NUR 211 / NUR211 LIFESPAN FINAL
EXAM Questions with 100% Verified
Answers
Question 1: A patient who has chest tubes attached to a Pleur-evac water-seal
drainage system is being transported to X-ray. Which is the most appropriate
action for the nurse to take during transit?
A. Clamping the tubes during transport
B. Placing the Pleur-evac on the bed next to the patient
C. Maintaining the patency of the chest tubes and hanging the Pleur-evac from an
IV pole
D. Maintaining the patency of the chest tubes and keeping the Pleur-evac
below the chest level
Correct Answer: D
Rationale: The chest drainage system must remain below the level of the patient's
chest to promote gravity drainage and prevent backflow. Clamping tubes during
transport can lead to tension pneumothorax. The system should never be hung from
an IV pole above the patient.
Question 2: After a pediatric patient has had a bone marrow biopsy and aspiration,
which findings would the RN instruct the parents to monitor and report?
A. Nausea and vomiting
B. Temperature and pain
C. Headache and chills
D. Hypotension and cramps
Correct Answer: B
Rationale: The procedure is painful and the parents are instructed to monitor the
child's temperature 12 hours after and 24 hours after the procedure to detect
infection. Increased pain at the site or fever requires immediate reporting.
,Question 3: A patient is in sickle cell crisis. Which laboratory values should the
RN report to the health care provider? (Select all that apply.)
A. Hemoglobin of 7.3 g/dL
B. Bilirubin of 2.2 mg/dL
C. White blood cell (WBC) count of 12,580 /mm³
D. Platelet count of 220,000 /mm³
E. Partial thromboplastin time (PTT) of 13.2 seconds
Correct Answer: A, B, C
Rationale: Sickle cell crisis causes anemia (Hgb low, normal 12-16 g/dL).
Bilirubin is elevated above normal 0-1 mg/dL due to hemolysis. WBCs are
elevated above normal 4,500-10,000/mm³ due to inflammation and infection risk.
Platelet count and PTT are typically normal in sickle cell crisis.
Question 4: Which statement by a patient with pernicious anemia indicates an
understanding of the RN's teaching plan about the therapeutic regimen?
A. "I will increase my intake of meats."
B. "I will be able to stop therapy when my red blood cell count is normal."
C. "I will take multivitamins and iron tablets daily."
D. "I will need to have vitamin B12 injections on a monthly basis."
Correct Answer: D
Rationale: Pernicious anemia is linked with a deficiency of vitamin B12 due to
lack of intrinsic factor. Oral B12 is not absorbed; lifelong monthly intramuscular
B12 injections are required regardless of RBC count normalization.
Question 5: A patient presents at a hematology clinic for a blood transfusion and
asks, "Can I catch anything from a blood transfusion?" The nurse would base the
response on knowledge that which of the following diseases may be transmitted
via blood transfusion? (Select all that apply.)
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Cytomegalovirus (CMV)
E. Human Immunodeficiency Virus (HIV)
,Correct Answer: B, C, D, E
Rationale: Hepatitis B and C, CMV, and HIV can be transmitted via blood
transfusions. Hepatitis A is transmitted fecal-oral, not through blood. Screening
tests detect most cases but risk remains low. Leukocyte-reduced products reduce
CMV risk.
Question 6: A patient has received a blood transfusion secondary to blood loss
from a head laceration caused by a fall. Which statement by the patient indicates to
the RN understanding of the discharge instructions?
A. "I hope all this new blood will stop the dizziness I had before I fell."
B. "I know I need to call you if I start feeling funny for the next day or two."
C. "I sure wish I would start breathing better now, rather than in a day or two."
D. "I know I won't be able to donate blood anymore since I have someone else's
blood mixed with mine."
Correct Answer: B
Rationale: Delayed transfusion reactions can include febrile non-hemolytic
reaction and acute hemolytic reaction. Chills, fever, muscle stiffness, low back
pain, nausea, chest tightness, dyspnea, and anxiety can be symptoms of a
significant problem and warrant a call to a provider.
Question 7: A patient is on chemotherapy. The RN is teaching the patient about
neutropenia. Which statement by the patient indicates they understood the
teaching?
A. "I will have to use a soft-bristled toothbrush when brushing my teeth."
B. "I can give an infection to others because my body can't fight off infection."
C. "Eating fresh fruit and vegetables will help improve the neutropenia."
D. "I will call my health care provider if I have an increased temperature."
Correct Answer: D
Rationale: If neutropenia is accompanied by increased temperature, the patient is
considered to have an infection and is usually admitted to the hospital. Fever is the
only sign of infection in neutropenic patients.
, Question 8: A patient receiving a blood transfusion begins to complain of low
back pain, nausea, and difficulty breathing. What should be the RN's first action?
A. Discontinue the transfusion.
B. Assess the patient's vital signs.
C. Notify the health care provider.
D. Administer Benadryl 25 mg IV.
Correct Answer: A
Rationale: The symptoms described indicate an acute hemolytic reaction, the most
dangerous and life-threatening transfusion reaction. The nurse should immediately
discontinue the transfusion, then assess vitals, notify provider, and maintain IV
access with new tubing and normal saline.
Question 9: A medication for a patient is prescribed as 0.5 mg/kg and is supplied
in a solution of 5 mg/mL by mouth. The patient weighs 168 lb. What volume of
medication should be administered, in milliliters (mL)?
Correct Answer: 7.6 mL (rounded from 7.62)
Rationale: Weight: 168 lbs ÷ 2.2 kg = 76.36 kg. Dosage: 76.36 kg × 0.5 mg =
38.18 mg. Volume: 38.18 mg ÷ 5 mg/mL = 7.636 mL → 7.6 mL.
Question 10: A charge nurse is instructing a student nurse on the use of
erythropoietin for managing anemia in patients who object to blood transfusions.
Which statement demonstrates that the student nurse understands this medication?
A. "Synthetic erythropoietin stimulates erythropoiesis. The patient will have
serial CBCs and the dosage will be titrated to the hemoglobin."
B. "Synthetic erythropoietin stimulates bone marrow production of erythropoietin
so that the adrenals don't work as hard."
C. "Synthetic erythropoietin increases the production of all blood components and
effectively treats blood dyscrasias."
D. "Synthetic erythropoietin is most effective in treating the anemia associated
with kidney failure."
Correct Answer: A
Rationale: Synthetic erythropoietin (epoetin alfa) stimulates erythropoiesis. Serial
EXAM Questions with 100% Verified
Answers
Question 1: A patient who has chest tubes attached to a Pleur-evac water-seal
drainage system is being transported to X-ray. Which is the most appropriate
action for the nurse to take during transit?
A. Clamping the tubes during transport
B. Placing the Pleur-evac on the bed next to the patient
C. Maintaining the patency of the chest tubes and hanging the Pleur-evac from an
IV pole
D. Maintaining the patency of the chest tubes and keeping the Pleur-evac
below the chest level
Correct Answer: D
Rationale: The chest drainage system must remain below the level of the patient's
chest to promote gravity drainage and prevent backflow. Clamping tubes during
transport can lead to tension pneumothorax. The system should never be hung from
an IV pole above the patient.
Question 2: After a pediatric patient has had a bone marrow biopsy and aspiration,
which findings would the RN instruct the parents to monitor and report?
A. Nausea and vomiting
B. Temperature and pain
C. Headache and chills
D. Hypotension and cramps
Correct Answer: B
Rationale: The procedure is painful and the parents are instructed to monitor the
child's temperature 12 hours after and 24 hours after the procedure to detect
infection. Increased pain at the site or fever requires immediate reporting.
,Question 3: A patient is in sickle cell crisis. Which laboratory values should the
RN report to the health care provider? (Select all that apply.)
A. Hemoglobin of 7.3 g/dL
B. Bilirubin of 2.2 mg/dL
C. White blood cell (WBC) count of 12,580 /mm³
D. Platelet count of 220,000 /mm³
E. Partial thromboplastin time (PTT) of 13.2 seconds
Correct Answer: A, B, C
Rationale: Sickle cell crisis causes anemia (Hgb low, normal 12-16 g/dL).
Bilirubin is elevated above normal 0-1 mg/dL due to hemolysis. WBCs are
elevated above normal 4,500-10,000/mm³ due to inflammation and infection risk.
Platelet count and PTT are typically normal in sickle cell crisis.
Question 4: Which statement by a patient with pernicious anemia indicates an
understanding of the RN's teaching plan about the therapeutic regimen?
A. "I will increase my intake of meats."
B. "I will be able to stop therapy when my red blood cell count is normal."
C. "I will take multivitamins and iron tablets daily."
D. "I will need to have vitamin B12 injections on a monthly basis."
Correct Answer: D
Rationale: Pernicious anemia is linked with a deficiency of vitamin B12 due to
lack of intrinsic factor. Oral B12 is not absorbed; lifelong monthly intramuscular
B12 injections are required regardless of RBC count normalization.
Question 5: A patient presents at a hematology clinic for a blood transfusion and
asks, "Can I catch anything from a blood transfusion?" The nurse would base the
response on knowledge that which of the following diseases may be transmitted
via blood transfusion? (Select all that apply.)
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Cytomegalovirus (CMV)
E. Human Immunodeficiency Virus (HIV)
,Correct Answer: B, C, D, E
Rationale: Hepatitis B and C, CMV, and HIV can be transmitted via blood
transfusions. Hepatitis A is transmitted fecal-oral, not through blood. Screening
tests detect most cases but risk remains low. Leukocyte-reduced products reduce
CMV risk.
Question 6: A patient has received a blood transfusion secondary to blood loss
from a head laceration caused by a fall. Which statement by the patient indicates to
the RN understanding of the discharge instructions?
A. "I hope all this new blood will stop the dizziness I had before I fell."
B. "I know I need to call you if I start feeling funny for the next day or two."
C. "I sure wish I would start breathing better now, rather than in a day or two."
D. "I know I won't be able to donate blood anymore since I have someone else's
blood mixed with mine."
Correct Answer: B
Rationale: Delayed transfusion reactions can include febrile non-hemolytic
reaction and acute hemolytic reaction. Chills, fever, muscle stiffness, low back
pain, nausea, chest tightness, dyspnea, and anxiety can be symptoms of a
significant problem and warrant a call to a provider.
Question 7: A patient is on chemotherapy. The RN is teaching the patient about
neutropenia. Which statement by the patient indicates they understood the
teaching?
A. "I will have to use a soft-bristled toothbrush when brushing my teeth."
B. "I can give an infection to others because my body can't fight off infection."
C. "Eating fresh fruit and vegetables will help improve the neutropenia."
D. "I will call my health care provider if I have an increased temperature."
Correct Answer: D
Rationale: If neutropenia is accompanied by increased temperature, the patient is
considered to have an infection and is usually admitted to the hospital. Fever is the
only sign of infection in neutropenic patients.
, Question 8: A patient receiving a blood transfusion begins to complain of low
back pain, nausea, and difficulty breathing. What should be the RN's first action?
A. Discontinue the transfusion.
B. Assess the patient's vital signs.
C. Notify the health care provider.
D. Administer Benadryl 25 mg IV.
Correct Answer: A
Rationale: The symptoms described indicate an acute hemolytic reaction, the most
dangerous and life-threatening transfusion reaction. The nurse should immediately
discontinue the transfusion, then assess vitals, notify provider, and maintain IV
access with new tubing and normal saline.
Question 9: A medication for a patient is prescribed as 0.5 mg/kg and is supplied
in a solution of 5 mg/mL by mouth. The patient weighs 168 lb. What volume of
medication should be administered, in milliliters (mL)?
Correct Answer: 7.6 mL (rounded from 7.62)
Rationale: Weight: 168 lbs ÷ 2.2 kg = 76.36 kg. Dosage: 76.36 kg × 0.5 mg =
38.18 mg. Volume: 38.18 mg ÷ 5 mg/mL = 7.636 mL → 7.6 mL.
Question 10: A charge nurse is instructing a student nurse on the use of
erythropoietin for managing anemia in patients who object to blood transfusions.
Which statement demonstrates that the student nurse understands this medication?
A. "Synthetic erythropoietin stimulates erythropoiesis. The patient will have
serial CBCs and the dosage will be titrated to the hemoglobin."
B. "Synthetic erythropoietin stimulates bone marrow production of erythropoietin
so that the adrenals don't work as hard."
C. "Synthetic erythropoietin increases the production of all blood components and
effectively treats blood dyscrasias."
D. "Synthetic erythropoietin is most effective in treating the anemia associated
with kidney failure."
Correct Answer: A
Rationale: Synthetic erythropoietin (epoetin alfa) stimulates erythropoiesis. Serial
