PNH 301 Final Exam – Comprehensive Study Guide and
Practice Questions
a. dyspnea + tachycardia - ANS✔✔ In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing
b. dietary intake of iron - ANS✔✔ 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
a+c
- high iron diet
- monitor stools for blood - ANS✔✔ Nursing interventions for a client w/ severe anemia r/t PUD
include which of the following? (SATA):
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
,a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis - ANS✔✔ Which nursing management actions apply for a client in
sickle cell crisis? (SATA):
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
b. levothyroxine is lifelong treatment - ANS✔✔ 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"
b+e
- monitor blood glucose
- protect client from infection - ANS✔✔ Which of the following are important nursing
intervention(s) when caring for a patient w/ Cushing's syndrome? (SATA):
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
a. increase calcium intake - ANS✔✔ 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
c. on arising and in the late afternoon - ANS✔✔ What does the nurse teach the client regarding
the best time to take corticosteroids 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
d. twisting injury while running bases - ANS✔✔ When would the nurse suspect an ankle sprain
for the client being seen at urgent care centre?
a. client was hit by another soccer player on the field
b. client has ankle pain after sprinting around the track
c. client dropped 4.5kg weight on his lower leg at the gym.
d. client had a twisting injury while running bases during a baseball game.
a. callus formation - ANS✔✔ The nurse explains to a client with a distal tibial fracture returning
for a 3 week checkup that healing is indicated by which of the following?
a. callus formation
Practice Questions
a. dyspnea + tachycardia - ANS✔✔ In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing
b. dietary intake of iron - ANS✔✔ 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
a+c
- high iron diet
- monitor stools for blood - ANS✔✔ Nursing interventions for a client w/ severe anemia r/t PUD
include which of the following? (SATA):
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
,a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis - ANS✔✔ Which nursing management actions apply for a client in
sickle cell crisis? (SATA):
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
b. levothyroxine is lifelong treatment - ANS✔✔ 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"
b+e
- monitor blood glucose
- protect client from infection - ANS✔✔ Which of the following are important nursing
intervention(s) when caring for a patient w/ Cushing's syndrome? (SATA):
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
a. increase calcium intake - ANS✔✔ 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
c. on arising and in the late afternoon - ANS✔✔ What does the nurse teach the client regarding
the best time to take corticosteroids 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
d. twisting injury while running bases - ANS✔✔ When would the nurse suspect an ankle sprain
for the client being seen at urgent care centre?
a. client was hit by another soccer player on the field
b. client has ankle pain after sprinting around the track
c. client dropped 4.5kg weight on his lower leg at the gym.
d. client had a twisting injury while running bases during a baseball game.
a. callus formation - ANS✔✔ The nurse explains to a client with a distal tibial fracture returning
for a 3 week checkup that healing is indicated by which of the following?
a. callus formation
