NUR 100, GRCC Evolve Cardiovascular System, Blood, and
Lymphatic Systems Questions With Complete Solutions
A blood donor whose blood type is O-negative is known as a
"universal donor." What does the nurse consider about O-
negative blood that accounts for this classification? Correct
Answer It does not have any of the antigens that can cause a
reaction
A client admitted to the hospital for chest pain is diagnosed with
angina. The nurse should teach the client that the most common
characteristic of anginal pain is that it is: Correct Answer
Relieved by rest
A client develops heart failure. Which response should the nurse
expect when assessing the client? Correct Answer Peripheral
edema
A client develops internal bleeding after an abdominal surgery.
Which signs and symptoms of hemorrhage should the nurse
expect the client to exhibit? (Select all that apply.) Correct
Answer Pallor
Tachycardia
A client develops iron deficiency anemia. Which of the client's
laboratory test results should the nurse expect to be decreased?
Correct Answer Ferritin level
A client had a total knee replacement several days ago and has
been receiving warfarin sodium (Coumadin) therapy. An
international normalized ratio (INR) is performed each
,afternoon, and the evening warfarin sodium dose is prescribed
by the health care provider on a daily basis. The nurse identifies
that the afternoon INR is 4.6. The next action the nurse should
take is to: Correct Answer Maintain the client on bed rest until
the health care provider reviews the laboratory results
A client has an open reduction and internal fixation (ORIF) of a
fractured hip. The nurse monitors this client for signs and
symptoms of a fat embolism. Which client assessment finding
reflects this complication? Correct Answer Tachycardia and
petechiae over the chest
A client has an open reduction and internal fixation of a
fractured hip. To prevent the most common complication after
this type of surgery, the nurse expects the client's postoperative
plan of care to include: Correct Answer Sequential
compression stockings
A client has been experiencing extreme fatigue lately. The nurse
suspects anemia and examines the client to identify additional
clinical manifestations to support this inference. What locations
on the client's body should the nurse assess? (Select all that
apply.) Correct Answer Nail beds
Lining of eyelids
Palms of hands
A client is admitted for dehydration, and an intravenous (IV)
infusion of normal saline at 125 mL/hr has been started. One
hour after the IV initiation the client begins screaming, "I can't
, breathe!" The nursing priority action is: Correct Answer
Elevate the head of the bed and obtain vital signs
A client is admitted to the emergency department after vomiting
bright red blood. After the vomiting ceases and the vital signs
are stabilized, the client is transferred to a medical-surgical unit.
To assess for bleeding, the nurse on the medical-surgical unit
should monitor the client for: Correct Answer Tachycardia
A client is admitted to the hospital with multiple signs and
symptoms associated with a cardiac problem. What clinical
finding alerts the nurse that the health care provider probably
will insert a pacemaker? Correct Answer Heart block
A client is admitted to the hospital with the diagnosis of
myocardial infarction. The nurse should monitor this client for
which signs and symptoms associated with heart failure? (Select
all that apply.) Correct Answer Unusual fatigue
Dependent edema
Nocturnal dyspnea
A client is admitted with a diagnosis of a ruptured spleen. The
client's blood pressure is 100/60. The nurse should assess the
client for an early sign of decreased arterial pressure which is:
Correct Answer Weak radial pulses
A client is brought to the emergency department with moderate
substernal chest pain radiating to the inner aspect of the left arm,
unrelieved by rest and nitroglycerin. The pain is associated with
slight nausea and anxiety. What is the priority nursing
Lymphatic Systems Questions With Complete Solutions
A blood donor whose blood type is O-negative is known as a
"universal donor." What does the nurse consider about O-
negative blood that accounts for this classification? Correct
Answer It does not have any of the antigens that can cause a
reaction
A client admitted to the hospital for chest pain is diagnosed with
angina. The nurse should teach the client that the most common
characteristic of anginal pain is that it is: Correct Answer
Relieved by rest
A client develops heart failure. Which response should the nurse
expect when assessing the client? Correct Answer Peripheral
edema
A client develops internal bleeding after an abdominal surgery.
Which signs and symptoms of hemorrhage should the nurse
expect the client to exhibit? (Select all that apply.) Correct
Answer Pallor
Tachycardia
A client develops iron deficiency anemia. Which of the client's
laboratory test results should the nurse expect to be decreased?
Correct Answer Ferritin level
A client had a total knee replacement several days ago and has
been receiving warfarin sodium (Coumadin) therapy. An
international normalized ratio (INR) is performed each
,afternoon, and the evening warfarin sodium dose is prescribed
by the health care provider on a daily basis. The nurse identifies
that the afternoon INR is 4.6. The next action the nurse should
take is to: Correct Answer Maintain the client on bed rest until
the health care provider reviews the laboratory results
A client has an open reduction and internal fixation (ORIF) of a
fractured hip. The nurse monitors this client for signs and
symptoms of a fat embolism. Which client assessment finding
reflects this complication? Correct Answer Tachycardia and
petechiae over the chest
A client has an open reduction and internal fixation of a
fractured hip. To prevent the most common complication after
this type of surgery, the nurse expects the client's postoperative
plan of care to include: Correct Answer Sequential
compression stockings
A client has been experiencing extreme fatigue lately. The nurse
suspects anemia and examines the client to identify additional
clinical manifestations to support this inference. What locations
on the client's body should the nurse assess? (Select all that
apply.) Correct Answer Nail beds
Lining of eyelids
Palms of hands
A client is admitted for dehydration, and an intravenous (IV)
infusion of normal saline at 125 mL/hr has been started. One
hour after the IV initiation the client begins screaming, "I can't
, breathe!" The nursing priority action is: Correct Answer
Elevate the head of the bed and obtain vital signs
A client is admitted to the emergency department after vomiting
bright red blood. After the vomiting ceases and the vital signs
are stabilized, the client is transferred to a medical-surgical unit.
To assess for bleeding, the nurse on the medical-surgical unit
should monitor the client for: Correct Answer Tachycardia
A client is admitted to the hospital with multiple signs and
symptoms associated with a cardiac problem. What clinical
finding alerts the nurse that the health care provider probably
will insert a pacemaker? Correct Answer Heart block
A client is admitted to the hospital with the diagnosis of
myocardial infarction. The nurse should monitor this client for
which signs and symptoms associated with heart failure? (Select
all that apply.) Correct Answer Unusual fatigue
Dependent edema
Nocturnal dyspnea
A client is admitted with a diagnosis of a ruptured spleen. The
client's blood pressure is 100/60. The nurse should assess the
client for an early sign of decreased arterial pressure which is:
Correct Answer Weak radial pulses
A client is brought to the emergency department with moderate
substernal chest pain radiating to the inner aspect of the left arm,
unrelieved by rest and nitroglycerin. The pain is associated with
slight nausea and anxiety. What is the priority nursing
