: Leukemia is characterized by abnormal white blood cell
production, which can lead to bleeding disorders, such as unexplained
bruising due to thrombocytopenia.
6. A client has been diagnosed with polycythemia vera. The nurse
should assess the client for which of the following symptoms?
A. Jaundice
B. Weight loss
C. Enlarged spleen
D. Hypotension
Answer: C. Enlarged spleen
Rationale: Polycythemia vera is characterized by an increase in red
blood cell production, leading to an enlarged spleen (splenomegaly) as
it works harder to filter the excess cells.
developed anemia. The nurse should anticipate administering which of
the following treatments?
A. Iron supplements
B. Erythropoiesis-stimulating agents
C. Vitamin B12 injections
D. Platelet transfusions
Answer: B. Erythropoiesis-stimulating agents
Rationale: Erythropoiesis-stimulating agents promote the production
of red blood cells, which can be helpful for clients with chemotherapy-
induced anemia.
2. A nurse is caring for a client with an elevated white blood cell count.
The nurse should assess the client for which of the following?
A. Infection
B. Dehydration
C. Hypoxia
D. Thrombosis
Answer: A. Infection
Rationale: An elevated white blood cell count typically indicates an
immune response, often due to an infection.
,3. A nurse is caring for a client with anemia. The nurse understands
that which of the following conditions is the most common cause of
anemia in adults?
A. Iron deficiency
B. Vitamin B12 deficiency
C. Sickle cell disease
D. Aplastic anemia
Answer: A. Iron deficiency
Rationale: Iron deficiency anemia is the most common type of anemia in
adults, often due to inadequate dietary intake or chronic blood loss.
4. A nurse is assessing a client with a history of sickle cell disease. The
nurse should expect to find which of the following during a crisis?
A. Increased blood pressure
B. Severe pain
C. Jaundice
D. Pallor
Answer: B. Severe pain
Rationale: A sickle cell crisis occurs when sickled red blood cells block
blood flow, causing tissue ischemia and severe pain.
, 5. A nurse is assessing a client with suspected leukemia. Which of the
following findings would be most indicative of leukemia?
A. Cyanosis
B. Jaundice
C. Unexplained bruising
D. Muscle wasting
Answer: C. Unexplained bruising
Rationale: Leukemia is characterized by abnormal white blood cell
production, which can lead to bleeding disorders, such as unexplained
bruising due to thrombocytopenia.
6. A client has been diagnosed with polycythemia vera. The nurse
should assess the client for which of the following symptoms?
A. Jaundice
B. Weight loss
C. Enlarged spleen
D. Hypotension
Answer: C. Enlarged spleen
Rationale: Polycythemia vera is characterized by an increase in red
blood cell production, leading to an enlarged spleen (splenomegaly) as
it works harder to filter the excess cells.
