NUR 334 - Exam 1 Practice Questions
A nurse in a clinic receives a phone call from a client seeking information about a new
prescription of erythropoietin. Which of the following information should the nurse review
with the client?
A) The client needs an erythrocyte sedimentation rate (ESR) test weekly.
B) The client should have their hemoglobin checked twice a week.
C) Oxygen saturation levels should be monitored.
D) Folic acid production will increase. - answerB) The client should have their
hemoglobin checked twice a week.
- Hemoglobin and hematocrit will be monitored twice a week until target levels are
reached.
A nurse is completing an integumentary assessment of a client who has anemia. Which
of the following findings should the nurse expect?
A) absent skin turgor
B) spoon-shaped nails
C) shiny, hairless legs
D) yellow mucous membranes - answerB) spoon-shaped nails
A nurse is planning care for a client with an Hgb of 7.5g/dL and Hct of 21.5%. Which of
the following actions should the nurse include in the plan of care? Select all that apply.
A) provide assistance with ambulation
B) monitor oxygen saturation
C) weight the client weekly
D) obtain stool specimen for occult blood
E) schedule daily rest periods - answerA) provide assistance with ambulation
B) monitor oxygen
D) obtain a stool specimen
E) schedule daily rest periods
What type of anemia results from red blood cell destruction?
A) iron deficiency
B) hemolytic
C) hypoproliferative
D) none of the above - answerB) hemolytic anemia
- hemolytic anemia results from premature destruction of erythrocytes resulting in the
liberation of hemoglobin from the erythrocytes into the plasma. The bilirubin
concentration rises, increasing erythrocyte destruction = tissue hypoxia
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the
following information should the nurse include in the teaching?
A) stools will be dark red
, B) take the a glass of milk, if GI upset occurs
C) foods high in vitamin C will promote absorption
D) take for 14 days - answerC) foods with vitamin C will promote absorption
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach
cancer. Which of the following information should the nurse include in the teaching?
Select all that apply.
A) you will need a monthly injection of vitamin B12 for the rest of your life.
B) using the nasal spray form of vitamin B12 on a daily basis can be an option.
C) an oral supplement of vitamin B12 taken on a daily basis can be an option.
D) you should increase your intake of animal proteins, legumes, and dairy products to
increase B12 in the diet.
E) add soy milk fortified with B12 to your diet to decrease the risk of pernicious anemia.
- answerA) you will need a monthly injection of vitamin B12 for the rest of your life.
B) using the nasal spray form of vitamin B12 on a daily basis can be an option.
The nurse recognizes that a deficiency in a clotting factor may cause which findings?
Select all that apply.
A) easy bruising and cutaneous hematoma formation with minor trauma.
B) bleeding from the gums and prolonged bleeding with minor injuries or cuts.
C) enhanced platelet aggregation and increased clumping of RBC's.
D) fibrin molecules form fibrin threads to increase wound healing.
E) yellowish skin color - answerA) easy bruising and cutaneous hematoma formation
with minor trauma.
B) bleeding from the gums and prolonged bleeding with minor injuries or cuts.
- deficiencies in clotting factors increase bleeding, leading to easy bruising, hematoma
formation & prolonged bleeding.
- platelet & wound healing will be decreased.
A 72 year old patient presents with complaints of fatigue, dyspnea on exertion, and
numbness in her fingers and toes. The nurse correlates these findings to which
condition?
A) thrombocytopenia
B) thrombocytosis
C) vitamin B12 deficiency anemia
D) iron deficiency anemia - answerC) vitamin B12 deficiency anemia
- symptoms include SOB, fatigue, dizziness, confusion, depression, impaired taste,
visual impairment, etc.
Is the following statement true or false?
Polycythemia is a form of anemia. - answerFalse
The nurse is assigned to a patient with thrombocytopenia. What is the priority goal of
nursing care?
A) prevention of infection
B) prevention of injury
A nurse in a clinic receives a phone call from a client seeking information about a new
prescription of erythropoietin. Which of the following information should the nurse review
with the client?
A) The client needs an erythrocyte sedimentation rate (ESR) test weekly.
B) The client should have their hemoglobin checked twice a week.
C) Oxygen saturation levels should be monitored.
D) Folic acid production will increase. - answerB) The client should have their
hemoglobin checked twice a week.
- Hemoglobin and hematocrit will be monitored twice a week until target levels are
reached.
A nurse is completing an integumentary assessment of a client who has anemia. Which
of the following findings should the nurse expect?
A) absent skin turgor
B) spoon-shaped nails
C) shiny, hairless legs
D) yellow mucous membranes - answerB) spoon-shaped nails
A nurse is planning care for a client with an Hgb of 7.5g/dL and Hct of 21.5%. Which of
the following actions should the nurse include in the plan of care? Select all that apply.
A) provide assistance with ambulation
B) monitor oxygen saturation
C) weight the client weekly
D) obtain stool specimen for occult blood
E) schedule daily rest periods - answerA) provide assistance with ambulation
B) monitor oxygen
D) obtain a stool specimen
E) schedule daily rest periods
What type of anemia results from red blood cell destruction?
A) iron deficiency
B) hemolytic
C) hypoproliferative
D) none of the above - answerB) hemolytic anemia
- hemolytic anemia results from premature destruction of erythrocytes resulting in the
liberation of hemoglobin from the erythrocytes into the plasma. The bilirubin
concentration rises, increasing erythrocyte destruction = tissue hypoxia
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the
following information should the nurse include in the teaching?
A) stools will be dark red
, B) take the a glass of milk, if GI upset occurs
C) foods high in vitamin C will promote absorption
D) take for 14 days - answerC) foods with vitamin C will promote absorption
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach
cancer. Which of the following information should the nurse include in the teaching?
Select all that apply.
A) you will need a monthly injection of vitamin B12 for the rest of your life.
B) using the nasal spray form of vitamin B12 on a daily basis can be an option.
C) an oral supplement of vitamin B12 taken on a daily basis can be an option.
D) you should increase your intake of animal proteins, legumes, and dairy products to
increase B12 in the diet.
E) add soy milk fortified with B12 to your diet to decrease the risk of pernicious anemia.
- answerA) you will need a monthly injection of vitamin B12 for the rest of your life.
B) using the nasal spray form of vitamin B12 on a daily basis can be an option.
The nurse recognizes that a deficiency in a clotting factor may cause which findings?
Select all that apply.
A) easy bruising and cutaneous hematoma formation with minor trauma.
B) bleeding from the gums and prolonged bleeding with minor injuries or cuts.
C) enhanced platelet aggregation and increased clumping of RBC's.
D) fibrin molecules form fibrin threads to increase wound healing.
E) yellowish skin color - answerA) easy bruising and cutaneous hematoma formation
with minor trauma.
B) bleeding from the gums and prolonged bleeding with minor injuries or cuts.
- deficiencies in clotting factors increase bleeding, leading to easy bruising, hematoma
formation & prolonged bleeding.
- platelet & wound healing will be decreased.
A 72 year old patient presents with complaints of fatigue, dyspnea on exertion, and
numbness in her fingers and toes. The nurse correlates these findings to which
condition?
A) thrombocytopenia
B) thrombocytosis
C) vitamin B12 deficiency anemia
D) iron deficiency anemia - answerC) vitamin B12 deficiency anemia
- symptoms include SOB, fatigue, dizziness, confusion, depression, impaired taste,
visual impairment, etc.
Is the following statement true or false?
Polycythemia is a form of anemia. - answerFalse
The nurse is assigned to a patient with thrombocytopenia. What is the priority goal of
nursing care?
A) prevention of infection
B) prevention of injury
