PNH301 final with correct
questions and well explained
correct answers
usr
[COMPANY NAME] [Company address]
,1. In a severely anemic patient, the nurse would expect to find Answer:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing Answer: a. dyspnea + tachycardia
2. When obtaining assessment data from a client with a
microcytic, hypochromic anemia, what would the nurse
question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia Answer: b. dietary intake of iron
3. Nursing interventions for a client w/ severe anemia r/t PUD include
which of the following? (SATA) Answer:
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections Answer: a, c
-high iron diet
-monitor stools for blood
4. Which nursing management actions apply for a client in sickle
cell crisis? (SATA) Answer:
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content Answer: a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
,5. The healthcare provider prescribes levothyroxine (synthroid) for a
client w/ myxedema. After teaching regarding this drug, the
nurse determines that further instruction is needed when the
client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this
drug"
d. "I will report any chest pain or difficulty breathing to the doctor
right away" Answer: b. levothyroxine is lifelong treatment
6. Which of the following are important nursing intervention(s) when
caring for a patient w/ Cushing's syndrome? (SATA) Answer:
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection Answer: b + e
-monitor blood glucose
-protect client from infection
7. How does the nurse instruct the client who is taking corticosteroids
to control adverse effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension Answer:
a. increase calcium intake
8. What does the nurse teach the client regarding the best time to
take corticos- teroids for replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
d. @ consistent intervals every 6-8 hrs Answer: c. on arising and in the late
, afternoon
9. When would the nurse suspect an ankle sprain for the client
being seen at urgent care centre?
questions and well explained
correct answers
usr
[COMPANY NAME] [Company address]
,1. In a severely anemic patient, the nurse would expect to find Answer:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing Answer: a. dyspnea + tachycardia
2. When obtaining assessment data from a client with a
microcytic, hypochromic anemia, what would the nurse
question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia Answer: b. dietary intake of iron
3. Nursing interventions for a client w/ severe anemia r/t PUD include
which of the following? (SATA) Answer:
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections Answer: a, c
-high iron diet
-monitor stools for blood
4. Which nursing management actions apply for a client in sickle
cell crisis? (SATA) Answer:
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content Answer: a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
,5. The healthcare provider prescribes levothyroxine (synthroid) for a
client w/ myxedema. After teaching regarding this drug, the
nurse determines that further instruction is needed when the
client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this
drug"
d. "I will report any chest pain or difficulty breathing to the doctor
right away" Answer: b. levothyroxine is lifelong treatment
6. Which of the following are important nursing intervention(s) when
caring for a patient w/ Cushing's syndrome? (SATA) Answer:
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection Answer: b + e
-monitor blood glucose
-protect client from infection
7. How does the nurse instruct the client who is taking corticosteroids
to control adverse effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension Answer:
a. increase calcium intake
8. What does the nurse teach the client regarding the best time to
take corticos- teroids for replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
d. @ consistent intervals every 6-8 hrs Answer: c. on arising and in the late
, afternoon
9. When would the nurse suspect an ankle sprain for the client
being seen at urgent care centre?
