A newborn is diagnosed with congenital intrinsic factor deficiency. which of the following types of
anemia will the nurse see documented on the chart
a. iron deficiency anemia
b. pernicious anemia
c. siderblastic anemia
d. hemolytic anemia - ANSWER:B. pernicious anemia
A 6 year old male presents with fatigue, jaundice, and irritability, a blood smear shows the presence of
sickled cells. Erythropoiesis is compromised in this child, which crisis should the nurse monitor the
patient for
a. vaso-occlusive crisis
b. sequestration crisis
c. aplastic crisis
d. hyperhemolytic crisis - ANSWER:C. aplastic crisis
A 60 year old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue
with exertion. which of the following respiratory assessment findings indicate the respiratory system is
compensating for the increased oxygen demand
a. bronchoconstriction
b. increased rate and depth of breathing
c. dyspnea
d. activation of the renin-angiotensin response - ANSWER:B. increased rate and depth of breathing
Which major symptoms in a patient with sickle cell anemia indicates to the nurse, the patient is
experiencing a vaso-occlusive crisis
a. peripheral edema
b. pain
c. petechiae
d. an enlarged spleen - ANSWER:B. pain
A 2 year old malnourished child has vitamin B12 and folate deficiencies. a blood smear suggests the
deficiency is macrocytic and normochromic. the nurse would expect the hemoglobin to be
a. normal
,b. sporadic
c. low
d. high - ANSWER:A. normal
A 30 year old caucasian female was recently diagnosed with primary hypertension. she reports that she
eats fairly well, usually having red meat and potatoes daily. she also reports that her father has
hypertension as well. a nurse determined which of the following risk factors is most likely associated
with this diagnosis
a. race
b. diet
c. age
d. genes - ANSWER:D. genes
A 75 year old male has severe chest pain and dials 911. lab tests at the hospital reveal elevated levels of
cardiac troponins I and T. based upon the lab findings, the nurse suspects which of the following has
occurred
a. Raynaud disease
b. myocardial infarction (MI)
c. orthostatic hypotension
d. varicose veins - ANSWER:B. Myocardial infarction (MI)
a 32 year old female presents with lower leg pain, with swelling and redness. while obtaining the
patient's history, which finding could have caused her condition
a. venous thrombus
b. heart valve damage
c. bacterial infection
d. arteriosclerosis - ANSWER:A. venous thrombus
A 15 year old male who is allergic to peanuts eats a peanut butter cup. he then goes into anaphylactic
shock. which assessment findings will the nurse assess for
a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash - ANSWER:B. bronchoconstriction, hives or edema, and
hypotension
, A 28 year old female presents with severe chest pain and shortness of breath. She is diagnosed with
pulmonary embolism, which most likely originated from the
a. left ventricle
b. systemic arteries
c. inadequate tissue perfusion
d. lack of nervous or endocrine stimulation - ANSWER:C. inadequate tissue perfusion
When a person is in shock, a nurse remembers impairment in cellular metabolism is caused by
a. release of toxic substances
b. free radial formation
c. inadequate tissue perfusion
d. lack of nervous or endocrine stimulation - ANSWER:C. inadequate tissue perfusion
A patient's anemia is described as having erythrocytes that demonstrate anisocytosis. The nurse would
recognize the erythrocytes would be
a. pale in color
b. present in various sizes
c. able to assume various shapes
d. live only a few days - ANSWER:C. able to assume various shapes
When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low
concentration of hemoglobin, the nurse calls these erythrocytes
a. hyperchromic
b. hypochromic
c. macrocytic
d. microcytic - ANSWER:B. hypochromic
After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has
a reduction in the number of circulating erythrocytes
a. increased viscosity of blood
b. decreased cardiac output
c. altered coagulation
d. hyper dynamic circulatory state - ANSWER:D. hyper dynamic circulatory state