Nurs 4106 Exam #1: Quiz Questions and
Answers Latest Update
c. dyspnea at rest and tachycardia ANS✔✔ In a severely anemic patient, the
nurse would expect to find:
a. cyanosis and cardiomegaly
b. pulmonary edema and fibrosis
c. dyspnea at rest and tachycardia
d. ventricular dysrhythmias and wheezing
b. dietary intake of iron ANS✔✔ When obtaining assessment data from a
patient with a microcytic, hypochromic anemia, the nurse would ask the
patient about:
a. folic acid intake
b. dietary intake of iron
c. a history of gastric surgery
d. a history of sickle cell anemia
a. instructions for high-iron diet
c. monitoring stools for occult blood ANS✔✔ Nursing interventions for a
patient with severe anemia related to peptic ulcer disease include (select all
that apply):
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a. instructions for high-iron diet
b. taking vital signs every 8 hours
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administration of cobalamin (vitamin B12) injections
a. monitoring CBC
b. optimal pain management and O2 therapy
c. blood transfusion if needed and iron chelation
d. rest as needed and DVT thrombosis prophylaxis ANS✔✔ The nursing
management of a patient in sickle cell crisis includes (select all that apply):
a. monitoring CBC
b. optimal pain management and O2 therapy
c. blood transfusion if needed and iron chelation
d. rest as needed and DVT thrombosis prophylaxis
e. administration of IV iron and diet high in iron
a. thrombosis ANS✔✔ A complication of the hyperviscosity of polycythemia
is:
a. thrombosis
b. cardiomyopathy
c. pulmonary edema
d. disseminated intravascular coagulation
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a. dab his or her nose instead of blowing ANS✔✔ When caring for a patient
with thrombocytopenia, the nurse instructs the patient to:
a. dab his or her nose instead of blowing
b. be careful when shaving with a safety razor
c. continue w/ physical activities to stimulate thrombopoiesis
d. avoid aspirin because it may mask the fever that occurs with
thrombocytopenia
d. factor VIII ANS✔✔ The nurse would expect that a patient with von
Willebrand disease undergoing surgery would be treated with administration
of vWF and:
a. thrombin
b. factor VI
c. factor VII
d. factor VIII
c. a disease process stimulates coagulation processes with resultant
thrombosis, as well as depletion of clotting factors, leading to diffuse
clotting and hemorrhage ANS✔✔ DIC is a disorder in which:
a. the coagulation pathway is genetically altered, leading to thrombus
formation in all major blood vessels
b. an underlying disease depletes hemolytic factors in the blood, leading to
diffuse thrombotic episodes and infarcts
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c. a disease process stimulates coagulation processes with resultant
thrombosis, as well as depletion of clotting factors, leading to diffuse
clotting and hemorrhage
d. an inherited predisposition causes a deficiency of clotting factors that
leads to overstimulation of coagulation processes in the vasculature
a. starting the prescribed antibiotic STAT
b. drawing peripheral and central line blood cultures
c. ongoing monitoring of the patients vital signs for septic shock
d. taking a full set of vital signs and notifying the physician immediately
ANS✔✔ Priority nursing actions when caring for a hospitalized patient with a
new onset temp of 102.2 and severe neutropenia include (select all that
apply):
a. starting the prescribed antibiotic STAT
b. drawing peripheral and central line blood cultures
c. ongoing monitoring of the patients vital signs for septic shock
d. taking a full set of vital signs and notifying the physician immediately
e. administering transfusions of WBCs treated to decrease immunogenicity
d. deficiency of all cellular blood components ANS✔✔ Because
myelodysplastic syndrome arises from the pluripotent hematopoietic stem
cell in the bone marrow, lab results the nurse would expect to find include:
a. excess of T cells
b. excess of platelets
c. deficiency of granulocytes
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