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Final Exam NURS740 Practice Questions and Answers

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  • NURS 2024/2025
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  • NURS 2024/2025

Final Exam NURS740 Practice Questions and Answers Sandra is 70 years old and has just been diagnosed with leukemia. She is complaining of bone and joint pain. Which type of leukemia is most likely the culprit? A. Acute lymphoblastic leukemia (ALL) B. Acute myelogenous leukemia (AML) C. Chroni...

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  • October 24, 2024
  • 112
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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Final Exam NURS740 Practice Questions
and Answers

Sandra is 70 years old and has just been diagnosed with leukemia. She is complaining of bone and joint

pain. Which type of leukemia is most likely the culprit?


A. Acute lymphoblastic leukemia (ALL)


B. Acute myelogenous leukemia (AML)


C. Chronic myelogenous leukemia (CML)


D. Chronic lymphocytic leukemia (CLL) - Ans:✔✔-D. Chronic lymphocytic leukemia (CLL)




CLL most common in adult > 60


ALL most common in kids


CML most common in middle age


AML most prominent at age 40.



Page 1/112

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Which type of bone marrow transplant is obtained from an identical twin?


A. Xenograft


B. Autologous


C. Allogeneic


D. Syngeneic - Ans:✔✔-D. Syngeneic




The bone marrow is "harvested" from a donor. It may be an autologous (aspirated from the pelvic bones

of the patient during a remission), an allogeneic transplant (from a compatible donor such as a parent or

sibling with a similar tissue type), or a syngeneic transplant (from an identical twin). transplant (from a

compatible donor such as a parent or sibling with a similar tissue type), or a syngeneic transplant (from

an identical twin).


During treatment for anaphylaxis, which site is used for the initial injection of epinephrine?


A. Antecubital vein


B. Abdomen


C. Upper lateral thigh


D. Deltoid - Ans:✔✔-C. Upper lateral thigh

Page 2/112

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FIRST PUBLISH OCTOBER 2024




• Step 1: Administer aqueous epinephrine 1:1,000 dilution 0.3-0.5 mg (0.3-0.5 mL) intramuscularly into

the upper lateral thigh, in a supine position with the head below heart level, if possible.


• Step 2: Repeat epinephrine every 5-15 minutes as required by the clinical presentation. If hypotensive,

position the patient supine with feet elevated.


• Step 3: Support bronchodilation if patient is without laryngospasm by administering albuterol 3 mL (2.5

mg) inhalation via nebulizer.


• Step 4: If patient is in laryngospasm or pulmonary arrest, perform emergency endotracheal intubation

and provide respiratory support.


• Step 5: Start IV fluids using normal saline or Ringer's lactate solution to maintain systolic blood

pressure greater than 90 mm Hg. The rate of flow should be determined by the blood pressure reading

but typically may be bolused.


• Step 6: If the patient is conscious and without laryngospasm, administer diphenhydramine (Benadryl)

25-50 mg to relieve cutaneous symptoms. H2-blockers may also be added (particularly if GI symptoms

are present) but have not been shown to be as effective as H1-blockers.


• Step 7: Transfer the patient to an acute-care emergency center for continued support and observation.

Add corticosteroids (IV or PO) to prevent late-phase anaphylactic reactions, which may be as severe as

early-phase reactions.


Page 3/112

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




After the initial treatment for anaphylaxis, which medication should be added to prevent late-phase

anaphylactic reactions?


A. Albuterol


B. Diphenhydramine


C. H2 blocker


D. Corticosteroid - Ans:✔✔-D. Corticosteroid




• Step 1: Administer aqueous epinephrine 1:1,000 dilution 0.3-0.5 mg (0.3-0.5 mL) intramuscularly into

the upper lateral thigh, in a supine position with the head below heart level, if possible.


• Step 2: Repeat epinephrine every 5-15 minutes as required by the clinical presentation. If hypotensive,

position the patient supine with feet elevated.


• Step 3: Support bronchodilation if patient is without laryngospasm by administering albuterol 3 mL (2.5

mg) inhalation via nebulizer.


• Step 4: If patient is in laryngospasm or pulmonary arrest, perform emergency endotracheal intubation

and provide respiratory support.




Page 4/112

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