NUR 211
NUR 211 Exam 1 Practice Questions
and Answers
A nurse is assessing a client for manifestations of aplastic anemia. Which of the
following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice with an enlarged liver
D. Petechiae and ecchymosis
D. Petechiae and ecchymosis
rationale: The hallmark sign of aplastic anemia is pancytopenia. Petechiae and
ecchymosis is related to the severe thrombocytopenia
A community health nurse is teaching a group of clients about melanoma. Which of the
following characteristics of lesions associated with melanoma should the nurse include in
the teaching?
A. One soild color
B. Symmetrical shape
C. <6mm in diameter
D. Irregular boarder
D. Irregular boarder
A nurse is teaching a group of clients about skin cancer. The nurse should explain that
basal cell carcinoma originates from which of the following tissues?
A. Subcutaneous
B. Epidermis
C. Dermis
D. Stratum corneum
B. Epidermis
A nurse in a dermatology clinic is using the ABCDE method while screening several skin
lesions from skin cancer on a client. Which of the following findings should the nurse
report to the provider?
NUR 211
,NUR 211
A. Symmetric shape
B. Border regularity
C. Color Variation within a lesion
D. Diameter >4mm
C. Color Variation within a lesion
A nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood
type is O-negative. Which of the following actions should the nurse take?
A. Continue to monitor for manifestations of a transfusion reaction
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution
C. Continue the transfusion and repeat the type and crossmatch
D. Prepare to administer a dose of diphenhydramine IV
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution
Rationale: B- positive is not compatible with O-negative blood causing a hemolytic
transfusion reaction (fever, chills, flank pain). The nurse should stop the transfusion and
start a new infusion with new tubing.
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which
of the following factors will have a significant impact on the plan of care for this client?
A. The client will need intensive smoking cessation education
B. After surgery, the prognosis for clients with lung cancer is usually good.
C. Lung cancer usually has metastasized before the client presents with symptoms
D. Oxygen therapy is ineffective following a lobectomy
C. Lung cancer usually has metastasized before the client presents with symptoms
A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and
a history of reviewing blood transfusion. For which of the following complications
should the nurse monitor?
A. Hypokalemia
B. Lead poisoning
C. Hypercalcemia
D. Iron Toxicity
NUR 211
, NUR 211
D. Iron Toxicity
Rationale: A client who is receiving several blood transfusions is at risk for an excess
storage of iron.
A nurse is providing teaching to a client who has anemia and a new prescription for
epoetin alfa. Which of the following information should the nurse include in the
teaching?
A. Hospitalization is required when administering each treatment
B. The maximum effect of the medication will occur in 6 months.
C. Hypertension is a common adverse effect of this medication
D. Blood transfusions are needed with each treatment
C. Hypertension is a common adverse effect of this medication
Rationale: Hypertension is a common adverse effect due to the rise in production of
erythrocytes.
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) to a client who
has anemia. Which of the following actions should the nurse take first?
A. Hang an IV infusion of 0.9% sodium chloride with the blood
B. Check the clients identification number with number on the blood
C. Witness the informed consent
D. Obtain pretransfusion vital signs
C. Witness the informed consent
A nurse is planning care for a client who has pernicious anemia. Which of the following
interventions should the nurse include in the plan?
A. Administer ferrous sulfate supplementation
B. Increase dietary intake of folic acid
C. Initiate weekly injections of Vitamin B12
D. Initiate a blood transfusion
C. Initiate weekly injections of Vitamin B12
A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing skin cancer?
A. Age over 60
B. Genetic predisposition
C. Light-skinned race
D. Overexposure to sun light
NUR 211
NUR 211 Exam 1 Practice Questions
and Answers
A nurse is assessing a client for manifestations of aplastic anemia. Which of the
following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice with an enlarged liver
D. Petechiae and ecchymosis
D. Petechiae and ecchymosis
rationale: The hallmark sign of aplastic anemia is pancytopenia. Petechiae and
ecchymosis is related to the severe thrombocytopenia
A community health nurse is teaching a group of clients about melanoma. Which of the
following characteristics of lesions associated with melanoma should the nurse include in
the teaching?
A. One soild color
B. Symmetrical shape
C. <6mm in diameter
D. Irregular boarder
D. Irregular boarder
A nurse is teaching a group of clients about skin cancer. The nurse should explain that
basal cell carcinoma originates from which of the following tissues?
A. Subcutaneous
B. Epidermis
C. Dermis
D. Stratum corneum
B. Epidermis
A nurse in a dermatology clinic is using the ABCDE method while screening several skin
lesions from skin cancer on a client. Which of the following findings should the nurse
report to the provider?
NUR 211
,NUR 211
A. Symmetric shape
B. Border regularity
C. Color Variation within a lesion
D. Diameter >4mm
C. Color Variation within a lesion
A nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood
type is O-negative. Which of the following actions should the nurse take?
A. Continue to monitor for manifestations of a transfusion reaction
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution
C. Continue the transfusion and repeat the type and crossmatch
D. Prepare to administer a dose of diphenhydramine IV
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution
Rationale: B- positive is not compatible with O-negative blood causing a hemolytic
transfusion reaction (fever, chills, flank pain). The nurse should stop the transfusion and
start a new infusion with new tubing.
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which
of the following factors will have a significant impact on the plan of care for this client?
A. The client will need intensive smoking cessation education
B. After surgery, the prognosis for clients with lung cancer is usually good.
C. Lung cancer usually has metastasized before the client presents with symptoms
D. Oxygen therapy is ineffective following a lobectomy
C. Lung cancer usually has metastasized before the client presents with symptoms
A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and
a history of reviewing blood transfusion. For which of the following complications
should the nurse monitor?
A. Hypokalemia
B. Lead poisoning
C. Hypercalcemia
D. Iron Toxicity
NUR 211
, NUR 211
D. Iron Toxicity
Rationale: A client who is receiving several blood transfusions is at risk for an excess
storage of iron.
A nurse is providing teaching to a client who has anemia and a new prescription for
epoetin alfa. Which of the following information should the nurse include in the
teaching?
A. Hospitalization is required when administering each treatment
B. The maximum effect of the medication will occur in 6 months.
C. Hypertension is a common adverse effect of this medication
D. Blood transfusions are needed with each treatment
C. Hypertension is a common adverse effect of this medication
Rationale: Hypertension is a common adverse effect due to the rise in production of
erythrocytes.
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) to a client who
has anemia. Which of the following actions should the nurse take first?
A. Hang an IV infusion of 0.9% sodium chloride with the blood
B. Check the clients identification number with number on the blood
C. Witness the informed consent
D. Obtain pretransfusion vital signs
C. Witness the informed consent
A nurse is planning care for a client who has pernicious anemia. Which of the following
interventions should the nurse include in the plan?
A. Administer ferrous sulfate supplementation
B. Increase dietary intake of folic acid
C. Initiate weekly injections of Vitamin B12
D. Initiate a blood transfusion
C. Initiate weekly injections of Vitamin B12
A nurse is collecting a health history from a client. Which of the following findings is the
highest risk factor for the client developing skin cancer?
A. Age over 60
B. Genetic predisposition
C. Light-skinned race
D. Overexposure to sun light
NUR 211
