NURS 640 EXAM 2 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. hyperthermia - ANSWER ✔ uncontrolled increase in temperature not
associated with "hypothalamic set point".
Not medicated by cytokines
>41.1 or 105.9
2. fever - ANSWER ✔ response to pyrogenic cytokines
➢ 37.7 or >99.8
3. Antipyrogenic medications - ANSWER ✔ cause vasodilation and sweating
to release heat
4. Macrocytic Anemia - ANSWER ✔ MCV > 100
Can be megaloblastic or non megaloblastic
Megaloblastic: B12 deficiency, folate deficiency
Non-Megaloblastic: ETOH abuse, liver disease, medication related
5. Normocytic Anemia - ANSWER ✔ 80-100 MCV
Defer between hemolytic and nonhemolytic
,6. polycythemia vera - ANSWER ✔ abnormal increased in RBC's. HCT > 54%
in males and 51% in females. Usually WBC's/Platelets increased too.
Low B12 - ANSWER ✔ Paresthesia
Balance abnormalities
Confusion
neuro-psych findings
7. Leukopenia - ANSWER ✔ Abnormally low white blood cell count
< 4.5
8. Neutropenia - ANSWER ✔ deficiency of neutrophils
Increased infection risk
9. Neutropenic fever - ANSWER ✔ considered infectious
Empiric treatment with fluoroquinolones or 3rd or 4th generation
cephalosporins for potential enteric gram-negative bacteria.
10.Leukocytosis - ANSWER ✔ increase in the number of white blood cells
>11,000
11.Neutrophilia - ANSWER ✔ acute bacterial infection, notice "left shift"
12.Eosinophilia - ANSWER ✔ increased in allergies, parasites, inflammation
13.lymphocytosis - ANSWER ✔ acute viral infections, lymphoma
,14.Monocytosis - ANSWER ✔ elevated in chronic infections or autoimmune
15.basophilia - ANSWER ✔ increased in malignancy, uncommon allergies
16.The nurse is reviewing the medications prescribed for a client diagnosed
with dilated cardiomyopathy. Which of the following medications are
commonly prescribed for this disease process? - ANSWER ✔ ACE inhibitor
to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
17.A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of this
client? - ANSWER ✔ polycythemia caused by an increase in the number of
red blood cells in response to a reduced amount of oxygen in the body
18.Inpatient insulin dosing - ANSWER ✔ TDD
50% basal
50% prandial
may need to add rapid acting for meal
titrate 10-20% until goal met
19.. The nurse is listening to the breath sounds of a patient with severe asthma.
Air passing through narrowed bronchioles would produce which of these
adventitious sounds? - ANSWER ✔ Wheezes
, 20.Caused by air squeezed or compressed through passageways narrowed
almost to closure by collapsing, swelling, secretions, or tumors, such as with
acute asthma or chronic emphysema - ANSWER ✔ Wheezes
21.The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n): - ANSWER ✔ An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
22.S3 heart sound - ANSWER ✔ An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the heart is
beginning to fail
23.S4 heart sound - ANSWER ✔ An S4 sound may indicate increased
resistance to ventricular filling
24.A client is diagnosed with heart failure. Which of the following diagnostic
tests is useful to determine the degree of the failure? - ANSWER ✔ Brain
natriuretic peptide is a hormone found in the left ventricle; it is used to help
diagnose and grade the severity of heart failure
25.Blood cultures - ANSWER ✔ used to diagnose carditis
26.Sed Rate - ANSWER ✔ used to diagnose pericarditis
27.A nurse is instructing a client regarding medications and substances
contraindicated for the client with heart failure. Which of the following
would not be contraindicated? - ANSWER ✔ Loop diuretics (e.g.,
furosemide) are part of the recommended medications for heart failure.
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. hyperthermia - ANSWER ✔ uncontrolled increase in temperature not
associated with "hypothalamic set point".
Not medicated by cytokines
>41.1 or 105.9
2. fever - ANSWER ✔ response to pyrogenic cytokines
➢ 37.7 or >99.8
3. Antipyrogenic medications - ANSWER ✔ cause vasodilation and sweating
to release heat
4. Macrocytic Anemia - ANSWER ✔ MCV > 100
Can be megaloblastic or non megaloblastic
Megaloblastic: B12 deficiency, folate deficiency
Non-Megaloblastic: ETOH abuse, liver disease, medication related
5. Normocytic Anemia - ANSWER ✔ 80-100 MCV
Defer between hemolytic and nonhemolytic
,6. polycythemia vera - ANSWER ✔ abnormal increased in RBC's. HCT > 54%
in males and 51% in females. Usually WBC's/Platelets increased too.
Low B12 - ANSWER ✔ Paresthesia
Balance abnormalities
Confusion
neuro-psych findings
7. Leukopenia - ANSWER ✔ Abnormally low white blood cell count
< 4.5
8. Neutropenia - ANSWER ✔ deficiency of neutrophils
Increased infection risk
9. Neutropenic fever - ANSWER ✔ considered infectious
Empiric treatment with fluoroquinolones or 3rd or 4th generation
cephalosporins for potential enteric gram-negative bacteria.
10.Leukocytosis - ANSWER ✔ increase in the number of white blood cells
>11,000
11.Neutrophilia - ANSWER ✔ acute bacterial infection, notice "left shift"
12.Eosinophilia - ANSWER ✔ increased in allergies, parasites, inflammation
13.lymphocytosis - ANSWER ✔ acute viral infections, lymphoma
,14.Monocytosis - ANSWER ✔ elevated in chronic infections or autoimmune
15.basophilia - ANSWER ✔ increased in malignancy, uncommon allergies
16.The nurse is reviewing the medications prescribed for a client diagnosed
with dilated cardiomyopathy. Which of the following medications are
commonly prescribed for this disease process? - ANSWER ✔ ACE inhibitor
to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
17.A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of this
client? - ANSWER ✔ polycythemia caused by an increase in the number of
red blood cells in response to a reduced amount of oxygen in the body
18.Inpatient insulin dosing - ANSWER ✔ TDD
50% basal
50% prandial
may need to add rapid acting for meal
titrate 10-20% until goal met
19.. The nurse is listening to the breath sounds of a patient with severe asthma.
Air passing through narrowed bronchioles would produce which of these
adventitious sounds? - ANSWER ✔ Wheezes
, 20.Caused by air squeezed or compressed through passageways narrowed
almost to closure by collapsing, swelling, secretions, or tumors, such as with
acute asthma or chronic emphysema - ANSWER ✔ Wheezes
21.The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n): - ANSWER ✔ An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
22.S3 heart sound - ANSWER ✔ An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the heart is
beginning to fail
23.S4 heart sound - ANSWER ✔ An S4 sound may indicate increased
resistance to ventricular filling
24.A client is diagnosed with heart failure. Which of the following diagnostic
tests is useful to determine the degree of the failure? - ANSWER ✔ Brain
natriuretic peptide is a hormone found in the left ventricle; it is used to help
diagnose and grade the severity of heart failure
25.Blood cultures - ANSWER ✔ used to diagnose carditis
26.Sed Rate - ANSWER ✔ used to diagnose pericarditis
27.A nurse is instructing a client regarding medications and substances
contraindicated for the client with heart failure. Which of the following
would not be contraindicated? - ANSWER ✔ Loop diuretics (e.g.,
furosemide) are part of the recommended medications for heart failure.
