ADULT HEALTH lll EXAM & FINAL EXAM
LATEST VERSIONS 2024-2025 REAL EXAM
QUESTIONS AND CORRECT
ANSWERS|GRADED A+
Adults with diabetes are prone to - ANSWER-have heart disease , hypertension
and stroke
What is Insulin? - ANSWER-Insulin is a hormone made by the B cells in the islet
of the pancrease which gets released in bloodstream which converts glucose into
glycogen (when blood sugar levels are too high)
What maintains blood glucose? - ANSWER-insulin which decreases high levels of
glucose
What do you do as a nurse with a patient who has neutropenia? - ANSWER-1.
Blood culture STAT
2. IV antimicrobial therapy/ hematopoietic growth factors
3. isolation precaution if necessary
4. strict hand hygiene
5. patient hygiene
6.neutropenic diet to protect them from bacteria found in some foods
Which medication can be used to increase WBC (nuetrophils)? - ANSWER-
Filgrastim which helps to prevent infection. Given IV or SubQ
,Side effects: medullary bone pain, acute respiratory distress syndrome, splenic
rupture, and hypersensitivty reactions
Monitor: CBC, BP,HR, and respirations
The primary diagnostic tests for assessing neutropenia - ANSWER-is the
peripheral WBC count and bone marrow aspiration and biopsy
Treatments for anemia - ANSWER-1.blood product transfusions
2.drug therapy
3.volume replacement
4.oxygen therapy
5.dietary modifications
6.lifestyle changes
Thrombocytopenia is a reduction of platelets below - ANSWER-150,000/μL (150
× 109 /L)
*check CBC*
*patient should avoid aspirin and other drugs that affect platelet function or
production*
common cause of thrombocytopenia - ANSWER-is the ingestion of certain drugs
Signs and symptoms of thrombocytopenia - ANSWER-Most patients are
asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising,
petechiae, purpura, and s\s of hemmorhaging
, Platelet transfusions are generally not recommended until the count is - ANSWER-
below 10,000/μL
Leukemia - ANSWER-mutation of the DNA of certian cells (cancer of the blood)
can also be from enviromental influences, chemotherapeutic agents,viruses,
immunologic deficiencies, exposure to pesticides,inhertited abnormalities
Signs and Symptoma of leukemia - ANSWER--anemia
-fever
-weakness/fatigue
-loss of apetitie
-swollen or tender lymph nodes,liver or spleen
-easy bruising
-petechiae
-frequent infections
-thromobytopenia
Diagnostic tests for leukemia - ANSWER-peripehral blood evaluation CBC, bone
marrow biopsy, PET/CT scan, and lumbar puncture
For bone marrow biopsy the preferred site it - ANSWER-posterior iliac crest w
local anesthetic and sedation
*post care*
-monitor vitals
LATEST VERSIONS 2024-2025 REAL EXAM
QUESTIONS AND CORRECT
ANSWERS|GRADED A+
Adults with diabetes are prone to - ANSWER-have heart disease , hypertension
and stroke
What is Insulin? - ANSWER-Insulin is a hormone made by the B cells in the islet
of the pancrease which gets released in bloodstream which converts glucose into
glycogen (when blood sugar levels are too high)
What maintains blood glucose? - ANSWER-insulin which decreases high levels of
glucose
What do you do as a nurse with a patient who has neutropenia? - ANSWER-1.
Blood culture STAT
2. IV antimicrobial therapy/ hematopoietic growth factors
3. isolation precaution if necessary
4. strict hand hygiene
5. patient hygiene
6.neutropenic diet to protect them from bacteria found in some foods
Which medication can be used to increase WBC (nuetrophils)? - ANSWER-
Filgrastim which helps to prevent infection. Given IV or SubQ
,Side effects: medullary bone pain, acute respiratory distress syndrome, splenic
rupture, and hypersensitivty reactions
Monitor: CBC, BP,HR, and respirations
The primary diagnostic tests for assessing neutropenia - ANSWER-is the
peripheral WBC count and bone marrow aspiration and biopsy
Treatments for anemia - ANSWER-1.blood product transfusions
2.drug therapy
3.volume replacement
4.oxygen therapy
5.dietary modifications
6.lifestyle changes
Thrombocytopenia is a reduction of platelets below - ANSWER-150,000/μL (150
× 109 /L)
*check CBC*
*patient should avoid aspirin and other drugs that affect platelet function or
production*
common cause of thrombocytopenia - ANSWER-is the ingestion of certain drugs
Signs and symptoms of thrombocytopenia - ANSWER-Most patients are
asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising,
petechiae, purpura, and s\s of hemmorhaging
, Platelet transfusions are generally not recommended until the count is - ANSWER-
below 10,000/μL
Leukemia - ANSWER-mutation of the DNA of certian cells (cancer of the blood)
can also be from enviromental influences, chemotherapeutic agents,viruses,
immunologic deficiencies, exposure to pesticides,inhertited abnormalities
Signs and Symptoma of leukemia - ANSWER--anemia
-fever
-weakness/fatigue
-loss of apetitie
-swollen or tender lymph nodes,liver or spleen
-easy bruising
-petechiae
-frequent infections
-thromobytopenia
Diagnostic tests for leukemia - ANSWER-peripehral blood evaluation CBC, bone
marrow biopsy, PET/CT scan, and lumbar puncture
For bone marrow biopsy the preferred site it - ANSWER-posterior iliac crest w
local anesthetic and sedation
*post care*
-monitor vitals
