NUR 202 FINAL REVIEW FOR TEST 1-2 EXAM
WITH FULLY DETAILED ACCURATE
SOLUTIONS
A - answer ✔✔-.The nurse assesses a patient who has numerous petechiae on both arms. Which
question should the nurse ask the patient?
a. "Do you take salicylates?"
b. "Are you taking any oral contraceptives?"
c. "Have you been prescribed antiseizure drugs?"
d. "How long have you taken antihypertensive drugs?"
C - answer ✔✔-The nurse assesses a patient with pernicious anemia. Which assessment finding would
the nurse expect?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
B - answer ✔✔-A patient's complete blood count (CBC) shows a hemoglobin of 19 g/dL and a hematocrit
of 54%. Which question should the nurse ask to determine possible causes of this finding?
a. "Have you had a recent weight loss?"
b. "Do you have any history of lung disease?"
c. "Have you noticed any dark or bloody stools?"
d. "What is your dietary intake of meats and protein?"
,B - answer ✔✔-The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds. The
nurse should notify the health care provider in anticipation of adjusting which medication?
a. Aspirin
b. Heparin
c. Warfarin
d. Erythropoietin
B - answer ✔✔-A patient with a history of a transfusion-related acute lung injury (TRALI) is to receive a
transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI
for this patient?
a. Infuse the PRBCs slowly over 4 hours.
b. Transfuse only leukocyte-reduced PRBCs.
c. Administer the scheduled diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
A - answer ✔✔-Which action will the nurse include in the plan of care for a 72-year-old woman admitted
with multiple myeloma?
a. Monitor fluid intake and output.
b. Administer calcium supplements.
c. Assess lymph nodes for enlargement.
d. Limit weight bearing and ambulation.
C - answer ✔✔-A postoperative patient receiving a transfusion of packed red blood cells develops chills,
fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion,
what action should the nurse take?
a. Draw blood for a new crossmatch.
, b. Send a urine specimen to the laboratory.
c. Administer PRN acetaminophen (Tylenol).
d. Give the PRN diphenhydramine (Benadryl).
A - answer ✔✔-A 19-year-old woman with immune thrombocytopenic purpura (ITP) has an order for a
platelet transfusion. Which information indicates that the nurse should consult with the health care
provider before obtaining and administering platelets?
a. The platelet count is 42,000/mL.
b. Petechiae are present on the chest.
c. Blood pressure (BP) is 94/56 mm Hg.
d. Blood is oozing from the venipuncture site.
B - answer ✔✔-A patient with septicemia develops prolonged bleeding from venipuncture sites and
blood in the stools. Which action is most important for the nurse to take?
a. Avoid venipunctures.
b. Notify the patient's physician.
c. Apply sterile dressings to the sites.
d. Give prescribed proton-pump inhibitors.
B - answer ✔✔-After receiving change-of-shift report for several patients with neutropenia, which
patient should the nurse assess first?
a. 56-year-old with frequent explosive diarrhea
b. 33-year-old with a fever of 100.8° F (38.2° C)
c. 66-year-old who has white pharyngeal lesions
d. 23-year old who is complaining of severe fatigue
WITH FULLY DETAILED ACCURATE
SOLUTIONS
A - answer ✔✔-.The nurse assesses a patient who has numerous petechiae on both arms. Which
question should the nurse ask the patient?
a. "Do you take salicylates?"
b. "Are you taking any oral contraceptives?"
c. "Have you been prescribed antiseizure drugs?"
d. "How long have you taken antihypertensive drugs?"
C - answer ✔✔-The nurse assesses a patient with pernicious anemia. Which assessment finding would
the nurse expect?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
B - answer ✔✔-A patient's complete blood count (CBC) shows a hemoglobin of 19 g/dL and a hematocrit
of 54%. Which question should the nurse ask to determine possible causes of this finding?
a. "Have you had a recent weight loss?"
b. "Do you have any history of lung disease?"
c. "Have you noticed any dark or bloody stools?"
d. "What is your dietary intake of meats and protein?"
,B - answer ✔✔-The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds. The
nurse should notify the health care provider in anticipation of adjusting which medication?
a. Aspirin
b. Heparin
c. Warfarin
d. Erythropoietin
B - answer ✔✔-A patient with a history of a transfusion-related acute lung injury (TRALI) is to receive a
transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI
for this patient?
a. Infuse the PRBCs slowly over 4 hours.
b. Transfuse only leukocyte-reduced PRBCs.
c. Administer the scheduled diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
A - answer ✔✔-Which action will the nurse include in the plan of care for a 72-year-old woman admitted
with multiple myeloma?
a. Monitor fluid intake and output.
b. Administer calcium supplements.
c. Assess lymph nodes for enlargement.
d. Limit weight bearing and ambulation.
C - answer ✔✔-A postoperative patient receiving a transfusion of packed red blood cells develops chills,
fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion,
what action should the nurse take?
a. Draw blood for a new crossmatch.
, b. Send a urine specimen to the laboratory.
c. Administer PRN acetaminophen (Tylenol).
d. Give the PRN diphenhydramine (Benadryl).
A - answer ✔✔-A 19-year-old woman with immune thrombocytopenic purpura (ITP) has an order for a
platelet transfusion. Which information indicates that the nurse should consult with the health care
provider before obtaining and administering platelets?
a. The platelet count is 42,000/mL.
b. Petechiae are present on the chest.
c. Blood pressure (BP) is 94/56 mm Hg.
d. Blood is oozing from the venipuncture site.
B - answer ✔✔-A patient with septicemia develops prolonged bleeding from venipuncture sites and
blood in the stools. Which action is most important for the nurse to take?
a. Avoid venipunctures.
b. Notify the patient's physician.
c. Apply sterile dressings to the sites.
d. Give prescribed proton-pump inhibitors.
B - answer ✔✔-After receiving change-of-shift report for several patients with neutropenia, which
patient should the nurse assess first?
a. 56-year-old with frequent explosive diarrhea
b. 33-year-old with a fever of 100.8° F (38.2° C)
c. 66-year-old who has white pharyngeal lesions
d. 23-year old who is complaining of severe fatigue
