exam 3
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1. 1. A patient has a deficiency in clotting factors. The B. Fresh frozen plasma
nurse will prepare to administer which blood prod-
uct?
A. Cryoprecipitate
B. Fresh frozen plasma
C. Packed red blood cells (PRBCs)
D. Plasma protein fractions
2. 2. When reviewing the health history of a patient, the C. Renal disease
nurse recalls that potassium supplements are con-
traindicated in patients with a history of which prob-
lem?
A. Burns
B. Diarrhea
C. Renal disease
D. Cardiac tachydysrhythmias
3. During a blood transfusion, a patient begins to have C. Discontinue the infu-
chills and back pain. What action will the nurse take sion immediately and no-
first? tify the physician.
A. Observe for other symptoms.
B. Slow the infusion rate and monitor vital signs.
C. Discontinue the infusion immediately and notify the
physician.
D. Tell the patient that her symptoms are a normal
reaction to the blood product.
4. 4. The nurse is preparing to administer intravenous D. When given intra-
potassium. Which administration technique is cor- venously, potassium must
rect? always be given in diluted
A. The intravenous rate should not exceed 30 mEq/hr. form.
B. Oral forms should be given on an empty stomach
, exam 3
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to maximize absorption.
C. Intravenous solutions should not contain more
than 60 mEq/L of potassium.
D. When given intravenously, potassium must always
be given in diluted form.
5. A patient is in an urgent care center and is receiving D. Oral administration of
treatment for mild hyponatremia after spending a sodium chloride tablets
long time doing gardening work in the heat of the day.
The nurse expects which drug therapy will be used to
treat her condition?
A. Oral supplementation of fluids
B. Intravenous bolus of lactated Ringer's solution
C. Normal saline infusion, administered slowly
D. Oral administration of sodium chloride tablets
6. 6. When monitoring a patient for signs of hy- D. Muscle weakness
pokalemia, the nurse looks for what early sign?
A. Seizures
B. Cardiac dysrhythmias
C. Stomach cramps
D. Muscle weakness
7. . During the infusion of albumin, the nurse monitors C. Fluid volume overload
the patient closely for the development of which ad-
verse effect?
A. Hypernatremia
B. Fluid volume deficit
C. Fluid volume overload
D. Transfusion reaction
8. 8. A patient is receiving an infusion of fresh frozen C. Coagulation disorder
plasma. The nurse interprets that this patient has
, exam 3
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which disorder?
A. Hypovolemic shock
B. Anemia
C. Coagulation disorder
D. Previous transfusion reaction
9. The nurse is preparing to transfuse a patient with a B. 0.9% sodium chloride
unit of packed red blood cells (PRBCs). Which intra- (NS)
venous solution should be used along with the PRBC
transfusion?
A. 5% dextrose in water (D5W)
B. 0.9% sodium chloride (NS)
C. 5% dextrose in 0.9% sodium chloride (D5NS)
D. 5% dextrose in lactated Ringer's (D5LR)
10. The nurse is planning to transfuse a patient with a B. A patient with severe
unit of packed red blood cells (PRBCs). Which patient anemia
would be best treated with this transfusion?
A. A patient with a coagulation disorder
B. A patient with severe anemia
C. A patient who has lost a massive amount of blood
after emergency surgery
D. A patient who has a clotting-factor deficiency
11. 11. After a severe auto accident, a patient has been D. Whole blood
taken to the trauma unit and has an estimated blood
loss of more than 30% of his blood volume. The nurse
prepares to administer which product?
A. Fresh frozen plasma
B. Albumin
C. Packed red blood cells
D. Whole blood
, exam 3
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12. 12. A patient who is severely anemic also has acute C. Packed red blood cells
heart failure with severe edema due to fluid overload. (PRBCs)
The physician wants to improve the patient's ane-
mia. The nurse anticipates that the patient will receive
which blood product?
A. Fresh frozen plasma
B. Albumin
C. Packed red blood cells (PRBCs)
D. Whole blood
13. Select all that apply: B. Lethargy
D. Hypotension
1. During diuretic therapy, the nurse monitors the E. Stomach cramps
fluid and electrolyte status of the patient. Which are
symptoms of hyponatremia? Select all that apply.
A. Red, flushed skin
B. Lethargy
C. Decreased urination
D. Hypotension
E. Stomach cramps
F. Elevated temperature
14. 1. A patient has been prescribed warfarin (Coumadin) D. Heparin is used to start
in addition to a heparin infusion. The nurse recognizes anticoagulation so as to
that the reason for the two anticoagulants is which of allow time for the blood
the following? levels of warfarin to reach
A. The oral and injection forms work synergistically. adequate levels
B. The combination of heparin and an oral anticoagu-
lant results in fewer adverse effects than heparin used
alone.
C. Oral anticoagulants are used to reach an adequate
level of anticoagulation when heparin alone is unable
Study online at https://quizlet.com/_1647w7
1. 1. A patient has a deficiency in clotting factors. The B. Fresh frozen plasma
nurse will prepare to administer which blood prod-
uct?
A. Cryoprecipitate
B. Fresh frozen plasma
C. Packed red blood cells (PRBCs)
D. Plasma protein fractions
2. 2. When reviewing the health history of a patient, the C. Renal disease
nurse recalls that potassium supplements are con-
traindicated in patients with a history of which prob-
lem?
A. Burns
B. Diarrhea
C. Renal disease
D. Cardiac tachydysrhythmias
3. During a blood transfusion, a patient begins to have C. Discontinue the infu-
chills and back pain. What action will the nurse take sion immediately and no-
first? tify the physician.
A. Observe for other symptoms.
B. Slow the infusion rate and monitor vital signs.
C. Discontinue the infusion immediately and notify the
physician.
D. Tell the patient that her symptoms are a normal
reaction to the blood product.
4. 4. The nurse is preparing to administer intravenous D. When given intra-
potassium. Which administration technique is cor- venously, potassium must
rect? always be given in diluted
A. The intravenous rate should not exceed 30 mEq/hr. form.
B. Oral forms should be given on an empty stomach
, exam 3
Study online at https://quizlet.com/_1647w7
to maximize absorption.
C. Intravenous solutions should not contain more
than 60 mEq/L of potassium.
D. When given intravenously, potassium must always
be given in diluted form.
5. A patient is in an urgent care center and is receiving D. Oral administration of
treatment for mild hyponatremia after spending a sodium chloride tablets
long time doing gardening work in the heat of the day.
The nurse expects which drug therapy will be used to
treat her condition?
A. Oral supplementation of fluids
B. Intravenous bolus of lactated Ringer's solution
C. Normal saline infusion, administered slowly
D. Oral administration of sodium chloride tablets
6. 6. When monitoring a patient for signs of hy- D. Muscle weakness
pokalemia, the nurse looks for what early sign?
A. Seizures
B. Cardiac dysrhythmias
C. Stomach cramps
D. Muscle weakness
7. . During the infusion of albumin, the nurse monitors C. Fluid volume overload
the patient closely for the development of which ad-
verse effect?
A. Hypernatremia
B. Fluid volume deficit
C. Fluid volume overload
D. Transfusion reaction
8. 8. A patient is receiving an infusion of fresh frozen C. Coagulation disorder
plasma. The nurse interprets that this patient has
, exam 3
Study online at https://quizlet.com/_1647w7
which disorder?
A. Hypovolemic shock
B. Anemia
C. Coagulation disorder
D. Previous transfusion reaction
9. The nurse is preparing to transfuse a patient with a B. 0.9% sodium chloride
unit of packed red blood cells (PRBCs). Which intra- (NS)
venous solution should be used along with the PRBC
transfusion?
A. 5% dextrose in water (D5W)
B. 0.9% sodium chloride (NS)
C. 5% dextrose in 0.9% sodium chloride (D5NS)
D. 5% dextrose in lactated Ringer's (D5LR)
10. The nurse is planning to transfuse a patient with a B. A patient with severe
unit of packed red blood cells (PRBCs). Which patient anemia
would be best treated with this transfusion?
A. A patient with a coagulation disorder
B. A patient with severe anemia
C. A patient who has lost a massive amount of blood
after emergency surgery
D. A patient who has a clotting-factor deficiency
11. 11. After a severe auto accident, a patient has been D. Whole blood
taken to the trauma unit and has an estimated blood
loss of more than 30% of his blood volume. The nurse
prepares to administer which product?
A. Fresh frozen plasma
B. Albumin
C. Packed red blood cells
D. Whole blood
, exam 3
Study online at https://quizlet.com/_1647w7
12. 12. A patient who is severely anemic also has acute C. Packed red blood cells
heart failure with severe edema due to fluid overload. (PRBCs)
The physician wants to improve the patient's ane-
mia. The nurse anticipates that the patient will receive
which blood product?
A. Fresh frozen plasma
B. Albumin
C. Packed red blood cells (PRBCs)
D. Whole blood
13. Select all that apply: B. Lethargy
D. Hypotension
1. During diuretic therapy, the nurse monitors the E. Stomach cramps
fluid and electrolyte status of the patient. Which are
symptoms of hyponatremia? Select all that apply.
A. Red, flushed skin
B. Lethargy
C. Decreased urination
D. Hypotension
E. Stomach cramps
F. Elevated temperature
14. 1. A patient has been prescribed warfarin (Coumadin) D. Heparin is used to start
in addition to a heparin infusion. The nurse recognizes anticoagulation so as to
that the reason for the two anticoagulants is which of allow time for the blood
the following? levels of warfarin to reach
A. The oral and injection forms work synergistically. adequate levels
B. The combination of heparin and an oral anticoagu-
lant results in fewer adverse effects than heparin used
alone.
C. Oral anticoagulants are used to reach an adequate
level of anticoagulation when heparin alone is unable
