Page 1 of 40
ADULT HEALTH III FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS GUARANTEED PASS GRADED A+
.The nurse is caring for a client with a chronic iron deficiency anemia. Which of the following assessment
findings should the nurse anticipate?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
b. Shiny, smooth tongue
A client's complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%. Which of the
following questions should the nurse ask to determine possible causes of this finding?
a. "Has there been any recent weight loss?"
b. "Do you have any problems with your vision?"
c. "What is your intake of fruits and vegetables?"
d. "Have you noticed any dark or bloody stools?"
b. "Do you have any problems with your vision?"
The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should
the nurse monitor?
a. Prothrombin time (PT)
b. Fibrin degradation products (FDP)
c. International normalized ratio (INR)
d. Activated partial thromboplastin time (aPTT)
d. Activated partial thromboplastin time (aPTT)
The nurse is evaluating the red blood cell indices result of a client's laboratory report. Which of the
following interpretations is correct related to a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs
d. Small size of the RBCs
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While examining the lymph nodes during physical assessment, the nurse would be most concerned about
which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a client with an infected foot
a. A 2-cm nontender supraclavicular node
The nurse is providing discharge teaching to a client who has had an emergency splenectomy following
an automobile accident. Which of the following findings should the nurse inform the client that they are
at an increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding
a. Infection
The nurse is obtaining a health history from a client and notes numerous petechiae. Which of the following
assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes
b. Pinpoint purplish-red lesions
The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be
of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L
a. White blood cell (WBC) count of 3.5 109 /L
The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a client
with pancytopenia. Which of the following actions should the nurse implement following the procedure?
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a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site.
d. Apply a pressure dressing on the aspiration site
The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the
following laboratory results should the nurse anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count
d. Elevated reticulocyte count
The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client
is neutropenic. Which of the following actions should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
c. Check temperature every 4 hours.
The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the
left." Which of the following assessments should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
d. Low oxygen saturation
c. Elevated temperature
The health care provider orders an ultrasound of the spleen for a client who has been in a car accident.
Which of the following actions should the nurse take before this procedure?
a. Check for any iodine allergy.
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b. Insert a large-bore IV catheter.
c. Place the client on NPO status.
d. Assist the client to a flat position.
d. Assist the client to a flat position.
The nurse is caring for a client with pancytopenia of unknown origin who is confused and is scheduled for
the following diagnostic tests. Which of the following tests should the nurse contact the client's family
member to obtain a signed consent form?
a. ABO blood typing
b. Bone marrow biopsy
c. Abdominal ultrasound
d. Complete blood count (CBC)
b. Bone marrow biopsy
The nurse is reviewing the complete blood count (CBC) for a client admitted with abdominal pain. Which
of the following information will be most important for the nurse to communicate to the health care
provider?
a. Monocytes 4%
b. Hemoglobin 116 g/L
c. Platelet count 145 109 /L
d. White blood cells 13.5 109 /L
d. White blood cells 13.5 109 /L
The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following
findings should the nurse identify as abnormal?
a. Activated clotting time 118 seconds
b. Activated partial thromboplastin time 40 seconds
c. D-dimer 200 mcg/L
d. Fibrinogen 4 g/L
b. Activated partial thromboplastin time 40 seconds
The nurse is caring for a client with anemia who is experiencing increased fatigue and occasional
palpitations at rest. Which of the following laboratory findings should the nurse expect?
a. Normal red blood cell (RBC) indices
b. Hematocrit (Hct) of 38%
ADULT HEALTH III FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS GUARANTEED PASS GRADED A+
.The nurse is caring for a client with a chronic iron deficiency anemia. Which of the following assessment
findings should the nurse anticipate?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
b. Shiny, smooth tongue
A client's complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%. Which of the
following questions should the nurse ask to determine possible causes of this finding?
a. "Has there been any recent weight loss?"
b. "Do you have any problems with your vision?"
c. "What is your intake of fruits and vegetables?"
d. "Have you noticed any dark or bloody stools?"
b. "Do you have any problems with your vision?"
The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should
the nurse monitor?
a. Prothrombin time (PT)
b. Fibrin degradation products (FDP)
c. International normalized ratio (INR)
d. Activated partial thromboplastin time (aPTT)
d. Activated partial thromboplastin time (aPTT)
The nurse is evaluating the red blood cell indices result of a client's laboratory report. Which of the
following interpretations is correct related to a low mean corpuscular volume (MCV)?
a. Hypochromic red blood cells (RBCs)
b. Inadequate numbers of RBCs
c. Low hemoglobin in the RBCs
d. Small size of the RBCs
d. Small size of the RBCs
, Page 2 of 40
While examining the lymph nodes during physical assessment, the nurse would be most concerned about
which of the following findings?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a client with an infected foot
a. A 2-cm nontender supraclavicular node
The nurse is providing discharge teaching to a client who has had an emergency splenectomy following
an automobile accident. Which of the following findings should the nurse inform the client that they are
at an increased risk of developing?
a. Infection
b. Lymphedema
c. Chronic anemia
d. Prolonged bleeding
a. Infection
The nurse is obtaining a health history from a client and notes numerous petechiae. Which of the following
assessments should the nurse anticipate?
a. Bruising on the skin
b. Pinpoint purplish-red lesions
c. Small focal red lesions
d. Brown spots on mucous membranes
b. Pinpoint purplish-red lesions
The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be
of most concern?
a. White blood cell (WBC) count of 3.5 109 /L
b. Hematocrit of 37%
c. Platelet count of 400 109 /L
d. Hemoglobin of 118 g/L
a. White blood cell (WBC) count of 3.5 109 /L
The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a client
with pancytopenia. Which of the following actions should the nurse implement following the procedure?
, Page 3 of 40
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile Band-Aid at the aspiration site.
c. Use half-inch sterile gauze to pack the wound.
d. Apply a pressure dressing on the aspiration site.
d. Apply a pressure dressing on the aspiration site
The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the
following laboratory results should the nurse anticipate?
a. Hematocrit of 45%
b. Hemoglobin of 132 g/L
c. Decreased white blood cell (WBC) count
d. Elevated reticulocyte count
d. Elevated reticulocyte count
The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client
is neutropenic. Which of the following actions should the nurse include in the plan of care?
a. Avoid intramuscular injections.
b. Encourage increased oral fluids.
c. Check temperature every 4 hours.
d. Increase intake of iron-rich foods.
c. Check temperature every 4 hours.
The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the
left." Which of the following assessments should the nurse monitor in the plan of care?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
d. Low oxygen saturation
c. Elevated temperature
The health care provider orders an ultrasound of the spleen for a client who has been in a car accident.
Which of the following actions should the nurse take before this procedure?
a. Check for any iodine allergy.
, Page 4 of 40
b. Insert a large-bore IV catheter.
c. Place the client on NPO status.
d. Assist the client to a flat position.
d. Assist the client to a flat position.
The nurse is caring for a client with pancytopenia of unknown origin who is confused and is scheduled for
the following diagnostic tests. Which of the following tests should the nurse contact the client's family
member to obtain a signed consent form?
a. ABO blood typing
b. Bone marrow biopsy
c. Abdominal ultrasound
d. Complete blood count (CBC)
b. Bone marrow biopsy
The nurse is reviewing the complete blood count (CBC) for a client admitted with abdominal pain. Which
of the following information will be most important for the nurse to communicate to the health care
provider?
a. Monocytes 4%
b. Hemoglobin 116 g/L
c. Platelet count 145 109 /L
d. White blood cells 13.5 109 /L
d. White blood cells 13.5 109 /L
The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following
findings should the nurse identify as abnormal?
a. Activated clotting time 118 seconds
b. Activated partial thromboplastin time 40 seconds
c. D-dimer 200 mcg/L
d. Fibrinogen 4 g/L
b. Activated partial thromboplastin time 40 seconds
The nurse is caring for a client with anemia who is experiencing increased fatigue and occasional
palpitations at rest. Which of the following laboratory findings should the nurse expect?
a. Normal red blood cell (RBC) indices
b. Hematocrit (Hct) of 38%
