1. A nurse is caring for a client with an elevated white blood cell count.
Which of the following interventions is most appropriate?
A. Monitor the client for signs of infection.
B. Administer antibiotics as prescribed.
C. Encourage increased fluid intake.
D. Check the client’s hemoglobin levels.
Answer: A. Monitor the client for signs of infection.
Rationale: An elevated white blood cell count (leukocytosis) is typically
a response to infection, inflammation, or stress. Monitoring for signs of
infection is the priority intervention.
2. A nurse is caring for a client with chronic anemia. The nurse should
assess the client for which of the following symptoms?
A. Night sweats
B. Weight loss
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Chronic anemia reduces oxygen-carrying capacity, leading
to fatigue as a common symptom due to tissue hypoxia.
,3. A nurse is assessing a client with chronic blood loss. Which of the
following laboratory findings is most likely to be present?
A. Elevated white blood cell count
B. Elevated hematocrit
C. Low hemoglobin and hematocrit
D. High platelet count
Answer: C. Low hemoglobin and hematocrit
Rationale: Chronic blood loss leads to decreased red blood cell
production, causing low hemoglobin and hematocrit levels, which are
indicative of anemia.
4. A nurse is caring for a client with neutropenia. The nurse should
implement which of the following interventions to prevent infection?
A. Use a rectal thermometer to monitor temperature.
B. Avoid fresh flowers in the client’s room.
C. Encourage the client to exercise to improve circulation.
D. Offer the client fresh fruits and vegetables.
Answer: B. Avoid fresh flowers in the client’s room.
Rationale: Fresh flowers can harbor bacteria and mold, which pose a
risk of infection for clients with neutropenia.
5. A nurse is educating a client on how to prevent infection after a bone
marrow biopsy. Which of the following instructions is correct?
, A. “Keep the biopsy site clean and dry, and report any redness or
swelling.”
B. “You can remove the bandage after 24 hours.”
C. “You should avoid taking pain medication after the procedure.”
D. “It is important to keep the biopsy site moist to promote healing.”
Answer: A. “Keep the biopsy site clean and dry, and report any redness
or swelling.”
Rationale: Keeping the biopsy site clean and dry prevents infection, and
any signs of infection, such as redness or swelling, should be reported
immediately.
6. A nurse is caring for a client with a hemoglobin level of 9 g/dL. The
nurse should assess for which of the following symptoms?
A. Tachycardia
B. Hypertension
C. Increased respiratory rate
D. Pallor and fatigue
Answer: D. Pallor and fatigue
Rationale: A hemoglobin level of 9 g/dL is low and may result in
decreased oxygen delivery to tissues, causing pallor, fatigue, and other
signs of anemia.
7. A nurse is assessing a client who has been diagnosed with anemia.
Which of the following findings is most consistent with anemia?
Which of the following interventions is most appropriate?
A. Monitor the client for signs of infection.
B. Administer antibiotics as prescribed.
C. Encourage increased fluid intake.
D. Check the client’s hemoglobin levels.
Answer: A. Monitor the client for signs of infection.
Rationale: An elevated white blood cell count (leukocytosis) is typically
a response to infection, inflammation, or stress. Monitoring for signs of
infection is the priority intervention.
2. A nurse is caring for a client with chronic anemia. The nurse should
assess the client for which of the following symptoms?
A. Night sweats
B. Weight loss
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Chronic anemia reduces oxygen-carrying capacity, leading
to fatigue as a common symptom due to tissue hypoxia.
,3. A nurse is assessing a client with chronic blood loss. Which of the
following laboratory findings is most likely to be present?
A. Elevated white blood cell count
B. Elevated hematocrit
C. Low hemoglobin and hematocrit
D. High platelet count
Answer: C. Low hemoglobin and hematocrit
Rationale: Chronic blood loss leads to decreased red blood cell
production, causing low hemoglobin and hematocrit levels, which are
indicative of anemia.
4. A nurse is caring for a client with neutropenia. The nurse should
implement which of the following interventions to prevent infection?
A. Use a rectal thermometer to monitor temperature.
B. Avoid fresh flowers in the client’s room.
C. Encourage the client to exercise to improve circulation.
D. Offer the client fresh fruits and vegetables.
Answer: B. Avoid fresh flowers in the client’s room.
Rationale: Fresh flowers can harbor bacteria and mold, which pose a
risk of infection for clients with neutropenia.
5. A nurse is educating a client on how to prevent infection after a bone
marrow biopsy. Which of the following instructions is correct?
, A. “Keep the biopsy site clean and dry, and report any redness or
swelling.”
B. “You can remove the bandage after 24 hours.”
C. “You should avoid taking pain medication after the procedure.”
D. “It is important to keep the biopsy site moist to promote healing.”
Answer: A. “Keep the biopsy site clean and dry, and report any redness
or swelling.”
Rationale: Keeping the biopsy site clean and dry prevents infection, and
any signs of infection, such as redness or swelling, should be reported
immediately.
6. A nurse is caring for a client with a hemoglobin level of 9 g/dL. The
nurse should assess for which of the following symptoms?
A. Tachycardia
B. Hypertension
C. Increased respiratory rate
D. Pallor and fatigue
Answer: D. Pallor and fatigue
Rationale: A hemoglobin level of 9 g/dL is low and may result in
decreased oxygen delivery to tissues, causing pallor, fatigue, and other
signs of anemia.
7. A nurse is assessing a client who has been diagnosed with anemia.
Which of the following findings is most consistent with anemia?
