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NUR 417
NUR 417: Exam1 Care of Adult II – Concordia
University St. Paul 2025/2026.
1. The nurse observes scleral jaundice in a patient being admitted with
hemolytic anemia. Which laboratory result would the nurse check? a.
Schilling test
b. Bilirubin level
c. Stool occult blood
d. Gastric acid analysis: b. Bilirubin level
2. A patient who has been receiving IV heparin infusion and oral warfarn
(Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-
induced thrombocytopenia (HIT)
when the platelet level drops to 110,000/uL. Which action wil the nurse
anticipate including in the plan of care?
a. Preparing for platelet transfusion
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b. Discontinuing the heparin infusion
c. Administering prescribed warfarin (Coumadin)
d. Giving low-molecular-weight heparin (LMWH): b. Discontinuing the
heparin infusion
3. Which action would the nurse implement when caring for a patient who
has an acute exacerbation of polycythemia vera? a. Place the patient on bed
rest
b. Administer iron supplements
c. Avoid use of aspirin products
d. Monitor fluid intake and output: d. Monitor fluid intake and output
4. Which intervention will the nurse include in the plan of care for a patient
with immune thrombocytopenic purpura?
a. Assign the patient to a private room
b. Avoid intramuscular (IM) injections
c. Use rinses rather than a soft toothbrush for oral care.
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d. Restrict activity to passive and active range of motion.: b. Avoid
intramuscular (IM) injections
5. The nurse is caring for a patient who has type A hemophilia and is being
admitted to the hospital with severe pain and swelling in the right knee. Which
action would the nurse take? a. Apply heat to the knee.
b. Immobilize the joint
c. Assist the patient with light weight-bearing
d. Perform passive range-of-motion to the knee: b. Immobilize the joint
6. A young adult who is receiving desmopressin acetate (DDAVP) to treat von
Willebrand disease is admitted to the hospital for minor surgery. Which
laboratory value would the nurse monitor? a. Platelet count
b. Bleeding time
c. Thrombin time
d. Prothrombin time: b. Bleeding time
7. A routine complete blood count for an active older man indicates possible
myelodysplastic syndrome. Which procedure would the nurse plan to explain
to the patient?
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a. Blood transfusion
b. Bone marrow biopsy
c. Filgrastim administration
d. Erythropoietin administration: b. Bone marrow biopsy
8. Which action would the admitting nurse include in the plan of care for a
patient who has neutropenia?
a. Avoid intramuscular injections
b. Check temperature every 4 hours
c. Place a "No Visitors" sign on the door
d. Omit fruits and vegetables from the diet: b. Check temperature every 4
hours
9. Which laboratory test will the nurse use to determine whether a prescribed
myeloid growth factor is effective for a patient with acute lymphocytic
leukemia who is receiving chemotherapy? a. Platelet count
b. Reticulocyte count
c. Total lymphocyte count
NUR 417
NUR 417
NUR 417: Exam1 Care of Adult II – Concordia
University St. Paul 2025/2026.
1. The nurse observes scleral jaundice in a patient being admitted with
hemolytic anemia. Which laboratory result would the nurse check? a.
Schilling test
b. Bilirubin level
c. Stool occult blood
d. Gastric acid analysis: b. Bilirubin level
2. A patient who has been receiving IV heparin infusion and oral warfarn
(Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-
induced thrombocytopenia (HIT)
when the platelet level drops to 110,000/uL. Which action wil the nurse
anticipate including in the plan of care?
a. Preparing for platelet transfusion
NUR 417
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NUR 417
b. Discontinuing the heparin infusion
c. Administering prescribed warfarin (Coumadin)
d. Giving low-molecular-weight heparin (LMWH): b. Discontinuing the
heparin infusion
3. Which action would the nurse implement when caring for a patient who
has an acute exacerbation of polycythemia vera? a. Place the patient on bed
rest
b. Administer iron supplements
c. Avoid use of aspirin products
d. Monitor fluid intake and output: d. Monitor fluid intake and output
4. Which intervention will the nurse include in the plan of care for a patient
with immune thrombocytopenic purpura?
a. Assign the patient to a private room
b. Avoid intramuscular (IM) injections
c. Use rinses rather than a soft toothbrush for oral care.
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d. Restrict activity to passive and active range of motion.: b. Avoid
intramuscular (IM) injections
5. The nurse is caring for a patient who has type A hemophilia and is being
admitted to the hospital with severe pain and swelling in the right knee. Which
action would the nurse take? a. Apply heat to the knee.
b. Immobilize the joint
c. Assist the patient with light weight-bearing
d. Perform passive range-of-motion to the knee: b. Immobilize the joint
6. A young adult who is receiving desmopressin acetate (DDAVP) to treat von
Willebrand disease is admitted to the hospital for minor surgery. Which
laboratory value would the nurse monitor? a. Platelet count
b. Bleeding time
c. Thrombin time
d. Prothrombin time: b. Bleeding time
7. A routine complete blood count for an active older man indicates possible
myelodysplastic syndrome. Which procedure would the nurse plan to explain
to the patient?
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a. Blood transfusion
b. Bone marrow biopsy
c. Filgrastim administration
d. Erythropoietin administration: b. Bone marrow biopsy
8. Which action would the admitting nurse include in the plan of care for a
patient who has neutropenia?
a. Avoid intramuscular injections
b. Check temperature every 4 hours
c. Place a "No Visitors" sign on the door
d. Omit fruits and vegetables from the diet: b. Check temperature every 4
hours
9. Which laboratory test will the nurse use to determine whether a prescribed
myeloid growth factor is effective for a patient with acute lymphocytic
leukemia who is receiving chemotherapy? a. Platelet count
b. Reticulocyte count
c. Total lymphocyte count
NUR 417
