NR324 Adult Health I Final Exam
NR324 Adult Health I Final Exam Practice
Questions and Answers 2025
A person who lives at a high altitude may normally have an increased Hgb and RBC
count because
a. high altitudes cause vascular fluid loss, leading to hemo-concentration.
b. hypoxia caused by decreased atmospheric O2 stimulates erythropoiesis.
c. the function of the spleen in removing old RBCs is impaired at high altitudes.
d. impaired production of platelets leads to proportionally higher red cell counts. -
Correct Answer ✔b. hypoxia caused by decreased atmospheric O2 stimulates
erythropoiesis.
A patient with cancer arising from granulocytic cells in the bone marrow will have
a. a risk for bleeding.
b. altered oxygenation.
c. decreased production of antibodies.
d. decreased phagocytosis of bacteria. -Correct Answer ✔d. decreased phagocytosis of
bacteria.
An anticoagulant such as warfarin that interferes with pro- thrombin production will alter
the clotting mechanism during
a. platelet aggregation.
b. activation of thrombin.
c. the release of tissue thromboplastin.
d. stimulation of factor activation complex. -Correct Answer ✔b. activation of thrombin.
When reviewing laboratory results of an older patient with an infection, the nurse would
expect to find
a. mild leukocytosis.
b. decreased platelet count.
c. increased hemoglobin and hematocrit levels.
d. decreased erythrocyte sedimentation rate (ESR). -Correct Answer ✔a. mild
leukocytosis.
Key information from the patient's health history that relates to the hematologic system
includes
a. jaundice.
b. bladder surgery.
c. early menopause.
NR324 Adult Health I Final Exam
,NR324 Adult Health I Final Exam
d. multiple pregnancies. -Correct Answer ✔a. jaundice.
While assessing the lymph nodes, the nurse should
a. apply gentle, firm pressure to deep lymph nodes.
b. palpate the deep cervical and supraclavicular nodes last.
c. lightly palpate superficial lymph nodes with the pads of the fingers.
d. use the tips of the second, third, and fourth fingers to apply deep palpation. -Correct
Answer ✔c. lightly palpate superficial lymph nodes with the pads of the fingers.
If a lymph node is palpated, what is a normal finding?
a. Hard, fixed nodes
b. Firm, mobile nodes
c. Enlarged, tender nodes
d. Hard, nontender nodes -Correct Answer ✔b. Firm, mobile nodes
Nursing care for a patient after a bone marrow biopsy and aspiration includes (select all
that apply)
a. giving analgesics as needed.
b. preparing to start a blood transfusion.
c. keeping the sterile pressure dressing intact.
d. giving preprocedure and postprocedure antibiotic medications.
e. monitoring vital signs and assessing the site for excess drainage or bleeding. -
Correct Answer ✔a. giving analgesics as needed.
c. keeping the sterile pressure dressing intact.
e. monitoring vital signs and assessing the site for excess drainage or bleeding.
In a severely anemic patient, the nurse would expect to find
a. cyanosis and hypertension.
b. pulmonary edema and fibrosis.
c. dyspnea and increased heart rate.
d. dysrhythmias and expiratory wheezing. -Correct Answer ✔c. dyspnea and increased
heart rate.
When obtaining assessment data from a patient with a microcytic, hypochromic anemia,
the nurse would ask the patient about
a. folic acid intake.
b. diet intake of iron.
c. a history of gastric surgery.
d. a history of sickle cell anemia. -Correct Answer ✔b. diet intake of iron.
NR324 Adult Health I Final Exam
, NR324 Adult Health I Final Exam
Nursing interventions for a patient with severe anemia from peptic ulcer disease include
(select all that apply)
a. instructions for high-iron diet.
b. taking vital signs every 8 hours.
c. monitoring stools for occult blood.
d. teaching self-injection of erythropoietin.
e. administration of cobalamin (vitamin B12) injections. -Correct Answer ✔a. instructions
for high-iron diet.
c. monitoring stools for occult blood.
The nursing management of a patient in sickle cell crisis includes (select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. -Correct Answer ✔a. monitoring
CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
A complication of the hyperviscosity of polycythemia is
a. thrombosis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). -Correct Answer ✔a. thrombosis.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
a. dab their nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with thrombocytopenia. -
Correct Answer ✔a. dab their nose instead of blowing.
The nurse would expect that a patient with von Willebrand disease undergoing surgery
would be treated with adminis- tration of vWF and
a. thrombin.
b. factor VI.
c. factor VII.
d. factor VIII. -Correct Answer ✔d. factor VIII.
NR324 Adult Health I Final Exam
NR324 Adult Health I Final Exam Practice
Questions and Answers 2025
A person who lives at a high altitude may normally have an increased Hgb and RBC
count because
a. high altitudes cause vascular fluid loss, leading to hemo-concentration.
b. hypoxia caused by decreased atmospheric O2 stimulates erythropoiesis.
c. the function of the spleen in removing old RBCs is impaired at high altitudes.
d. impaired production of platelets leads to proportionally higher red cell counts. -
Correct Answer ✔b. hypoxia caused by decreased atmospheric O2 stimulates
erythropoiesis.
A patient with cancer arising from granulocytic cells in the bone marrow will have
a. a risk for bleeding.
b. altered oxygenation.
c. decreased production of antibodies.
d. decreased phagocytosis of bacteria. -Correct Answer ✔d. decreased phagocytosis of
bacteria.
An anticoagulant such as warfarin that interferes with pro- thrombin production will alter
the clotting mechanism during
a. platelet aggregation.
b. activation of thrombin.
c. the release of tissue thromboplastin.
d. stimulation of factor activation complex. -Correct Answer ✔b. activation of thrombin.
When reviewing laboratory results of an older patient with an infection, the nurse would
expect to find
a. mild leukocytosis.
b. decreased platelet count.
c. increased hemoglobin and hematocrit levels.
d. decreased erythrocyte sedimentation rate (ESR). -Correct Answer ✔a. mild
leukocytosis.
Key information from the patient's health history that relates to the hematologic system
includes
a. jaundice.
b. bladder surgery.
c. early menopause.
NR324 Adult Health I Final Exam
,NR324 Adult Health I Final Exam
d. multiple pregnancies. -Correct Answer ✔a. jaundice.
While assessing the lymph nodes, the nurse should
a. apply gentle, firm pressure to deep lymph nodes.
b. palpate the deep cervical and supraclavicular nodes last.
c. lightly palpate superficial lymph nodes with the pads of the fingers.
d. use the tips of the second, third, and fourth fingers to apply deep palpation. -Correct
Answer ✔c. lightly palpate superficial lymph nodes with the pads of the fingers.
If a lymph node is palpated, what is a normal finding?
a. Hard, fixed nodes
b. Firm, mobile nodes
c. Enlarged, tender nodes
d. Hard, nontender nodes -Correct Answer ✔b. Firm, mobile nodes
Nursing care for a patient after a bone marrow biopsy and aspiration includes (select all
that apply)
a. giving analgesics as needed.
b. preparing to start a blood transfusion.
c. keeping the sterile pressure dressing intact.
d. giving preprocedure and postprocedure antibiotic medications.
e. monitoring vital signs and assessing the site for excess drainage or bleeding. -
Correct Answer ✔a. giving analgesics as needed.
c. keeping the sterile pressure dressing intact.
e. monitoring vital signs and assessing the site for excess drainage or bleeding.
In a severely anemic patient, the nurse would expect to find
a. cyanosis and hypertension.
b. pulmonary edema and fibrosis.
c. dyspnea and increased heart rate.
d. dysrhythmias and expiratory wheezing. -Correct Answer ✔c. dyspnea and increased
heart rate.
When obtaining assessment data from a patient with a microcytic, hypochromic anemia,
the nurse would ask the patient about
a. folic acid intake.
b. diet intake of iron.
c. a history of gastric surgery.
d. a history of sickle cell anemia. -Correct Answer ✔b. diet intake of iron.
NR324 Adult Health I Final Exam
, NR324 Adult Health I Final Exam
Nursing interventions for a patient with severe anemia from peptic ulcer disease include
(select all that apply)
a. instructions for high-iron diet.
b. taking vital signs every 8 hours.
c. monitoring stools for occult blood.
d. teaching self-injection of erythropoietin.
e. administration of cobalamin (vitamin B12) injections. -Correct Answer ✔a. instructions
for high-iron diet.
c. monitoring stools for occult blood.
The nursing management of a patient in sickle cell crisis includes (select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. -Correct Answer ✔a. monitoring
CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
A complication of the hyperviscosity of polycythemia is
a. thrombosis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). -Correct Answer ✔a. thrombosis.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
a. dab their nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with thrombocytopenia. -
Correct Answer ✔a. dab their nose instead of blowing.
The nurse would expect that a patient with von Willebrand disease undergoing surgery
would be treated with adminis- tration of vWF and
a. thrombin.
b. factor VI.
c. factor VII.
d. factor VIII. -Correct Answer ✔d. factor VIII.
NR324 Adult Health I Final Exam
