NURS 4130 Chapter Review Midterm|
Questions with 100% Correct Answers
When reviewing laboratory results of an older patient with an infection, the nurse would expect
to find
a. mild leukocytosis.
b. decreased platelet count.
c. increased hemoglobin and hematocrit levels.
d. decreased erythrocyte sedimentation rate (ESR). - ✔️✔️a. mild leukocytosis.
Key information from the patient's health history that relates to the hematologic system includes
a. jaundice.
b. bladder surgery.
c. early menopause.
d. multiple pregnancies. - ✔️✔️a. jaundice.
While assessing the lymph nodes, the nurse should
a. apply gentle, firm pressure to deep lymph nodes.
b. palpate the deep cervical and supraclavicular nodes last.
c. lightly palpate superficial lymph nodes with the pads of the fingers.
d. use the tips of the second, third, and fourth fingers to apply deep palpation. - ✔️✔️c. lightly
palpate superficial lymph nodes with the pads of the fingers.
If a lymph node is palpated, what is a normal finding?
a. Hard, fixed nodes
b. Firm, mobile nodes
c. Enlarged, tender nodes
d. Hard, nontender nodes - ✔️✔️b. Firm, mobile nodes
Nursing care for a patient after a bone marrow biopsy and aspiration includes (select all that
apply)
a. giving analgesics as needed.
b. preparing to start a blood transfusion.
c. keeping the sterile pressure dressing intact.
d. giving preprocedure and postprocedure antibiotic medications.
e. monitoring vital signs and assessing the site for excess drainage or bleeding. - ✔️✔️a. giving
analgesics as needed.
c. keeping the sterile pressure dressing intact.
e. monitoring vital signs and assessing the site for excess drainage or bleeding.
In a severely anemic patient, the nurse would expect to find
a. cyanosis and hypertension.
b. pulmonary edema and fibrosis.
c. dyspnea and increased heart rate.
, d. dysrhythmias and expiratory wheezing. - ✔️✔️C. dyspnea and increased heart rate.
When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the
nurse would ask the patient about
a. folic acid intake.
b. diet intake of iron.
c. a history of gastric surgery.
d. a history of sickle cell anemia. - ✔️✔️B. diet intake of iron.
Nursing interventions for a patient with severe anemia from peptic ulcer disease include (select
all that apply)
a. instructions for high-iron diet.
b. taking vital signs every 8 hours.
c. monitoring stools for occult blood.
d. teaching self-injection of erythropoietin.
e. administration of cobalamin (vitamin B12) injections. - ✔️✔️A. instructions for high-iron diet.
C. monitoring stools for occult blood.
The nursing management of a patient in sickle cell crisis includes (select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. - ✔️✔️a. monitoring CBC.
B. optimal pain management and O2 therapy.
C. blood transfusions if needed and iron chelation.
D. rest as needed and deep vein thrombosis prophylaxis.
A complication of the hyperviscosity of polycythemia is
a. thrombosis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). - ✔️✔️A. thrombosis.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
a. dab their nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with thrombocytopenia. - ✔️✔️A. dab
their nose instead of blowing.
The nurse would expect that a patient with von Willebrand disease undergoing surgery would be
treated with administration of vWF and
a. thrombin.
b. factor VI.
c. factor VII.
Questions with 100% Correct Answers
When reviewing laboratory results of an older patient with an infection, the nurse would expect
to find
a. mild leukocytosis.
b. decreased platelet count.
c. increased hemoglobin and hematocrit levels.
d. decreased erythrocyte sedimentation rate (ESR). - ✔️✔️a. mild leukocytosis.
Key information from the patient's health history that relates to the hematologic system includes
a. jaundice.
b. bladder surgery.
c. early menopause.
d. multiple pregnancies. - ✔️✔️a. jaundice.
While assessing the lymph nodes, the nurse should
a. apply gentle, firm pressure to deep lymph nodes.
b. palpate the deep cervical and supraclavicular nodes last.
c. lightly palpate superficial lymph nodes with the pads of the fingers.
d. use the tips of the second, third, and fourth fingers to apply deep palpation. - ✔️✔️c. lightly
palpate superficial lymph nodes with the pads of the fingers.
If a lymph node is palpated, what is a normal finding?
a. Hard, fixed nodes
b. Firm, mobile nodes
c. Enlarged, tender nodes
d. Hard, nontender nodes - ✔️✔️b. Firm, mobile nodes
Nursing care for a patient after a bone marrow biopsy and aspiration includes (select all that
apply)
a. giving analgesics as needed.
b. preparing to start a blood transfusion.
c. keeping the sterile pressure dressing intact.
d. giving preprocedure and postprocedure antibiotic medications.
e. monitoring vital signs and assessing the site for excess drainage or bleeding. - ✔️✔️a. giving
analgesics as needed.
c. keeping the sterile pressure dressing intact.
e. monitoring vital signs and assessing the site for excess drainage or bleeding.
In a severely anemic patient, the nurse would expect to find
a. cyanosis and hypertension.
b. pulmonary edema and fibrosis.
c. dyspnea and increased heart rate.
, d. dysrhythmias and expiratory wheezing. - ✔️✔️C. dyspnea and increased heart rate.
When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the
nurse would ask the patient about
a. folic acid intake.
b. diet intake of iron.
c. a history of gastric surgery.
d. a history of sickle cell anemia. - ✔️✔️B. diet intake of iron.
Nursing interventions for a patient with severe anemia from peptic ulcer disease include (select
all that apply)
a. instructions for high-iron diet.
b. taking vital signs every 8 hours.
c. monitoring stools for occult blood.
d. teaching self-injection of erythropoietin.
e. administration of cobalamin (vitamin B12) injections. - ✔️✔️A. instructions for high-iron diet.
C. monitoring stools for occult blood.
The nursing management of a patient in sickle cell crisis includes (select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if needed and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content. - ✔️✔️a. monitoring CBC.
B. optimal pain management and O2 therapy.
C. blood transfusions if needed and iron chelation.
D. rest as needed and deep vein thrombosis prophylaxis.
A complication of the hyperviscosity of polycythemia is
a. thrombosis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC). - ✔️✔️A. thrombosis.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
a. dab their nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with thrombocytopenia. - ✔️✔️A. dab
their nose instead of blowing.
The nurse would expect that a patient with von Willebrand disease undergoing surgery would be
treated with administration of vWF and
a. thrombin.
b. factor VI.
c. factor VII.
