NRSG 4580 EXAM 4 NEWEST 2025-2026
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES | A+
GRADE VERIFIED ANSWERS
The nurse suspects that a client has multiple myeloma
based on the client's major presenting symptom and the
analysis of laboratory results. What classic symptom for
multiple myeloma does the nurse assess for?
A) Severe thrombocytopenia
B) Bone pain in the back of the ribs
C) Debilitating fatigue
D) Gradual muscle paralysis Correct Answer B) Bone pain
in the back of the ribs
Although patients can have asymptomatic bone
involvement, the most common presenting symptom
of multiple myeloma is bone pain, usually in the back
or ribs. Unlike arthritic pain, the bone pain associated
with myeloma increases with movement and
decreases with rest; clients may report that they have
less pain on awakening but the pain intensity
increases during the day.
A nurse assesses a client after 15 minutes from starting a
packed red blood cell (PRBCs) transfusion. The nurse
suspects that a client is suffering from a hemolytic
,transfusion reaction. Order the nursing interventions in
order of priority.
- Document client's reaction
- Notify the provider
- Notify the blood bank
- Stop the infusion
- Infuse 0.9% NaCL through new IV tubing Correct Answer
1. Stop the infusion
2. Infuse 0.9% NaCL through new IV tubing
3. Notify the provider
4. Notify the blood bank
5. Document client's reaction
A client has been diagnosed with a lymphoid stem cell
defect. This client has the potential for a problem involving
which of the following?
A) Platelets
B) Plasma cells
C) Neutrophils
D) Red blood cells Correct Answer B) Plasma cells
A defect in a myeloid stem cell can cause problems
with erythrocyte, leukocyte, and platelet production. In
contrast, a defect in the lymphoid stem cell can cause
problems with T or B lymphocytes, plasma cells (a
more differentiated form of B lymphocyte), or natural
killer (NK) cells.
, The nurse is assessing several clients. Which client does
the nurse determine is most likely to have Hodgkin
lymphoma?
A) The client with a painful sore throat.
B) The client with enlarged lymph nodes in the neck.
C) The client with painful lymph nodes in the groin.
D) The client with painful lymph nodes under the arm.
Correct Answer B) The client with enlarged lymph nodes
in the neck.
Lymph node enlargement in Hodgkin lymphoma is not
painful. The client with enlarged lymph nodes in the
neck is most likely to have Hodgkin lymphoma if the
enlarged nodes are painless. Sore throat is not a sign
for this disorder.
What pathophysiological concept related to sickle cell
disease predisposes a client with sickle cell disease to
pneumonia?
A) Sequestration of sickled cells lead to infection in the
area distal to the sequestration.
B) Sequestration of sickled cells lead to infection in the
area of sequestration.
C) Damage to the lymphatic system increases the risk for
infection.
D) Damage to the spleen increases the risk for infection.
Correct Answer D) Damage to the spleen increases the
risk for infection.
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES | A+
GRADE VERIFIED ANSWERS
The nurse suspects that a client has multiple myeloma
based on the client's major presenting symptom and the
analysis of laboratory results. What classic symptom for
multiple myeloma does the nurse assess for?
A) Severe thrombocytopenia
B) Bone pain in the back of the ribs
C) Debilitating fatigue
D) Gradual muscle paralysis Correct Answer B) Bone pain
in the back of the ribs
Although patients can have asymptomatic bone
involvement, the most common presenting symptom
of multiple myeloma is bone pain, usually in the back
or ribs. Unlike arthritic pain, the bone pain associated
with myeloma increases with movement and
decreases with rest; clients may report that they have
less pain on awakening but the pain intensity
increases during the day.
A nurse assesses a client after 15 minutes from starting a
packed red blood cell (PRBCs) transfusion. The nurse
suspects that a client is suffering from a hemolytic
,transfusion reaction. Order the nursing interventions in
order of priority.
- Document client's reaction
- Notify the provider
- Notify the blood bank
- Stop the infusion
- Infuse 0.9% NaCL through new IV tubing Correct Answer
1. Stop the infusion
2. Infuse 0.9% NaCL through new IV tubing
3. Notify the provider
4. Notify the blood bank
5. Document client's reaction
A client has been diagnosed with a lymphoid stem cell
defect. This client has the potential for a problem involving
which of the following?
A) Platelets
B) Plasma cells
C) Neutrophils
D) Red blood cells Correct Answer B) Plasma cells
A defect in a myeloid stem cell can cause problems
with erythrocyte, leukocyte, and platelet production. In
contrast, a defect in the lymphoid stem cell can cause
problems with T or B lymphocytes, plasma cells (a
more differentiated form of B lymphocyte), or natural
killer (NK) cells.
, The nurse is assessing several clients. Which client does
the nurse determine is most likely to have Hodgkin
lymphoma?
A) The client with a painful sore throat.
B) The client with enlarged lymph nodes in the neck.
C) The client with painful lymph nodes in the groin.
D) The client with painful lymph nodes under the arm.
Correct Answer B) The client with enlarged lymph nodes
in the neck.
Lymph node enlargement in Hodgkin lymphoma is not
painful. The client with enlarged lymph nodes in the
neck is most likely to have Hodgkin lymphoma if the
enlarged nodes are painless. Sore throat is not a sign
for this disorder.
What pathophysiological concept related to sickle cell
disease predisposes a client with sickle cell disease to
pneumonia?
A) Sequestration of sickled cells lead to infection in the
area distal to the sequestration.
B) Sequestration of sickled cells lead to infection in the
area of sequestration.
C) Damage to the lymphatic system increases the risk for
infection.
D) Damage to the spleen increases the risk for infection.
Correct Answer D) Damage to the spleen increases the
risk for infection.
