GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
GNRS 558 B- EXAM 2- ELSEVIER EXAM QUESTIONS AND CORRECT
ANSWER LATEST 2025 A+ GRADED
Why does an abnormally low erythrocyte count reduce gas exchange?
A. Pulmonary ventilation is reduced
B. Circulation to the peripheral tissues is reduced.
C. Blood flow is obstructed from increased clot formation.
D. Peripheral oxygen transport is reduced.
D. Peripheral oxygen transport is reduced.
The major component of erythrocytes is hemoglobin, which is responsible for transporting oxygen
through the blood to the tissues for tissue gas exchange. Fewer erythrocytes result in decreased
oxygen transport although circulation to the peripheral tissues is unaffected.Clot formation is not
increased, and pulmonary ventilation (movement of atmospheric air into and out from the lungs) is
not affected
Which body area on a client with darker skin is most appropriate for the nurse to examine for
indications of pallor and cyanosis?
A. Earlobes and bridge of the nose
B. Palms and soles
C. Conjunctiva of the eyes
D. Tongue
C. Conjunctiva of the eyes
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
Pallor and cyanosis are more easily detected in adults with darker skin by examining the oral mucous
membranes and the conjunctiva of the eye, not the palms of the hands or soles of the feet (although
petechiae may be more apparent there). The tongue is a poor indicator of pallor or cyanosis although
changes in texture and color may indicate other hematology problems.
Which question will the nurse ask to assess a client's endurance in performing ADLs?
A. "Do you usually eat supper at home or at a restaurant?"
B. "How would you rate your energy level compared with last year?"
C. "What medications do you take daily, weekly, and monthly?"
D. "Have you lost any weight this past year?"
B. "How would you rate your energy level compared with last year?"
The question the nurse needs to ask the client about endurance in performing ADLs is "How is your
energy level compared with last year"? Asking the client how his or her energy level compares with
last year is an activity exercise question that correctly assesses endurance compared with self-
assessment in the past. None of the other questions are specific to assessment of a client's endurance.
Which symptom reported by a client suggests to the nurse that anemia is a possibility?
A. Chronic headaches
B. Shortness of breath
C. Cold hand and feet
D. Difficulty sleeping
B. Shortness of breath
Shortness of breath is very common with anemia because the blood is not efficient at providing
enough oxygen. Thus, to maintain adequate oxygenation to tissues, the person has to increase his or
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
her respiratory rate. Although cold hands/feet and headaches are associated with anemia, these
symptoms are not specific enough to suggest anemia.
What is the nurse's best response when a client with anemia asks "Why am I feeling tired all the time?"
A. "Your brain is not getting enough oxygen."
B. "How many hours are you sleeping at night?"
C. "You are probably dehydrated."
D. "When you are sick, you need to rest more."
A. "Your brain is not getting enough oxygen."
The nurse's best response to the client complaining about feeling tired all the time is "Your cells are
delivering less oxygen than you need." The single most common symptom of anemia is fatigue, which
occurs because oxygen delivery to cells is less than is required to meet normal oxygen needs.
Which assessment question is most relevant for the nurse to ask a client on warfarin therapy whose
international normalized ratio (INR) is 0.6?
A. "What types of dairy products do you consume on a regular basis?
B. "Have you noticed any bleeding from you gums after brushing or flossing?
C. "How many salads and raw vegetables do you eat per week?
D. "Do you or any member of your family have frequent nose bleeds or bruising?
C. "How many salads and raw vegetables do you eat per week?
The normal INR ranges between 0.8 and 1.1 times the normal control. Lower INRs are associated with
an increased risk for clotting. Clients on warfarin therapy, which is a vitamin K antagonist, are
expected to have INRs between 2.0 and 3.0 depending on why anticoagulation is needed. Increased
vitamin K intake, which is found in raw, leafy green vegetables, reduces the effectiveness of this drug.
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
Which laboratory blood test results for a client undergoing hematologic assessment does the nurse
report immediately to the prescriber?
A. Platelets 185,000/mm3
B. INR 1.2
C. Red blood cell count 1.2 million/mm3
D. Hematocrit 36%
C. Red blood cell count 1.2 million/mm3
All of these test results are in the low to low-normal range. However, the parameter most abnormal is
the red blood cell count. The normal range is 4.2 to 6.1 × 106/micL (4.2 to 6.1 × 1012cells/L. This
client's value is dangerously below normal.
Which client laboratory trend indicates to the nurse that the prescribed erythropoietin therapy is
effective?
A. Rising reticulocyte count
B. Rising platelet count
C. Decreasing albumin levels
D. Decreasing white blood cell count
A. Rising reticulocyte count
Erythropoietin stimulates the bone marrow to produce more new red blood cells. A rising reticulocyte
count reflects bone marrow release of new and less mature erythrocytes.
07/29/2025
ANSWER LATEST 2025 A+ GRADED
GNRS 558 B- EXAM 2- ELSEVIER EXAM QUESTIONS AND CORRECT
ANSWER LATEST 2025 A+ GRADED
Why does an abnormally low erythrocyte count reduce gas exchange?
A. Pulmonary ventilation is reduced
B. Circulation to the peripheral tissues is reduced.
C. Blood flow is obstructed from increased clot formation.
D. Peripheral oxygen transport is reduced.
D. Peripheral oxygen transport is reduced.
The major component of erythrocytes is hemoglobin, which is responsible for transporting oxygen
through the blood to the tissues for tissue gas exchange. Fewer erythrocytes result in decreased
oxygen transport although circulation to the peripheral tissues is unaffected.Clot formation is not
increased, and pulmonary ventilation (movement of atmospheric air into and out from the lungs) is
not affected
Which body area on a client with darker skin is most appropriate for the nurse to examine for
indications of pallor and cyanosis?
A. Earlobes and bridge of the nose
B. Palms and soles
C. Conjunctiva of the eyes
D. Tongue
C. Conjunctiva of the eyes
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
Pallor and cyanosis are more easily detected in adults with darker skin by examining the oral mucous
membranes and the conjunctiva of the eye, not the palms of the hands or soles of the feet (although
petechiae may be more apparent there). The tongue is a poor indicator of pallor or cyanosis although
changes in texture and color may indicate other hematology problems.
Which question will the nurse ask to assess a client's endurance in performing ADLs?
A. "Do you usually eat supper at home or at a restaurant?"
B. "How would you rate your energy level compared with last year?"
C. "What medications do you take daily, weekly, and monthly?"
D. "Have you lost any weight this past year?"
B. "How would you rate your energy level compared with last year?"
The question the nurse needs to ask the client about endurance in performing ADLs is "How is your
energy level compared with last year"? Asking the client how his or her energy level compares with
last year is an activity exercise question that correctly assesses endurance compared with self-
assessment in the past. None of the other questions are specific to assessment of a client's endurance.
Which symptom reported by a client suggests to the nurse that anemia is a possibility?
A. Chronic headaches
B. Shortness of breath
C. Cold hand and feet
D. Difficulty sleeping
B. Shortness of breath
Shortness of breath is very common with anemia because the blood is not efficient at providing
enough oxygen. Thus, to maintain adequate oxygenation to tissues, the person has to increase his or
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
her respiratory rate. Although cold hands/feet and headaches are associated with anemia, these
symptoms are not specific enough to suggest anemia.
What is the nurse's best response when a client with anemia asks "Why am I feeling tired all the time?"
A. "Your brain is not getting enough oxygen."
B. "How many hours are you sleeping at night?"
C. "You are probably dehydrated."
D. "When you are sick, you need to rest more."
A. "Your brain is not getting enough oxygen."
The nurse's best response to the client complaining about feeling tired all the time is "Your cells are
delivering less oxygen than you need." The single most common symptom of anemia is fatigue, which
occurs because oxygen delivery to cells is less than is required to meet normal oxygen needs.
Which assessment question is most relevant for the nurse to ask a client on warfarin therapy whose
international normalized ratio (INR) is 0.6?
A. "What types of dairy products do you consume on a regular basis?
B. "Have you noticed any bleeding from you gums after brushing or flossing?
C. "How many salads and raw vegetables do you eat per week?
D. "Do you or any member of your family have frequent nose bleeds or bruising?
C. "How many salads and raw vegetables do you eat per week?
The normal INR ranges between 0.8 and 1.1 times the normal control. Lower INRs are associated with
an increased risk for clotting. Clients on warfarin therapy, which is a vitamin K antagonist, are
expected to have INRs between 2.0 and 3.0 depending on why anticoagulation is needed. Increased
vitamin K intake, which is found in raw, leafy green vegetables, reduces the effectiveness of this drug.
, GNRS 558 B- EXAM 2- ELSEVIER QUESTIONS AND CORRECT
07/29/2025
ANSWER LATEST 2025 A+ GRADED
Which laboratory blood test results for a client undergoing hematologic assessment does the nurse
report immediately to the prescriber?
A. Platelets 185,000/mm3
B. INR 1.2
C. Red blood cell count 1.2 million/mm3
D. Hematocrit 36%
C. Red blood cell count 1.2 million/mm3
All of these test results are in the low to low-normal range. However, the parameter most abnormal is
the red blood cell count. The normal range is 4.2 to 6.1 × 106/micL (4.2 to 6.1 × 1012cells/L. This
client's value is dangerously below normal.
Which client laboratory trend indicates to the nurse that the prescribed erythropoietin therapy is
effective?
A. Rising reticulocyte count
B. Rising platelet count
C. Decreasing albumin levels
D. Decreasing white blood cell count
A. Rising reticulocyte count
Erythropoietin stimulates the bone marrow to produce more new red blood cells. A rising reticulocyte
count reflects bone marrow release of new and less mature erythrocytes.
