NURS 316 Practice Midterm Questions
111 complete solutions.
NURS 316 Practice Midterm Questions
111 complete solutions.
In light of the presence of numerous risk factors for coronary artery disease, a client's primary care
provider has recommended that he take low-dose (81 mg) aspirin once daily. Doing so will reduce the
client's risk of myocardial infarction by altering which of the following stages of homeostasis?
a) Vessel spasm
b) Platelet plug formation
c) Clot lysis
d) Blood coagulation - ANSWER B
Which of the following clients are at high risk for developing acute myeloid leukemia? Select all that
apply.
a) a person with a history of infectious mononucleosis
b) a factor worker who makes popcorn
c) a wife married to a "chain" smoker who smokes 3 packs/day for the past 50 years
d) owner of a convenience store who pumps gas for his customers
e) a person who has tested positive for HIV infection - ANSWER C, D
Megaloblastic anemias caused by folic acid or vitamin B12 deficiencies can seriously affect RBC
production. Which of the following lab results would correlate with this diagnosis?
a) reticulocyte count 3.6%
b platelet count 200,000
c) iron level of 70 g/dL
d) mean corpuscular volume 120 fL - ANSWER D
A client who had a pulmonary embolism is receiving IV heparin and has just begun taking his first dose of
warfarin (Coumadin). The client asks the nurse, "how long will this pill take in order to prevent me from
developing more clots. I would like to go home soon." the nurse responds:
,NURS 316 Practice Midterm Questions
111 complete solutions.
a) "it usually takes 2-3 days for warfarin to become therapeutic, meaning your blood will be thin enough
to prevent further clot formation"
b) "first, we have to have your health care provider switch you from IV heparin to a low molecular
weight heparin, which you need to inject into your belly"
c) "that's a good question. if warfarin has a long half-life, it could take many days. I will have to ask the
pharmacist this question"
d) "I don't really know. Right now you are on two blood thinners, so we won't be able to tell if it's
working until the doctor discontinues your heparin drip" - ANSWER A
Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia include:
a) increase iron content of blood
b) decreased oxygen saturation
c) increased intravascular volume
d) impaired red blood cell maturation - ANSWER B
A public health nurse is conducting a health promotion campaign under the auspices of the local
community center. Which of the following measures that the nurse is promoting are likely to influence
the participants' risk of hypercoagulability disorders? Select all that apply.
a) blood glucose screening
b) cholesterol screening and management
c) smoking cessation
d) eliminating consumption of all alcoholic beverages
e) daily dose of vitamins with minerals - ANSWER A, B, C
A client presents to the emergency clinic not feeling well. Which of the following complaints leads the
health care provider to suspect the client may have acute leukemia?
a) bleeding from the gums, not related to brushing teeth
b) frequent nausea and vomiting for the past week
c) severe headache with associated photophobia
d) muscle aches and pains in large muscle groups, especially when lying in bed - ANSWER A
,NURS 316 Practice Midterm Questions
111 complete solutions.
48-year-old male client, who normally enjoys good health, has been admitted to the hospital for the
treatment of polycythemia vera. The nurse who is providing care for the client should prioritize
assessments aimed at the early identification of which of the following health problems?
a) hyperventiliation
b) thromboembolism
c) vasculitis
d) orthostatic hypotension - ANSWER B
The most recent blood work of a client with a diagnosis of acute myelogenous leukemia (AML) reveals
thrombocytopenia. Where is the client most likely to experience abnormal bleeding as a result of low
platelets?
a) inside the brain
b) sclera of the eye
c) skin and mucous membranes
d) nephrons and ureters - ANSWER C
Which of the following clients are at risk for developing blood clots and should be assessed frequently?
Select all that apply.
a) a middle-aged male who smokes three packs of cigarettes per day
b) a young adult who has a history of asthma and utilizes steroid inhalers daily
c) a diabetic client who is also greater than 100 pounds over the ideal body weight
d) a marathon runner who exercises more than 4 hours per day
e) a college-aged female taking oral contraceptives for irregular menstrual periods - ANSWER A, C, E
A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated thromboplastin time
(aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the control value. What is the
nurse's priority action?
a) give the dose as ordered and the chart results
b) give a larger dose to increase the aPTT
, NURS 316 Practice Midterm Questions
111 complete solutions.
c) hold the dose and call the result to the physician
d) check the patient's vital signs prior to administering the dose - ANSWER C
The nurse evaluates the effects of warfarin (Coumadin) by monitoring what laboratory test?
a) red blood cell count
b) platelet count
c) prothrombin time (PT) and international normalized ratio )INR)
d) activated thromboplastin time (APT) - ANSWER C
A 22-year-old woman who has severe dysmenorrhea has been prescribed ferrous gluconate (Fergon) to
treat iron deficiency anemia. What is it important for the nurse to instruct the patient to avoid when
taking the drug?
a) chocolate
b) whole wheat
c) eggs
d) pork - ANSWER C
The nurse is caring for a child who needs anticoagulation therapy. What drug is approved for pediatric
use?
a) rivaroxaban
b) low molecular weight heparin
c) dabigatran
d) heparin - ANSWER D
The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department.
What drug will the nurse administer before transferring the patient to a larger facility?
a) Tenecteplase (TNKase)
b) Anagrelide (Agrylin)
c) Ticlopidine (Ticlid)
111 complete solutions.
NURS 316 Practice Midterm Questions
111 complete solutions.
In light of the presence of numerous risk factors for coronary artery disease, a client's primary care
provider has recommended that he take low-dose (81 mg) aspirin once daily. Doing so will reduce the
client's risk of myocardial infarction by altering which of the following stages of homeostasis?
a) Vessel spasm
b) Platelet plug formation
c) Clot lysis
d) Blood coagulation - ANSWER B
Which of the following clients are at high risk for developing acute myeloid leukemia? Select all that
apply.
a) a person with a history of infectious mononucleosis
b) a factor worker who makes popcorn
c) a wife married to a "chain" smoker who smokes 3 packs/day for the past 50 years
d) owner of a convenience store who pumps gas for his customers
e) a person who has tested positive for HIV infection - ANSWER C, D
Megaloblastic anemias caused by folic acid or vitamin B12 deficiencies can seriously affect RBC
production. Which of the following lab results would correlate with this diagnosis?
a) reticulocyte count 3.6%
b platelet count 200,000
c) iron level of 70 g/dL
d) mean corpuscular volume 120 fL - ANSWER D
A client who had a pulmonary embolism is receiving IV heparin and has just begun taking his first dose of
warfarin (Coumadin). The client asks the nurse, "how long will this pill take in order to prevent me from
developing more clots. I would like to go home soon." the nurse responds:
,NURS 316 Practice Midterm Questions
111 complete solutions.
a) "it usually takes 2-3 days for warfarin to become therapeutic, meaning your blood will be thin enough
to prevent further clot formation"
b) "first, we have to have your health care provider switch you from IV heparin to a low molecular
weight heparin, which you need to inject into your belly"
c) "that's a good question. if warfarin has a long half-life, it could take many days. I will have to ask the
pharmacist this question"
d) "I don't really know. Right now you are on two blood thinners, so we won't be able to tell if it's
working until the doctor discontinues your heparin drip" - ANSWER A
Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia include:
a) increase iron content of blood
b) decreased oxygen saturation
c) increased intravascular volume
d) impaired red blood cell maturation - ANSWER B
A public health nurse is conducting a health promotion campaign under the auspices of the local
community center. Which of the following measures that the nurse is promoting are likely to influence
the participants' risk of hypercoagulability disorders? Select all that apply.
a) blood glucose screening
b) cholesterol screening and management
c) smoking cessation
d) eliminating consumption of all alcoholic beverages
e) daily dose of vitamins with minerals - ANSWER A, B, C
A client presents to the emergency clinic not feeling well. Which of the following complaints leads the
health care provider to suspect the client may have acute leukemia?
a) bleeding from the gums, not related to brushing teeth
b) frequent nausea and vomiting for the past week
c) severe headache with associated photophobia
d) muscle aches and pains in large muscle groups, especially when lying in bed - ANSWER A
,NURS 316 Practice Midterm Questions
111 complete solutions.
48-year-old male client, who normally enjoys good health, has been admitted to the hospital for the
treatment of polycythemia vera. The nurse who is providing care for the client should prioritize
assessments aimed at the early identification of which of the following health problems?
a) hyperventiliation
b) thromboembolism
c) vasculitis
d) orthostatic hypotension - ANSWER B
The most recent blood work of a client with a diagnosis of acute myelogenous leukemia (AML) reveals
thrombocytopenia. Where is the client most likely to experience abnormal bleeding as a result of low
platelets?
a) inside the brain
b) sclera of the eye
c) skin and mucous membranes
d) nephrons and ureters - ANSWER C
Which of the following clients are at risk for developing blood clots and should be assessed frequently?
Select all that apply.
a) a middle-aged male who smokes three packs of cigarettes per day
b) a young adult who has a history of asthma and utilizes steroid inhalers daily
c) a diabetic client who is also greater than 100 pounds over the ideal body weight
d) a marathon runner who exercises more than 4 hours per day
e) a college-aged female taking oral contraceptives for irregular menstrual periods - ANSWER A, C, E
A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated thromboplastin time
(aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the control value. What is the
nurse's priority action?
a) give the dose as ordered and the chart results
b) give a larger dose to increase the aPTT
, NURS 316 Practice Midterm Questions
111 complete solutions.
c) hold the dose and call the result to the physician
d) check the patient's vital signs prior to administering the dose - ANSWER C
The nurse evaluates the effects of warfarin (Coumadin) by monitoring what laboratory test?
a) red blood cell count
b) platelet count
c) prothrombin time (PT) and international normalized ratio )INR)
d) activated thromboplastin time (APT) - ANSWER C
A 22-year-old woman who has severe dysmenorrhea has been prescribed ferrous gluconate (Fergon) to
treat iron deficiency anemia. What is it important for the nurse to instruct the patient to avoid when
taking the drug?
a) chocolate
b) whole wheat
c) eggs
d) pork - ANSWER C
The nurse is caring for a child who needs anticoagulation therapy. What drug is approved for pediatric
use?
a) rivaroxaban
b) low molecular weight heparin
c) dabigatran
d) heparin - ANSWER D
The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department.
What drug will the nurse administer before transferring the patient to a larger facility?
a) Tenecteplase (TNKase)
b) Anagrelide (Agrylin)
c) Ticlopidine (Ticlid)
