HCAL Exam 4 Practice UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Which S and S would the nurse find in a patient with compartment syndrome? (SATA)
a. Erythema
b. 1+ pulses
c. Warmth at affected site
d. Pain not relieved by morphine → occur as result from ischemia
e. sensation of fingers → paresthesia - CORRECT ANSWER ANS: B, D, E
1+ pulses → diminished pulses seen
Pain not relieved by morphine → occur as result from ischemia
Which S and S would the nurse find in a patient with compartment syndrome? (SATA)
a. Erythema
b. 1+ pulses
c. Warmth at affected site
d. Pain not relieved by morphine → occur as result from ischemia
e. Tingling sensation of fingers → paresthesia - CORRECT ANSWER ANS: B, D, E
1+ pulses → diminished pulses seen
Pain not relieved by morphine → occur as result from ischemia
The nurse is caring for a 20 year old patient with thalassemia major. Which finding would be
expected when reviewing the patient history?
a. Heart failure
b. Hypertension
,c. No previous symptoms
d. Failure to meet cognitive milestones - CORRECT ANSWER ANS: D
Failure to meet cognitive milestones
Thalassemia major can cause both physical and mental delays
A patient is diagnosed with thalassemia minor and the caregiver asks the nurse, "What
symptoms should I be expecting with this disease?" What is the best response from the nurse?
a. Although the patient may have mild anemia, you should not expect any symptoms
b. You should monitor for any delays in physical growth and cognitive development
c. The patient may experience urinary symptoms, indicating damage to the kidneys
d. You can expect to see flu-like symptoms associated with widespread pain - CORRECT
ANSWER ANS: A
Although the patient may have mild anemia, you should not expect any symptoms
A newlywed couple is undergoing family planning counseling. The wife mentions that she
has the sickle cell trait, while her husband does not. Which statement by the couple
demonstrates that they have an understanding of how sickle cell disease is inherited?
a. Our children have a 50% chance of inheriting the SC trait
b. Our children have a 100% chance of inheriting the SC trait
c. Our children have a 25% chance of inheriting the SC disease
d. Our children have a 50% chance of inheriting SC disease - CORRECT
ANSWER ANS: A
Our children have a 50% chance of inheriting the SC trait
The nurse is reviewing orders for a patient with thalassemia minor. THere is an order for 2
units of packed RBCs. Which action should the nurse take next?
a. Check VS
,b. Contact HCP
c. Check for current blood type and cross
d. Ask nurse to verify unit of blood - CORRECT ANSWER ANS: B
Contact HCP
Thalassemia minor does not require treatment because body adapts to the reduction of
hemoglobin (blood not needed)
A nurse is caring for a patient with sickle cell disease. THe nurse realizes the patient's
hypoxemia and dehydration are primarily caused by which characteristic of SCD?
a. Diuresis
b. Acute pain
c. Vessel occlusion
d. Inheritance aspect - CORRECT ANSWER ANS: C
Vessel occlusion
Sickled erythrocytes are prevented from passing through capillaries, causing an occlusion
The nurse is receiving a report on a patient with SCD being admitted from the ED. Which
question by the nurse exhibits an awareness of the primary symptom of the disease?
a. Is the patient receiving oxygen?
b. Has the patient voided yet?
c. When did the patient last receive pain meds?
d. What was the last hgb and hct? - CORRECT ANSWER ANS: C
When did the patient last receive pain medication?
Pain is the most common symptom of the disease
, The nurse is caring for an older adult patient who has been admitted with abdominal
distension and has a hx of sickle cell anemia. Which findings would the nurse expect to see
on an abdominal x-ray?
a. Enlarged spleen
b. Enlarged kidney
c. Small to nonexistent spleen
d. Liver atrophy - CORRECT ANSWER ANS: C
small to nonexistent spleen
Spleen becomes infarcted, dysfunctional, and small because of repeated scarring
A patient with SCD is admitted to the hospital for the second time in 4 months, has a temp of
100.9 and is experiencing severe pain. Hydroxyurea is being added to the patient's medication
regimen. Which patient outcome shows this medication is effective?
a. Patient experiences a reduced number of SC crisis
b. Patients temp returns to normal
c. Patients HR increases
d. Patients oxygen level stays between 85 and 90% - CORRECT ANSWER ANS: A
patient experiences a reduced number of SC crises
Hydroxyurea is the only drug shown to be clinically beneficial for antisickling
Which nursing intervention has the highest priority for the nurse caring for a patient
experiencing sickle cell crisis?
a. Monitor patients appetite
b. Provide frequent rest
c. Administer IV fluids
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Which S and S would the nurse find in a patient with compartment syndrome? (SATA)
a. Erythema
b. 1+ pulses
c. Warmth at affected site
d. Pain not relieved by morphine → occur as result from ischemia
e. sensation of fingers → paresthesia - CORRECT ANSWER ANS: B, D, E
1+ pulses → diminished pulses seen
Pain not relieved by morphine → occur as result from ischemia
Which S and S would the nurse find in a patient with compartment syndrome? (SATA)
a. Erythema
b. 1+ pulses
c. Warmth at affected site
d. Pain not relieved by morphine → occur as result from ischemia
e. Tingling sensation of fingers → paresthesia - CORRECT ANSWER ANS: B, D, E
1+ pulses → diminished pulses seen
Pain not relieved by morphine → occur as result from ischemia
The nurse is caring for a 20 year old patient with thalassemia major. Which finding would be
expected when reviewing the patient history?
a. Heart failure
b. Hypertension
,c. No previous symptoms
d. Failure to meet cognitive milestones - CORRECT ANSWER ANS: D
Failure to meet cognitive milestones
Thalassemia major can cause both physical and mental delays
A patient is diagnosed with thalassemia minor and the caregiver asks the nurse, "What
symptoms should I be expecting with this disease?" What is the best response from the nurse?
a. Although the patient may have mild anemia, you should not expect any symptoms
b. You should monitor for any delays in physical growth and cognitive development
c. The patient may experience urinary symptoms, indicating damage to the kidneys
d. You can expect to see flu-like symptoms associated with widespread pain - CORRECT
ANSWER ANS: A
Although the patient may have mild anemia, you should not expect any symptoms
A newlywed couple is undergoing family planning counseling. The wife mentions that she
has the sickle cell trait, while her husband does not. Which statement by the couple
demonstrates that they have an understanding of how sickle cell disease is inherited?
a. Our children have a 50% chance of inheriting the SC trait
b. Our children have a 100% chance of inheriting the SC trait
c. Our children have a 25% chance of inheriting the SC disease
d. Our children have a 50% chance of inheriting SC disease - CORRECT
ANSWER ANS: A
Our children have a 50% chance of inheriting the SC trait
The nurse is reviewing orders for a patient with thalassemia minor. THere is an order for 2
units of packed RBCs. Which action should the nurse take next?
a. Check VS
,b. Contact HCP
c. Check for current blood type and cross
d. Ask nurse to verify unit of blood - CORRECT ANSWER ANS: B
Contact HCP
Thalassemia minor does not require treatment because body adapts to the reduction of
hemoglobin (blood not needed)
A nurse is caring for a patient with sickle cell disease. THe nurse realizes the patient's
hypoxemia and dehydration are primarily caused by which characteristic of SCD?
a. Diuresis
b. Acute pain
c. Vessel occlusion
d. Inheritance aspect - CORRECT ANSWER ANS: C
Vessel occlusion
Sickled erythrocytes are prevented from passing through capillaries, causing an occlusion
The nurse is receiving a report on a patient with SCD being admitted from the ED. Which
question by the nurse exhibits an awareness of the primary symptom of the disease?
a. Is the patient receiving oxygen?
b. Has the patient voided yet?
c. When did the patient last receive pain meds?
d. What was the last hgb and hct? - CORRECT ANSWER ANS: C
When did the patient last receive pain medication?
Pain is the most common symptom of the disease
, The nurse is caring for an older adult patient who has been admitted with abdominal
distension and has a hx of sickle cell anemia. Which findings would the nurse expect to see
on an abdominal x-ray?
a. Enlarged spleen
b. Enlarged kidney
c. Small to nonexistent spleen
d. Liver atrophy - CORRECT ANSWER ANS: C
small to nonexistent spleen
Spleen becomes infarcted, dysfunctional, and small because of repeated scarring
A patient with SCD is admitted to the hospital for the second time in 4 months, has a temp of
100.9 and is experiencing severe pain. Hydroxyurea is being added to the patient's medication
regimen. Which patient outcome shows this medication is effective?
a. Patient experiences a reduced number of SC crisis
b. Patients temp returns to normal
c. Patients HR increases
d. Patients oxygen level stays between 85 and 90% - CORRECT ANSWER ANS: A
patient experiences a reduced number of SC crises
Hydroxyurea is the only drug shown to be clinically beneficial for antisickling
Which nursing intervention has the highest priority for the nurse caring for a patient
experiencing sickle cell crisis?
a. Monitor patients appetite
b. Provide frequent rest
c. Administer IV fluids
