N201 INTERMEDIATE MED SURG
WEEK 2 EXAM QUESTIONS &
ANSWERS RATED 100% CORRECT
A nurse is completing discharge teaching with a client who has heart failure and is
encouraged to increase potassium in his diet. Which of the following selections should
the nurse include that contains the most potassium? - Correct Answer ✔✔ 1 medium
potato
A nurse is providing discharge teaching for a client who has heart failure and is on a
fluid restriction of 2000 ml a day. The client asks the nurse to determine the appropriate
amount of fluids he is allowed. Which of the following statements is an appropriate
response from the nurse? - Correct Answer ✔✔ Pour the amount of fluid in an empty 2
liter bottle to keep track of how much you drink.
The nurse provides education regarding daily activities to a patient with
thrombocytopenia. Which patient activity indicates understanding of the teaching?
A
Flossing using thick tape floss
B
Shaving using an electric razor
C
Wearing flip flops to go walking
D
Brushing using a stiff-bristle toothbrush - Correct Answer ✔✔ B
A patient with thrombocytopenia has a decreased number of platelets, and therefore
prolonged bleeding will be observed even for minor injuries. Shaving using an electric
razor blade decreases the risk of cuts and wounds resulting in decreased bleeding.
Therefore this activity of the patient indicates understanding of the nurse's teaching.
Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds
and increased bleeding. Flossing using a thick tape floss is not safe and can cause an
increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the
gums and is not safe; therefore the nurse needs to perform more patient teaching.
A patient experiences thrombocytopenia. The nurse should monitor the patient for which
major complication?
A
Fatigue
B
Weakness
C
, Hemorrhage
D
Abdominal pain - Correct Answer ✔✔ C
The major complication of thrombocytopenia is hemorrhage. This occurs due to a
decreased number of platelets in blood, which results in excessive bleeding. Fatigue,
weakness, and abdominal pain are minor complications of thrombocytopenia.
Which diagnostic test can detect destruction of circulating platelets as the cause of
thrombocytopenia?
A
Hemoglobin
B
Bone marrow analysis
C
Prothrombin time (PT)
D
Peripheral blood smear - Correct Answer ✔✔ B
When destruction of circulating platelets is the cause, bone marrow analysis shows
megakaryocytes (precursors of platelets) to be normal or increased, even though
circulating platelets are reduced. Prothrombin time (PT) is used to assess secondary
hemostasis. Peripheral blood smear is used to distinguish acquired disorders from
congenital disorders. Hemoglobin measures the amount of protein in the red blood cells
that carries oxygen to the body's organs and tissues and transports carbon dioxide from
the organs and tissues back to the lungs.
The nurse should question which therapy that is listed on a treatment plan for a patient
who has thrombotic thrombocytopenic purpura (TTP)?
A
Plasmapheresis
B
Rituximab therapy
C
Platelet transfusion
D
Corticosteroid therapy - Correct Answer ✔✔ C
Administration of platelets or platelet transfusion is contraindicated in a patient who has
thrombotic thrombocytopenic purpura (TTP) because it leads to new vWF-platelet
complexes and increased clotting. Plasmapheresis supplies the appropriate vWF and
enzyme (ADAMTS13) and removes large vWF molecules that bind with platelets;
therefore it reverses the platelet consumption in the patient. Rituximab and
corticosteroids are used in the treatment of TTP.
The nurse is reviewing the lab reports of several patients. Which report is consistent
with a diagnosis of thrombocytopenia?
A
Hemoglobin 13
WEEK 2 EXAM QUESTIONS &
ANSWERS RATED 100% CORRECT
A nurse is completing discharge teaching with a client who has heart failure and is
encouraged to increase potassium in his diet. Which of the following selections should
the nurse include that contains the most potassium? - Correct Answer ✔✔ 1 medium
potato
A nurse is providing discharge teaching for a client who has heart failure and is on a
fluid restriction of 2000 ml a day. The client asks the nurse to determine the appropriate
amount of fluids he is allowed. Which of the following statements is an appropriate
response from the nurse? - Correct Answer ✔✔ Pour the amount of fluid in an empty 2
liter bottle to keep track of how much you drink.
The nurse provides education regarding daily activities to a patient with
thrombocytopenia. Which patient activity indicates understanding of the teaching?
A
Flossing using thick tape floss
B
Shaving using an electric razor
C
Wearing flip flops to go walking
D
Brushing using a stiff-bristle toothbrush - Correct Answer ✔✔ B
A patient with thrombocytopenia has a decreased number of platelets, and therefore
prolonged bleeding will be observed even for minor injuries. Shaving using an electric
razor blade decreases the risk of cuts and wounds resulting in decreased bleeding.
Therefore this activity of the patient indicates understanding of the nurse's teaching.
Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds
and increased bleeding. Flossing using a thick tape floss is not safe and can cause an
increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the
gums and is not safe; therefore the nurse needs to perform more patient teaching.
A patient experiences thrombocytopenia. The nurse should monitor the patient for which
major complication?
A
Fatigue
B
Weakness
C
, Hemorrhage
D
Abdominal pain - Correct Answer ✔✔ C
The major complication of thrombocytopenia is hemorrhage. This occurs due to a
decreased number of platelets in blood, which results in excessive bleeding. Fatigue,
weakness, and abdominal pain are minor complications of thrombocytopenia.
Which diagnostic test can detect destruction of circulating platelets as the cause of
thrombocytopenia?
A
Hemoglobin
B
Bone marrow analysis
C
Prothrombin time (PT)
D
Peripheral blood smear - Correct Answer ✔✔ B
When destruction of circulating platelets is the cause, bone marrow analysis shows
megakaryocytes (precursors of platelets) to be normal or increased, even though
circulating platelets are reduced. Prothrombin time (PT) is used to assess secondary
hemostasis. Peripheral blood smear is used to distinguish acquired disorders from
congenital disorders. Hemoglobin measures the amount of protein in the red blood cells
that carries oxygen to the body's organs and tissues and transports carbon dioxide from
the organs and tissues back to the lungs.
The nurse should question which therapy that is listed on a treatment plan for a patient
who has thrombotic thrombocytopenic purpura (TTP)?
A
Plasmapheresis
B
Rituximab therapy
C
Platelet transfusion
D
Corticosteroid therapy - Correct Answer ✔✔ C
Administration of platelets or platelet transfusion is contraindicated in a patient who has
thrombotic thrombocytopenic purpura (TTP) because it leads to new vWF-platelet
complexes and increased clotting. Plasmapheresis supplies the appropriate vWF and
enzyme (ADAMTS13) and removes large vWF molecules that bind with platelets;
therefore it reverses the platelet consumption in the patient. Rituximab and
corticosteroids are used in the treatment of TTP.
The nurse is reviewing the lab reports of several patients. Which report is consistent
with a diagnosis of thrombocytopenia?
A
Hemoglobin 13
