NRSG 4580 | Exam 4 Practice Questions A
Answers
A cclient cpresents cto cthe cclinic cwith ca ccraving cfor ceating cchalk. cThe cnurse csuspects cthat cthe cc
canemia?
A) cIron cdeficiency canemia c(IDA)
B) cSickle ccell canemia
C) cAplastic canemia
D) cMegaloblastic canemia c- cCORRECT cANS✔✔A) cIron cdeficiency canemia c(IDA)
Clients cwith cIDA cmay csuffer cfrom cpica cwhich cis ca ccraving cfor cnon cfood citems.
A cclient ccomes cinto cthe cemergency cdepartment creporting can cenlarged ctongue. cThe ctongue cap
cin ccolor. cThe cnurse calso cobserves ca c5-cm cincision con cthe cupper cleft cquadrant cof cthe cabdom
cclient cstates, c"I chad ca cpartial cgastrostomy c2 cyears cago." cBased con cthis cinformation, cthe cnurs
cto cwhich cproblem?
A) cVitamin cB12 cdeficiency
B) cFolic cacid cdeficiency c
C) cIron cdeficiency canemia
D) cSickle ccell canemia c- cCORRECT cANS✔✔A) cVitamin cB12 cdeficiency
Vitamin cB12 ccombines cwith cintrinsic cfactor cproduced cin cthe cstomach. cThe cvitamin cB12-intrinsi
cin cthe cdistal cileum. cClients cwho chave chad ca cpartial cor ctotal cgastrectomy cmay chave climited ca
, A cclient cis creceiving ca cblood ctransfusion cand creports ca cnew conset cof cslight cdyspnea. cThe cnu
cbilateral clung ccrackles cand celevated cBP. cWhat cis cthe cnurse's cmost cappropriate caction?
A) cSlow cthe cinfusion crate cand cmonitor cthe cclient cclosely.
B) cPause cthe ctransfusion cand cadminister ca c250 cmL cbolus cof cnormal csaline.
C) cDiscontinue cthe ctransfusion cand cadminister ca cbeta-blocker, cas cprescribed.
D) cDiscontinue cthe ctransfusion cand cbegin cresuscitation. c- cCORRECT cANS✔✔A) cSlow cthe cinfu
cclient cclosely.
The cclient cis cshowing cearly csigns cof chypervolemia; cthe cnurse cshould cslow cthe cinfusion crate ca
cfor cany csigns cof cexacerbation. cAt cthis cstage, cdiscontinuing cthe ctransfusion cis cnot cnecessary. c
cclient's cfluid coverload.
A cclient cwith cleukemia chas cdeveloped cstomatitis cand cis cexperiencing ca cnutritional cdeficit. cAn c
cconsequently cbeen cprescribed. cWhat chealth ceducation cshould cthe cnurse cprovide cto cthe cclient
A) cUse cthe coral canesthetic c1 chour cprior cto cmeal ctime.
B) cSwallow cslowly cand cdeliberately.
C) cBrush cteeth cbefore cand cafter ceating.
D) cChew cwith ccare cto cavoid cinadvertently cbiting cthe ctongue. c- cCORRECT cANS✔✔D) cChew cw
cbiting cthe ctongue.
If coral canesthetics care cused, cthe cclient cmust cbe cwarned cto cchew cwith cextreme ccare cto cavoid
cor cbuccal cmucosa. cAn coral canesthetic cwould cbe cmetabolized cby cthe ctime cthe cclient ceats cif cit
cmeals. cThere cis cno cspecific cneed cto cwarn cthe cclient cabout cbrushing cteeth cor cswallowing cslow
chas cbeen cused.
A cnurse cis ccaring cfor ca cclient cwith ca chistory cof cGI cbleeding, csickle ccell canemia, cand ca cplatele
cclient, cwho cis cdehydrated cand creceiving cdextrose c5% cin chalf-normal csaline csolution cat c150 cm
cbone cpain cand cis cscheduled cto creceive ca cdose cof cmorphine csulfate. cFor cwhich cadministration
cquestion can corder?
A) cOral c(PO)
B) cSubcutaneous c(SQ)
C) cIntravenous c(IV)
D) cIntramuscular c(IM) c- cCORRECT cANS✔✔D) cIntramuscular c(IM)
A cclient cwith ca cplatelet ccount cof c22,000/μl cbleeds ceasily. cThe cnurse cshould cavoid cusing cthe cI
chighly cvascular. cThe cclient cmay cbleed creadily cwhen cpenetrated cby ca cneedle, cand cit cmay cbe c
cthe cbleeding. cThe cclient's cexisting cI.V. caccess cwould cbe cthe cbest croute, cespecially cbecause cI
calmost cimmediately. cOral cand csubQ croutes care cpreferred cover cI.M., cbut cthey're cless ceffective
cthan cI.V.
A cclient chas cbeen cdiagnosed cwith cmultiple cmyeloma. cWhich cof cthe cfollowing claboratory cvalues
cfind cin ca cclient cwith cmultiple cmyeloma?
A) cPolycythemia cvera
B) cIncreased curinary cprotein
C) cDecreased cserum cprotein
D) cDecreased ccalcium clevel c- cCORRECT cANS✔✔B) cIncreased curinary cprotein
A ccharacteristic cfinding cin cmultiple cmyeloma cis cprotein cin cthe curine. c(RENAL cINSUFFICENCY)
cinclude cincreased cserum cprotein, chypercalcemia, canemia, cand chyperuricemia. cPolycythemia cv
cmyeloma.
Answers
A cclient cpresents cto cthe cclinic cwith ca ccraving cfor ceating cchalk. cThe cnurse csuspects cthat cthe cc
canemia?
A) cIron cdeficiency canemia c(IDA)
B) cSickle ccell canemia
C) cAplastic canemia
D) cMegaloblastic canemia c- cCORRECT cANS✔✔A) cIron cdeficiency canemia c(IDA)
Clients cwith cIDA cmay csuffer cfrom cpica cwhich cis ca ccraving cfor cnon cfood citems.
A cclient ccomes cinto cthe cemergency cdepartment creporting can cenlarged ctongue. cThe ctongue cap
cin ccolor. cThe cnurse calso cobserves ca c5-cm cincision con cthe cupper cleft cquadrant cof cthe cabdom
cclient cstates, c"I chad ca cpartial cgastrostomy c2 cyears cago." cBased con cthis cinformation, cthe cnurs
cto cwhich cproblem?
A) cVitamin cB12 cdeficiency
B) cFolic cacid cdeficiency c
C) cIron cdeficiency canemia
D) cSickle ccell canemia c- cCORRECT cANS✔✔A) cVitamin cB12 cdeficiency
Vitamin cB12 ccombines cwith cintrinsic cfactor cproduced cin cthe cstomach. cThe cvitamin cB12-intrinsi
cin cthe cdistal cileum. cClients cwho chave chad ca cpartial cor ctotal cgastrectomy cmay chave climited ca
, A cclient cis creceiving ca cblood ctransfusion cand creports ca cnew conset cof cslight cdyspnea. cThe cnu
cbilateral clung ccrackles cand celevated cBP. cWhat cis cthe cnurse's cmost cappropriate caction?
A) cSlow cthe cinfusion crate cand cmonitor cthe cclient cclosely.
B) cPause cthe ctransfusion cand cadminister ca c250 cmL cbolus cof cnormal csaline.
C) cDiscontinue cthe ctransfusion cand cadminister ca cbeta-blocker, cas cprescribed.
D) cDiscontinue cthe ctransfusion cand cbegin cresuscitation. c- cCORRECT cANS✔✔A) cSlow cthe cinfu
cclient cclosely.
The cclient cis cshowing cearly csigns cof chypervolemia; cthe cnurse cshould cslow cthe cinfusion crate ca
cfor cany csigns cof cexacerbation. cAt cthis cstage, cdiscontinuing cthe ctransfusion cis cnot cnecessary. c
cclient's cfluid coverload.
A cclient cwith cleukemia chas cdeveloped cstomatitis cand cis cexperiencing ca cnutritional cdeficit. cAn c
cconsequently cbeen cprescribed. cWhat chealth ceducation cshould cthe cnurse cprovide cto cthe cclient
A) cUse cthe coral canesthetic c1 chour cprior cto cmeal ctime.
B) cSwallow cslowly cand cdeliberately.
C) cBrush cteeth cbefore cand cafter ceating.
D) cChew cwith ccare cto cavoid cinadvertently cbiting cthe ctongue. c- cCORRECT cANS✔✔D) cChew cw
cbiting cthe ctongue.
If coral canesthetics care cused, cthe cclient cmust cbe cwarned cto cchew cwith cextreme ccare cto cavoid
cor cbuccal cmucosa. cAn coral canesthetic cwould cbe cmetabolized cby cthe ctime cthe cclient ceats cif cit
cmeals. cThere cis cno cspecific cneed cto cwarn cthe cclient cabout cbrushing cteeth cor cswallowing cslow
chas cbeen cused.
A cnurse cis ccaring cfor ca cclient cwith ca chistory cof cGI cbleeding, csickle ccell canemia, cand ca cplatele
cclient, cwho cis cdehydrated cand creceiving cdextrose c5% cin chalf-normal csaline csolution cat c150 cm
cbone cpain cand cis cscheduled cto creceive ca cdose cof cmorphine csulfate. cFor cwhich cadministration
cquestion can corder?
A) cOral c(PO)
B) cSubcutaneous c(SQ)
C) cIntravenous c(IV)
D) cIntramuscular c(IM) c- cCORRECT cANS✔✔D) cIntramuscular c(IM)
A cclient cwith ca cplatelet ccount cof c22,000/μl cbleeds ceasily. cThe cnurse cshould cavoid cusing cthe cI
chighly cvascular. cThe cclient cmay cbleed creadily cwhen cpenetrated cby ca cneedle, cand cit cmay cbe c
cthe cbleeding. cThe cclient's cexisting cI.V. caccess cwould cbe cthe cbest croute, cespecially cbecause cI
calmost cimmediately. cOral cand csubQ croutes care cpreferred cover cI.M., cbut cthey're cless ceffective
cthan cI.V.
A cclient chas cbeen cdiagnosed cwith cmultiple cmyeloma. cWhich cof cthe cfollowing claboratory cvalues
cfind cin ca cclient cwith cmultiple cmyeloma?
A) cPolycythemia cvera
B) cIncreased curinary cprotein
C) cDecreased cserum cprotein
D) cDecreased ccalcium clevel c- cCORRECT cANS✔✔B) cIncreased curinary cprotein
A ccharacteristic cfinding cin cmultiple cmyeloma cis cprotein cin cthe curine. c(RENAL cINSUFFICENCY)
cinclude cincreased cserum cprotein, chypercalcemia, canemia, cand chyperuricemia. cPolycythemia cv
cmyeloma.
