PNH301 FINAL QUESTIONS & ANSWERS
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - Answers - a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia - Answers - b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - Answers - a, c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - Answers - a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
After teaching regarding this drug, the nurse determines that further instruction is
needed when the client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - Answers
- b. levothyroxine is lifelong treatment
,Which of the following are important nursing intervention(s) when caring for a patient w/
Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - Answers - b + e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse
effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension - Answers - a. increase
calcium intake
What does the nurse teach the client regarding the best time to take corticosteroids for
replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
d. @ consistent intervals every 6-8 hrs - Answers - c. on arising and in the late
afternoon
When would the nurse suspect an ankle sprain for the client being seen at urgent care
centre?
a. client was hit by another soccer player on the field
b. client has ankle pain after sprinting around the track
c. client dropped 4.5kg weight on his lower leg at the gym.
d. client had a twisting injury while running bases during a baseball game. - Answers -
d. twisting injury while running bases
The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup
that healing is indicated by which of the following?
a. callus formation
b. complete bony union
c. hematoma at the fracture site
d. presence of granulation tissue - Answers - a. callus formation
Which of the following indicates a neurovascular problem during the nurses assessment
of a client with a fracture?
a. exaggeration of extremity movement
b. increased redness and heat below the injury
c. decreased sensation distal to the fracture site
, d. purulent drainage at the site of an open fracture - Answers - c. decreased sensation
distal to the fracture site
A client with a stable, closed fracture of humerus caused by trauma to the arm has a
temporary splint with bulky padding applied with an elastic bandage. For which of the
following symptoms would the nurse suspect compartment syndrome and notify the
physician?
a. increasing edema of the limb
b. muscle spasms of the lower arm
c. rebounding pulse at the fracture site
d. pain when passively extending fingers - Answers - d. pain when passively extending
fingers
A client is concerned he may have asthma. Of the following symptoms that he relates to
the nurse, which ones suggest asthma or risk factors for asthma? (SATA):
a. allergic rhinitis
b. prolonged inhalation
c. history of skin allergies
d. cough, especially at night
e. gastric reflux or heart burn - Answers - a, c, d, e
-allergic rhinitis
-hx of skin allergies
-cough at night
-gastric reflux or heartburn
In evaluating an asthmatics clients knowledge of self-care, the nurse recognizes that
additional instruction is needed when the client says which of the following?
a. "I use my corticosteroid inhaler when i feel short of breath"
b. "I get a flu shot every year and see my health care provider if I have an upper
respiratory tract infection"
c. "I use my inhaler before I visit my aunt who has a cat, but I visit for only a few minutes
because of my allergies"
d. "I walk 30 mins every day but sometimes i have to use my bronchodilator inhaler
before walking to prevent me from getting short of breath" - Answers - d.
Which of the following clinical manifestations would the nurse recognize as a key
feature of COPD?
a. age at onset of younger than 40 years
b. smoking history more than 10 pack-years
c. history of atopic dermatitis
d. infrequent sputum production - Answers - b. history of smoking
When teaching clients about the common adverse effects of cigarette smoke on the
respiratory system, the nurse would include which of the following?
a. increased proliferation of ciliated cells
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - Answers - a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia - Answers - b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - Answers - a, c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - Answers - a, b, c, d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
After teaching regarding this drug, the nurse determines that further instruction is
needed when the client says which of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - Answers
- b. levothyroxine is lifelong treatment
,Which of the following are important nursing intervention(s) when caring for a patient w/
Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - Answers - b + e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse
effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension - Answers - a. increase
calcium intake
What does the nurse teach the client regarding the best time to take corticosteroids for
replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
d. @ consistent intervals every 6-8 hrs - Answers - c. on arising and in the late
afternoon
When would the nurse suspect an ankle sprain for the client being seen at urgent care
centre?
a. client was hit by another soccer player on the field
b. client has ankle pain after sprinting around the track
c. client dropped 4.5kg weight on his lower leg at the gym.
d. client had a twisting injury while running bases during a baseball game. - Answers -
d. twisting injury while running bases
The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup
that healing is indicated by which of the following?
a. callus formation
b. complete bony union
c. hematoma at the fracture site
d. presence of granulation tissue - Answers - a. callus formation
Which of the following indicates a neurovascular problem during the nurses assessment
of a client with a fracture?
a. exaggeration of extremity movement
b. increased redness and heat below the injury
c. decreased sensation distal to the fracture site
, d. purulent drainage at the site of an open fracture - Answers - c. decreased sensation
distal to the fracture site
A client with a stable, closed fracture of humerus caused by trauma to the arm has a
temporary splint with bulky padding applied with an elastic bandage. For which of the
following symptoms would the nurse suspect compartment syndrome and notify the
physician?
a. increasing edema of the limb
b. muscle spasms of the lower arm
c. rebounding pulse at the fracture site
d. pain when passively extending fingers - Answers - d. pain when passively extending
fingers
A client is concerned he may have asthma. Of the following symptoms that he relates to
the nurse, which ones suggest asthma or risk factors for asthma? (SATA):
a. allergic rhinitis
b. prolonged inhalation
c. history of skin allergies
d. cough, especially at night
e. gastric reflux or heart burn - Answers - a, c, d, e
-allergic rhinitis
-hx of skin allergies
-cough at night
-gastric reflux or heartburn
In evaluating an asthmatics clients knowledge of self-care, the nurse recognizes that
additional instruction is needed when the client says which of the following?
a. "I use my corticosteroid inhaler when i feel short of breath"
b. "I get a flu shot every year and see my health care provider if I have an upper
respiratory tract infection"
c. "I use my inhaler before I visit my aunt who has a cat, but I visit for only a few minutes
because of my allergies"
d. "I walk 30 mins every day but sometimes i have to use my bronchodilator inhaler
before walking to prevent me from getting short of breath" - Answers - d.
Which of the following clinical manifestations would the nurse recognize as a key
feature of COPD?
a. age at onset of younger than 40 years
b. smoking history more than 10 pack-years
c. history of atopic dermatitis
d. infrequent sputum production - Answers - b. history of smoking
When teaching clients about the common adverse effects of cigarette smoke on the
respiratory system, the nurse would include which of the following?
a. increased proliferation of ciliated cells
