NUR 216 EXAM #2 QUESTIONS AND ANSWERS | COMPLETE NURSING EXAM #2
STUDY GUIDE 2026/2027
A patient with anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse
would expect the patient's laboratory findings to include:
A) normal red blood cell (RBC) indices - ✔✔D) a hemoglobin (HB) of 8.6 g/L
Which menu choice indicates that the patient understands the nurse's teaching about best dietary
choices for iron-deficiency anemia? - ✔✔B) Omelet and whole wheat toast
A patient who is receiving methotrexate develops a megaloblastic anemia. The nurse will anticipate
teaching the patient about increasing oral intake of - ✔✔C) folic acid
A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about
pernicious anemia, the nurse determines that the patient understands the disorder when the patient
states - ✔✔?? I would rather use the nasal spray than have to get injections of vitamin B12
A patient is hospitalized for treatment of severe hemolytic anemia. An appropriate nursing action for the
patient is to - ✔✔alternate periods of rest and activity
After the nurse has finished teaching a patient about taking oral ferrous sulfate, which patient statement
indicates that additional instruction is needed? - ✔✔?? I will call the doctor if my stools start to turn
black
A patient is admitted to the hospital with idiopathic aplastic anemia. Which of these collaborative
problems will the nurse include when developing the care plan? - ✔✔Potential complication: infection
A patient is admitted to the hospital with a sickle cell crisis. While caring for the patient during the crisis,
it is important for the nurse to - ✔✔evaluate the effectiveness of opioid analgesics
Which statement by a patient with sickle cell anemia indicates good understanding of the nurse's
teaching about prevention of sickle cell crisis? - ✔✔"risk for a crisis can be lowered by having an annual
influenza vaccination
When planning discharge teaching for the patient who was admitted with a sickle cell crisis, which
instruction will the nurse include? - ✔✔Avoid exposure to crowds as much as possible
During the admission assessment of a patient with hemolytic anemia, the nurse notes jaundice of the
sclerae. The nurse will plan to check the laboratory results for - ✔✔the bilirubin level
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis
(DVT) is diagnosed with heparin-induced thrombocytopenia (HIT). Which action will the nurse include in
the plan of care? - ✔✔Flush all intermittent IV lines using normal saline
During treatment of the patient with an acute exacerbation of polycythemia vera, a critical action by the
nurse is to - ✔✔monitor fluid intake and output
, Which nursing intervention will be included in the care plan for a patient with immune
thrombocytopenic purpura (ITP)? - ✔✔??Avoid intramuscular (IM) injections
Which laboratory information will the nurse monitor to detect heparin-induced thrombocytopenia (HIT)
in a patient who is receiving a continuous heparin infusion? - ✔✔Activated partial thromboplastin time
A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in the
right knee. During the initial care of the patient, the nurse should - ✔✔Immobilize the knee
A patient with von Willebrand disease is admitted to the hospital for minor knee surgery. The nurse will
review the coagulation survey to check the - ✔✔Bleeding time
A routine complete blood count indicates that a patient may have myelodysplastic syndrome. At this
time, the nurse will plan to teach the patient about - ✔✔Bone marrow biopsy
Which action will be included in the care plan for a hospitalized patient who is neutropenic? - ✔✔??
check the oral temperature every 4 hours
Which laboratory test will the nurse use to determine whether the prescribed filgrastim (Neupogen) is
effective in the treatment of a patient who is receiving chemotherapy for acute lymphocytic leukemia? -
✔✔Absolute neutrophil count
A 64-year-old with acute myelogenous leukemia (AML) who has induction therapy prescribed asks the
nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is
appropriate? - ✔✔"The side effects of the chemotherapy are difficult, but AML frequently does go into
remission with chemotherapy."
A patient who has a history of a transfusion-related acute lung injury (TRALI) is to receive a transfusion of
packed red blood cells (PRBCs). Which action will the nurse take to decrease the risk for TRALI for this
patient? - ✔✔Transfuse only leukocyte-reduced PRBCs.
A 45-year-old patient with acute myelogenous leukemia (AML) is considering the possibility of treatment
with a hematopoietic stem cell transplant (HSCT). To assist the patient with treatment decisions, the best
approach for the nurse to use is to - ✔✔ask the patient whether there are any questions or concerns
about HSCT.
Which nursing action will be included in the plan of care for a patient admitted with multiple myeloma? -
✔✔Monitor fluid intake and output
A patient with non-Hodgkin's lymphoma develops a platelet count of 18,000/µl during chemotherapy. An
appropriate nursing intervention for the patient based on this finding is to - ✔✔check stools for occult
blood
A 22-year-old with acute myelogenous leukemia who is receiving outpatient chemotherapy develops an
absolute neutrophil count of 900/µl. Which action by the nurse in the outpatient clinic is most
appropriate? - ✔✔Teach the patient how to administer filgrastim (Neupogen) injections at home
STUDY GUIDE 2026/2027
A patient with anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse
would expect the patient's laboratory findings to include:
A) normal red blood cell (RBC) indices - ✔✔D) a hemoglobin (HB) of 8.6 g/L
Which menu choice indicates that the patient understands the nurse's teaching about best dietary
choices for iron-deficiency anemia? - ✔✔B) Omelet and whole wheat toast
A patient who is receiving methotrexate develops a megaloblastic anemia. The nurse will anticipate
teaching the patient about increasing oral intake of - ✔✔C) folic acid
A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about
pernicious anemia, the nurse determines that the patient understands the disorder when the patient
states - ✔✔?? I would rather use the nasal spray than have to get injections of vitamin B12
A patient is hospitalized for treatment of severe hemolytic anemia. An appropriate nursing action for the
patient is to - ✔✔alternate periods of rest and activity
After the nurse has finished teaching a patient about taking oral ferrous sulfate, which patient statement
indicates that additional instruction is needed? - ✔✔?? I will call the doctor if my stools start to turn
black
A patient is admitted to the hospital with idiopathic aplastic anemia. Which of these collaborative
problems will the nurse include when developing the care plan? - ✔✔Potential complication: infection
A patient is admitted to the hospital with a sickle cell crisis. While caring for the patient during the crisis,
it is important for the nurse to - ✔✔evaluate the effectiveness of opioid analgesics
Which statement by a patient with sickle cell anemia indicates good understanding of the nurse's
teaching about prevention of sickle cell crisis? - ✔✔"risk for a crisis can be lowered by having an annual
influenza vaccination
When planning discharge teaching for the patient who was admitted with a sickle cell crisis, which
instruction will the nurse include? - ✔✔Avoid exposure to crowds as much as possible
During the admission assessment of a patient with hemolytic anemia, the nurse notes jaundice of the
sclerae. The nurse will plan to check the laboratory results for - ✔✔the bilirubin level
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis
(DVT) is diagnosed with heparin-induced thrombocytopenia (HIT). Which action will the nurse include in
the plan of care? - ✔✔Flush all intermittent IV lines using normal saline
During treatment of the patient with an acute exacerbation of polycythemia vera, a critical action by the
nurse is to - ✔✔monitor fluid intake and output
, Which nursing intervention will be included in the care plan for a patient with immune
thrombocytopenic purpura (ITP)? - ✔✔??Avoid intramuscular (IM) injections
Which laboratory information will the nurse monitor to detect heparin-induced thrombocytopenia (HIT)
in a patient who is receiving a continuous heparin infusion? - ✔✔Activated partial thromboplastin time
A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in the
right knee. During the initial care of the patient, the nurse should - ✔✔Immobilize the knee
A patient with von Willebrand disease is admitted to the hospital for minor knee surgery. The nurse will
review the coagulation survey to check the - ✔✔Bleeding time
A routine complete blood count indicates that a patient may have myelodysplastic syndrome. At this
time, the nurse will plan to teach the patient about - ✔✔Bone marrow biopsy
Which action will be included in the care plan for a hospitalized patient who is neutropenic? - ✔✔??
check the oral temperature every 4 hours
Which laboratory test will the nurse use to determine whether the prescribed filgrastim (Neupogen) is
effective in the treatment of a patient who is receiving chemotherapy for acute lymphocytic leukemia? -
✔✔Absolute neutrophil count
A 64-year-old with acute myelogenous leukemia (AML) who has induction therapy prescribed asks the
nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is
appropriate? - ✔✔"The side effects of the chemotherapy are difficult, but AML frequently does go into
remission with chemotherapy."
A patient who has a history of a transfusion-related acute lung injury (TRALI) is to receive a transfusion of
packed red blood cells (PRBCs). Which action will the nurse take to decrease the risk for TRALI for this
patient? - ✔✔Transfuse only leukocyte-reduced PRBCs.
A 45-year-old patient with acute myelogenous leukemia (AML) is considering the possibility of treatment
with a hematopoietic stem cell transplant (HSCT). To assist the patient with treatment decisions, the best
approach for the nurse to use is to - ✔✔ask the patient whether there are any questions or concerns
about HSCT.
Which nursing action will be included in the plan of care for a patient admitted with multiple myeloma? -
✔✔Monitor fluid intake and output
A patient with non-Hodgkin's lymphoma develops a platelet count of 18,000/µl during chemotherapy. An
appropriate nursing intervention for the patient based on this finding is to - ✔✔check stools for occult
blood
A 22-year-old with acute myelogenous leukemia who is receiving outpatient chemotherapy develops an
absolute neutrophil count of 900/µl. Which action by the nurse in the outpatient clinic is most
appropriate? - ✔✔Teach the patient how to administer filgrastim (Neupogen) injections at home
