1. A nurse is caring for a client with neutropenia. The nurse should
implement which of the following interventions to prevent infection?
A. Use a rectal thermometer to monitor temperature.
B. Avoid fresh flowers in the client’s room.
C. Encourage the client to exercise to improve circulation.
D. Offer the client fresh fruits and vegetables.
Answer: B. Avoid fresh flowers in the client’s room.
Rationale: Fresh flowers can harbor bacteria and mold, which pose a
risk of infection for clients with neutropenia.
2. A nurse is caring for a client who has anemia. The nurse should
anticipate that the provider will prescribe which of the following
treatments?
A. Blood transfusion
B. Anticoagulants
C. Diuretics
D. Antihypertensives
Answer: A. Blood transfusion
Rationale: Severe anemia may require a blood transfusion to increase
the red blood cell count and improve oxygen delivery to tissues.
,3. A nurse is caring for a client with a low platelet count. Which of the
following is a priority intervention?
A. Encourage the client to ambulate to prevent blood clots.
B. Monitor the client for signs of bleeding.
C. Administer anticoagulant medications as prescribed.
D. Increase the client’s fluid intake.
Answer: B. Monitor the client for signs of bleeding.
Rationale: A low platelet count (thrombocytopenia) increases the risk
for bleeding, so it is crucial to monitor for signs of bleeding such as
bruising, petechiae, or hematuria.
4. A nurse is educating a client about preventing iron deficiency
anemia. The nurse should recommend which of the following foods to
increase iron intake?
A. Bananas
B. Beef liver
C. White rice
D. Yogurt
Answer: B. Beef liver
Rationale: Beef liver is rich in heme iron, which is highly absorbable
and can help prevent iron deficiency anemia.
, 5. A nurse is caring for a client with an elevated white blood cell count.
The nurse should assess the client for which of the following?
A. Infection
B. Dehydration
C. Hypoxia
D. Thrombosis
Answer: A. Infection
Rationale: An elevated white blood cell count typically indicates an
immune response, often due to an infection.
6. A nurse is assessing a client who has a low white blood cell count.
The nurse should monitor the client for which of the following
complications?
A. Infection
B. Fluid retention
C. Hypertension
D. Dehydration
Answer: A. Infection
Rationale: A low white blood cell count (leukopenia) reduces the body’s
ability to fight infections, so the nurse should monitor for signs of
infection.
implement which of the following interventions to prevent infection?
A. Use a rectal thermometer to monitor temperature.
B. Avoid fresh flowers in the client’s room.
C. Encourage the client to exercise to improve circulation.
D. Offer the client fresh fruits and vegetables.
Answer: B. Avoid fresh flowers in the client’s room.
Rationale: Fresh flowers can harbor bacteria and mold, which pose a
risk of infection for clients with neutropenia.
2. A nurse is caring for a client who has anemia. The nurse should
anticipate that the provider will prescribe which of the following
treatments?
A. Blood transfusion
B. Anticoagulants
C. Diuretics
D. Antihypertensives
Answer: A. Blood transfusion
Rationale: Severe anemia may require a blood transfusion to increase
the red blood cell count and improve oxygen delivery to tissues.
,3. A nurse is caring for a client with a low platelet count. Which of the
following is a priority intervention?
A. Encourage the client to ambulate to prevent blood clots.
B. Monitor the client for signs of bleeding.
C. Administer anticoagulant medications as prescribed.
D. Increase the client’s fluid intake.
Answer: B. Monitor the client for signs of bleeding.
Rationale: A low platelet count (thrombocytopenia) increases the risk
for bleeding, so it is crucial to monitor for signs of bleeding such as
bruising, petechiae, or hematuria.
4. A nurse is educating a client about preventing iron deficiency
anemia. The nurse should recommend which of the following foods to
increase iron intake?
A. Bananas
B. Beef liver
C. White rice
D. Yogurt
Answer: B. Beef liver
Rationale: Beef liver is rich in heme iron, which is highly absorbable
and can help prevent iron deficiency anemia.
, 5. A nurse is caring for a client with an elevated white blood cell count.
The nurse should assess the client for which of the following?
A. Infection
B. Dehydration
C. Hypoxia
D. Thrombosis
Answer: A. Infection
Rationale: An elevated white blood cell count typically indicates an
immune response, often due to an infection.
6. A nurse is assessing a client who has a low white blood cell count.
The nurse should monitor the client for which of the following
complications?
A. Infection
B. Fluid retention
C. Hypertension
D. Dehydration
Answer: A. Infection
Rationale: A low white blood cell count (leukopenia) reduces the body’s
ability to fight infections, so the nurse should monitor for signs of
infection.
