NRS 3025 EXAM 1 2026/2027 | NURSING STUDY GUIDE, PRACTICE
QUESTIONS, ANSWERS & EXAM REVIEW
provides a definitive diagnosis, tells (1) site of origin, and (2) cell characteristics - correct answer
✔✔What is a biopsy?
sternum or iliac crest - correct answer ✔✔Where can a bone marrow biopsy be taken from?
camera enters through the mouth and looks at the upper GI - correct answer ✔✔What is an endoscopy?
camera enters through incision in the stomach to view the GI tract and pelvis - correct answer ✔✔What
is a laparoscopy?
removing a portion of the blood - correct answer ✔✔What is a thoracotomy?
bleeding + respiratory depression - correct answer ✔✔What should you monitor post-biopsy?
1,000 - correct answer ✔✔What ANC is immunosuppression?
3,000-7,000 - correct answer ✔✔What is the normal value of ANC?
low neutrophils - correct answer ✔✔What is neutropenia?
private room, hand hygiene, no invasive procedures, dedicated equipment, no flowers, no fruit - correct
answer ✔✔What are neutropenic precautions?
nausea/vomiting + anorexia, alopecia, neuropathy, anemia, thrombocytopenia, pancytopenia, mucositis,
stomatitis - correct answer ✔✔What are the most common side effects of chemotherapy?
inflammation of the mucous lining in the upper GI - correct answer ✔✔What is mucositis?
inflammation in the oral cavity - correct answer ✔✔What is stomatitis?
external radiation therapy - correct answer ✔✔What is teletherapy?
internal radiation therapy - correct answer ✔✔What is brachytherapy?
skin breakdown + impaired wound healing, fatigue, hair loss - correct answer ✔✔What are the main side
effects of radiation therapy?
low Hgb - correct answer ✔✔What is anemia?
low iron in the blood - correct answer ✔✔What is iron deficiency anemia?
brittle fingernails, bleeding, pallor of conjunctiva - correct answer ✔✔What are S/S of iron deficiency
anemia?
, low serum iron, low blood ferritin, high total iron-binding capacity - correct answer ✔✔What labs
indicate iron deficiency anemia?
between meals - correct answer ✔✔When should you take iron supplements to increase absorption?
Vitamin B12 = low B12
Pernicious = deficiency of intrinsic factor that is necessary for absorption of B12 - correct answer
✔✔What is the difference between vitamin B12 and pernicious Anemia?
peripheral neuropathy - correct answer ✔✔What is the main S/S of vitamin B12/pernicious anemia?
Schilling test - correct answer ✔✔What test can be done to differentiate between vitamin B12 and
pernicious anemia?
RBCs become malformed during periods of stress and block capillaries - correct answer ✔✔What is
sickle cell anemia?
pain, fatigue - correct answer ✔✔What are the main S/S of sickle cell anemia?
management of pain, hydration - correct answer ✔✔What are the treatment goals of sickle cell anemia?
abnormal proliferation of RBCs (high RBCs) - correct answer ✔✔What is polycythemia vera?
phlebotomy (removal of excess blood) and medications: aspirin, antihistamines, hydroxyurea - correct
answer ✔✔How do you treat polycythemia vera?
Suppresses bone marrow's ability to produce RBCs - correct answer ✔✔What does hydroxyurea do?
clotting + bleeding at the same time - correct answer ✔✔What is DIC?
TREAT UNDERLYING CAUSE! - correct answer ✔✔How do you treat DIC?
heparin - correct answer ✔✔What meds treat DIC?
internal + external bleeding --> ischemia - correct answer ✔✔What are the risks of DIC?
decreased Hgb, platelets, and fibrinogen
increased prothrombin time (Pt), partial thromboplastin (ptt), fibrin degradation products, D-dimer -
correct answer ✔✔What lab findings indicate DIC?
an autoimmune disorder that shortens the lifespan of platelets typically after C-section or lacerations -
correct answer ✔✔What is ITP?
asymptomatic or petechiae - correct answer ✔✔What are S/S of ITP?
female 20-50, other autoimmune disorders - correct answer ✔✔What are the risk factors of ITP?
QUESTIONS, ANSWERS & EXAM REVIEW
provides a definitive diagnosis, tells (1) site of origin, and (2) cell characteristics - correct answer
✔✔What is a biopsy?
sternum or iliac crest - correct answer ✔✔Where can a bone marrow biopsy be taken from?
camera enters through the mouth and looks at the upper GI - correct answer ✔✔What is an endoscopy?
camera enters through incision in the stomach to view the GI tract and pelvis - correct answer ✔✔What
is a laparoscopy?
removing a portion of the blood - correct answer ✔✔What is a thoracotomy?
bleeding + respiratory depression - correct answer ✔✔What should you monitor post-biopsy?
1,000 - correct answer ✔✔What ANC is immunosuppression?
3,000-7,000 - correct answer ✔✔What is the normal value of ANC?
low neutrophils - correct answer ✔✔What is neutropenia?
private room, hand hygiene, no invasive procedures, dedicated equipment, no flowers, no fruit - correct
answer ✔✔What are neutropenic precautions?
nausea/vomiting + anorexia, alopecia, neuropathy, anemia, thrombocytopenia, pancytopenia, mucositis,
stomatitis - correct answer ✔✔What are the most common side effects of chemotherapy?
inflammation of the mucous lining in the upper GI - correct answer ✔✔What is mucositis?
inflammation in the oral cavity - correct answer ✔✔What is stomatitis?
external radiation therapy - correct answer ✔✔What is teletherapy?
internal radiation therapy - correct answer ✔✔What is brachytherapy?
skin breakdown + impaired wound healing, fatigue, hair loss - correct answer ✔✔What are the main side
effects of radiation therapy?
low Hgb - correct answer ✔✔What is anemia?
low iron in the blood - correct answer ✔✔What is iron deficiency anemia?
brittle fingernails, bleeding, pallor of conjunctiva - correct answer ✔✔What are S/S of iron deficiency
anemia?
, low serum iron, low blood ferritin, high total iron-binding capacity - correct answer ✔✔What labs
indicate iron deficiency anemia?
between meals - correct answer ✔✔When should you take iron supplements to increase absorption?
Vitamin B12 = low B12
Pernicious = deficiency of intrinsic factor that is necessary for absorption of B12 - correct answer
✔✔What is the difference between vitamin B12 and pernicious Anemia?
peripheral neuropathy - correct answer ✔✔What is the main S/S of vitamin B12/pernicious anemia?
Schilling test - correct answer ✔✔What test can be done to differentiate between vitamin B12 and
pernicious anemia?
RBCs become malformed during periods of stress and block capillaries - correct answer ✔✔What is
sickle cell anemia?
pain, fatigue - correct answer ✔✔What are the main S/S of sickle cell anemia?
management of pain, hydration - correct answer ✔✔What are the treatment goals of sickle cell anemia?
abnormal proliferation of RBCs (high RBCs) - correct answer ✔✔What is polycythemia vera?
phlebotomy (removal of excess blood) and medications: aspirin, antihistamines, hydroxyurea - correct
answer ✔✔How do you treat polycythemia vera?
Suppresses bone marrow's ability to produce RBCs - correct answer ✔✔What does hydroxyurea do?
clotting + bleeding at the same time - correct answer ✔✔What is DIC?
TREAT UNDERLYING CAUSE! - correct answer ✔✔How do you treat DIC?
heparin - correct answer ✔✔What meds treat DIC?
internal + external bleeding --> ischemia - correct answer ✔✔What are the risks of DIC?
decreased Hgb, platelets, and fibrinogen
increased prothrombin time (Pt), partial thromboplastin (ptt), fibrin degradation products, D-dimer -
correct answer ✔✔What lab findings indicate DIC?
an autoimmune disorder that shortens the lifespan of platelets typically after C-section or lacerations -
correct answer ✔✔What is ITP?
asymptomatic or petechiae - correct answer ✔✔What are S/S of ITP?
female 20-50, other autoimmune disorders - correct answer ✔✔What are the risk factors of ITP?