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VN224 FINAL EXAM - Confidential


# of Questions: 56
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Question #: 1

A nurse assesses a patient with Hodgkin's disease to determine staging. The client has cervical and inguinal lymph
node involvement. What stage of Hodgkin's disease is the client in?


A. Stage I
B. Stage II
✓C. Stage III
D. Stage IV

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Question #: 2

A client is to have a hip replacement in 3 months and does not want a blood transfusion from random donors. What
is the best option the nurse can discuss with the client?


A. Sign a refusal of blood transfusion form so the client will not receive the transfusion.
✓B. Bank autologous blood.
C. Ask people to donate blood.
D. Using volume expanders in case blood is needed.

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Question #: 3

The nurse is talking with a group of teens about transmission of human immunodeficiency virus (HIV). What body
fluids does the nurse inform them will transmit the virus? Select all that apply.


✓A. Semen
B. Urine

, ✓C. Breast Milk
✓D. Blood
✓E. Vaginal secretions

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Question #: 4

A client had a left radical mastectomy with an axillary node dissection 6 months ago and is having a large amount
of edema in the left arm down to the fingers. What should the nurse inform the client is the reason for the edema?


✓A. An accumulation of lymphatic fluid that results from impaired lymph circulation.
B. It is congenitally acquired and is not related to the mastectomy.
C. They are most likely ingesting too much sodium and should be advised to decrease the amount.
D. There is inadequate blood flow from circulatory impairment.

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Question #: 5

A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed.
What does the nurse recognize as the hallmark signs of leukemia? Select all that apply.


A. Diarrhea
B. Nausea and vomiting
✓C. Frequent infections
✓D. Fatigue from anemia
✓E. Easy bruising

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Question #: 6

The nurse is instructing a client about taking a liquid iron preparation for the treatment of iron-deficiency anemia.
What should the nurse include in the instructions?


A. Do not take medication with orange juice because it will delay absorption of the iron.
B. Iron may cause indigestion and should be taken with an antacid such as Mylanta.
✓C. Dilute the liquid preparation with another liquid such as juice and drink with a straw.
D. Discontinue the use of iron if your stool turns black.

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, Question #: 7

A client is found to have a low hemoglobin and hematocrit when laboratory work was performed. What does the
nurse understand the anemia may have resulted from? Select all that apply.


A. Infection
✓B. Blood loss
✓C. Abnormal erythrocyte production
✓D. Destruction of normally formed red blood cells
E. Inadequate formed white blood cells

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Question #: 8

A client is volunteering to donate blood for the second time and was mailed a letter telling him that he has type AB
blood. If the client requires a blood transfusion in the future, what type of blood must he receive?


✓A. They can receive blood from persons with any type of blood if the Rh factor is compatible.
B. They can only receive blood from persons with type A blood.
C. They can only receive blood from persons with type B blood.
D. They can only receive blood from persons with type O blood if the Rh factor is positive.

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Question #: 9

The nurse is discussing vitamin replacement with a client in the clinic. Which vitamin should the nurse discuss with
the client in order to increase the absorption of folic acid and iron?


A. Vitamin B12
✓B. Vitamin C
C. Vitamin B6
D. Vitamin E

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Question #: 10

The nurse is caring for three clients who have the following blood count values: Client A has 24,500/mm 3 white
blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm 3 platelet count. Which