Huether and McCance Patho chapters
23 and 24 Test Bank Questions and
Already Passed Answers.
A newborn is diagnosed with congenital intrinsic factor deficiency. which of the following types
of anemia will the nurse see documented on the chart
a. iron deficiency anemia
b. pernicious anemia
c. siderblastic anemia
d. hemolytic anemia - Answer B. pernicious anemia
A 6 year old male presents with fatigue, jaundice, and irritability, a blood smear shows the
presence of sickled cells. Erythropoiesis is compromised in this child, which crisis should the
nurse monitor the patient for
a. vaso-occlusive crisis
b. sequestration crisis
c. aplastic crisis
d. hyperhemolytic crisis - Answer C. aplastic crisis
How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia
a. administer radioactive cobalamin and measure its excretion in the urine
b. measure antigen-antibody immune complexes
c. measure serum ferritin and total iron-binding capacity
d. administer folate and evaluate folate content in a blood serum sample - Answer A.
administer radioactive cobalamin and measure its excretion in the urine
A 60 year old female emphysema patient experiences a rapid and pounding heart, dizziness,
and fatigue with exertion. which of the following respiratory assessment findings indicate the
respiratory system is compensating for the increased oxygen demand
a. bronchoconstriction
b. increased rate and depth of breathing
c. dyspnea
,Which major symptoms in a patient with sickle cell anemia indicates to the nurse, the patient is
experiencing a vaso-occlusive crisis
a. peripheral edema
b. pain
c. petechiae
d. an enlarged spleen - Answer B. pain
A geneticist is discussing thalassemias. Which information should be included? The alpha and
beta thalassemias are inherited in an ___ fashion
a. autosomal recessive
b. autosomal dominant
c. X-linked recessive
d. X-linked dominant - Answer A. autosomal recessive
A 2 year old male presented with growth and maturation retardation and splenomegaly. He died
shortly after arriving at the ER. autopsy revealed thalassemia secondary to defective
a. erythrocyte membranes
b. iron metabolism
c. stem cell formation
d. hemoglobin synthesis - Answer D. hemoglobin synthesis
A 2 year old malnourished child has vitamin B12 and folate deficiencies. a blood smear suggests
the deficiency is macrocytic and normochromic. the nurse would expect the hemoglobin to be
a. normal
b. sporadic
c. low
d. high - Answer A. normal
A 45 year old male is diagnosed with siderblastic anemia. when he asks what the most likely
cause of this disease is, what is the nurse's best response
a. inefficient iron uptake and abnormal hemoglobin production
b. misshapen erythrocytes with low hemoglobin
c. decreased levels of tissue iron with megaloblastic erythrocytes
,A 30 year old caucasian female was recently diagnosed with primary hypertension. she reports
that she eats fairly well, usually having red meat and potatoes daily. she also reports that her
father has hypertension as well. a nurse determined which of the following risk factors is most
likely associated with this diagnosis
a. race
b. diet
c. age
d. genes - Answer D. genes
A 75 year old male has severe chest pain and dials 911. lab tests at the hospital reveal elevated
levels of cardiac troponins I and T. based upon the lab findings, the nurse suspects which of the
following has occurred
a. Raynaud disease
b. myocardial infarction (MI)
c. orthostatic hypotension
d. varicose veins - Answer B. Myocardial infarction (MI)
A 60 year old male presents to his primary care provider reporting chest pain. he is diagnosed
with atherosclerosis. this disease is caused by
a. arterial wall thinning and weakening
b. abnormally dilated arteries and veins
c. abnormal thickening and hardening of vessel walls
d. autonomic nervous system imbalances - Answer C. abnormal thickening and hardening of
vessel walls
When a nurse check the patient for orthostatic hypotension, what did the nurse have the
patient do
a. physical exertion
b. eat
c. stand up
d. lie down - Answer C. stand up
a 32 year old female presents with lower leg pain, with swelling and redness. while obtaining
the patient's history, which finding could have caused her condition
, A 72 year old female has a history of right heart failure caused by a right ventricular myocardial
infarction. which of the following symptoms are specifically related to her right heart failure
a. significant edema to both lower legs and feet
b. hypertension
c. decreased urine output
d. dyspnea upon exertion - Answer A. significant edema to both lower legs and feet
Which planning care for a patient with superior vena cava syndrome (SVCS), which principle
should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that
leads to venous distention of the upper extremities and head
a. inflammation
b. occlusion
c. distention
d. sclerosis - Answer B. occlusion
A 15 year old male who is allergic to peanuts eats a peanut butter cup. he then goes into
anaphylactic shock. which assessment findings will the nurse assess for
a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash - Answer B. bronchoconstriction, hives or
edema, and hypotension
A 28 year old female presents with severe chest pain and shortness of breath. She is diagnosed
with pulmonary embolism, which most likely originated from the
a. left ventricle
b. systemic arteries
c. inadequate tissue perfusion
d. lack of nervous or endocrine stimulation - Answer C. inadequate tissue perfusion
When a person is in shock, a nurse remembers impairment in cellular metabolism is caused by
a. release of toxic substances
23 and 24 Test Bank Questions and
Already Passed Answers.
A newborn is diagnosed with congenital intrinsic factor deficiency. which of the following types
of anemia will the nurse see documented on the chart
a. iron deficiency anemia
b. pernicious anemia
c. siderblastic anemia
d. hemolytic anemia - Answer B. pernicious anemia
A 6 year old male presents with fatigue, jaundice, and irritability, a blood smear shows the
presence of sickled cells. Erythropoiesis is compromised in this child, which crisis should the
nurse monitor the patient for
a. vaso-occlusive crisis
b. sequestration crisis
c. aplastic crisis
d. hyperhemolytic crisis - Answer C. aplastic crisis
How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia
a. administer radioactive cobalamin and measure its excretion in the urine
b. measure antigen-antibody immune complexes
c. measure serum ferritin and total iron-binding capacity
d. administer folate and evaluate folate content in a blood serum sample - Answer A.
administer radioactive cobalamin and measure its excretion in the urine
A 60 year old female emphysema patient experiences a rapid and pounding heart, dizziness,
and fatigue with exertion. which of the following respiratory assessment findings indicate the
respiratory system is compensating for the increased oxygen demand
a. bronchoconstriction
b. increased rate and depth of breathing
c. dyspnea
,Which major symptoms in a patient with sickle cell anemia indicates to the nurse, the patient is
experiencing a vaso-occlusive crisis
a. peripheral edema
b. pain
c. petechiae
d. an enlarged spleen - Answer B. pain
A geneticist is discussing thalassemias. Which information should be included? The alpha and
beta thalassemias are inherited in an ___ fashion
a. autosomal recessive
b. autosomal dominant
c. X-linked recessive
d. X-linked dominant - Answer A. autosomal recessive
A 2 year old male presented with growth and maturation retardation and splenomegaly. He died
shortly after arriving at the ER. autopsy revealed thalassemia secondary to defective
a. erythrocyte membranes
b. iron metabolism
c. stem cell formation
d. hemoglobin synthesis - Answer D. hemoglobin synthesis
A 2 year old malnourished child has vitamin B12 and folate deficiencies. a blood smear suggests
the deficiency is macrocytic and normochromic. the nurse would expect the hemoglobin to be
a. normal
b. sporadic
c. low
d. high - Answer A. normal
A 45 year old male is diagnosed with siderblastic anemia. when he asks what the most likely
cause of this disease is, what is the nurse's best response
a. inefficient iron uptake and abnormal hemoglobin production
b. misshapen erythrocytes with low hemoglobin
c. decreased levels of tissue iron with megaloblastic erythrocytes
,A 30 year old caucasian female was recently diagnosed with primary hypertension. she reports
that she eats fairly well, usually having red meat and potatoes daily. she also reports that her
father has hypertension as well. a nurse determined which of the following risk factors is most
likely associated with this diagnosis
a. race
b. diet
c. age
d. genes - Answer D. genes
A 75 year old male has severe chest pain and dials 911. lab tests at the hospital reveal elevated
levels of cardiac troponins I and T. based upon the lab findings, the nurse suspects which of the
following has occurred
a. Raynaud disease
b. myocardial infarction (MI)
c. orthostatic hypotension
d. varicose veins - Answer B. Myocardial infarction (MI)
A 60 year old male presents to his primary care provider reporting chest pain. he is diagnosed
with atherosclerosis. this disease is caused by
a. arterial wall thinning and weakening
b. abnormally dilated arteries and veins
c. abnormal thickening and hardening of vessel walls
d. autonomic nervous system imbalances - Answer C. abnormal thickening and hardening of
vessel walls
When a nurse check the patient for orthostatic hypotension, what did the nurse have the
patient do
a. physical exertion
b. eat
c. stand up
d. lie down - Answer C. stand up
a 32 year old female presents with lower leg pain, with swelling and redness. while obtaining
the patient's history, which finding could have caused her condition
, A 72 year old female has a history of right heart failure caused by a right ventricular myocardial
infarction. which of the following symptoms are specifically related to her right heart failure
a. significant edema to both lower legs and feet
b. hypertension
c. decreased urine output
d. dyspnea upon exertion - Answer A. significant edema to both lower legs and feet
Which planning care for a patient with superior vena cava syndrome (SVCS), which principle
should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that
leads to venous distention of the upper extremities and head
a. inflammation
b. occlusion
c. distention
d. sclerosis - Answer B. occlusion
A 15 year old male who is allergic to peanuts eats a peanut butter cup. he then goes into
anaphylactic shock. which assessment findings will the nurse assess for
a. bradycardia, decreased arterial pressure, and oliguria
b. bronchoconstriction, hives or edema, and hypotension
c. hypertension, anxiety, and tachycardia
d. fever, hypotension, and erythematous rash - Answer B. bronchoconstriction, hives or
edema, and hypotension
A 28 year old female presents with severe chest pain and shortness of breath. She is diagnosed
with pulmonary embolism, which most likely originated from the
a. left ventricle
b. systemic arteries
c. inadequate tissue perfusion
d. lack of nervous or endocrine stimulation - Answer C. inadequate tissue perfusion
When a person is in shock, a nurse remembers impairment in cellular metabolism is caused by
a. release of toxic substances
