N419 Exam 4 Honan NCLEX Questions
With Correct Answers
A nurse is caring for a patient who is 73 years old with a platelet count of
5,000/mm3 resulting from myelodysplastic syndrome. At 10PM, the patient
complains of a headache. What should be the nurse's immediate action to take?
A. administer aspirin per PRN order
B. administer acetaminophen per PRN order
C. notify the health care provider
D. Administer a nonpharmacologic intervention, such as a cool compress -
ANSWER C
A patient presents to her primary care provider with a complaint of a "cold that
just won't go away." She has a CBC drawn, revealing the following: WBC 4.5:
segs 5, bands 0, lymphs 45, eosinophils 5, basophils 5, monocytes 5, blasts 35.
What is the patient's absolute neutrophil count?
A. 500
B. 250
C. 225
D. 2,250 - ANSWER C
What is the priority nursing diagnosis for a client experiencing anemia?
A. risk for injury related to poor blood clotting
B. fatigue related to decreased cellular oxygenation
C. risk for infection related to decreased leukocytes
D. imbalanced nutrition; less than body requirements related to anorexia -
ANSWER B
A patient with thrombocytopenia due to chemotherapy develops a nose bleed
(epistaxis). What is the nurse's expected response?
A. apply ice to the anterior surface of the nose and place the patient in a supine
position
B. apply pressure to the nares and position the patient in a high Fowler position,
leaning slightly forward
C. squeeze the nares together firmly and position the patient in prone position
with mouth open
D. ask the patient to blow the nose vigorously as the nurse applies firm pressure
to the nares - ANSWER B
The nurse recognizes this as the most common hematologic condition
associated with aging.
, A. thrombocytopenia
B. leukopenia
C. agranulocytosis
D. anemia - ANSWER D
A patient's 18-year-old son would like to donate blood. The nurse educates him
regarding eligibility requirements for blood donation. Which statement
demonstrates that he does not understand the education provided?
a. "I am so glad that I am old enough to donate."
b. "Because I just got a tattoo a week ago, I am unable to donate."
c. "Because I live with a friend with HIV, I cannot donate."
d. "Because my girlfriend has hepatitis, and we are sexually active, I cannot
donate." - ANSWER C
The nurse is explaining the potential signs and symptoms of a transfusion
reaction to a patient who is receiving a first blood transfusion for the first time.
How will the nurse ensure safe blood product administration? Select all that
apply.
A. check ABO compatibility by comparing the blood product label to the
patient's medical record
B. use two patient identifiers, such as the patient's date of birth and name, to
verify the blood product
C. administer the blood product slowly for the first 15 minutes
D. administer acetaminophen and diphenhydramine, which are standard pre-
medications used in all transfused patients
E. obtain baseline vital signs before the transfusion is administered - ANSWER
A, B, C
A patient is being treated for sepsis. On the second day of receiving care, the
patient experiences epistaxis and persistent bleeding from a venipuncture site.
The nurse suspects DIC. Which laboratory result supports the nurse's
suspicion?
A. increased fibrinogen, decreased PTT, decreased platelets
B. decreased fibrinogen, increased PTT, increased platelets
C. decreased fibrinogen, increased PTT, decreased platelets
D. Increased fibrinogen, increased PTT< increased platelets - ANSWER C
The nurse provides patient education related to the management of iron
deficiency anemia. Which statement made by the patient signifies understanding
of the education provided?
A. "I should take my iron pills with a glass of orange juice."
B. "I should take my iron pills with breakfast to decrease stomach upset."
C. "Iron pills often cause constipation so I should decrease my fluid and fiber
intake."
With Correct Answers
A nurse is caring for a patient who is 73 years old with a platelet count of
5,000/mm3 resulting from myelodysplastic syndrome. At 10PM, the patient
complains of a headache. What should be the nurse's immediate action to take?
A. administer aspirin per PRN order
B. administer acetaminophen per PRN order
C. notify the health care provider
D. Administer a nonpharmacologic intervention, such as a cool compress -
ANSWER C
A patient presents to her primary care provider with a complaint of a "cold that
just won't go away." She has a CBC drawn, revealing the following: WBC 4.5:
segs 5, bands 0, lymphs 45, eosinophils 5, basophils 5, monocytes 5, blasts 35.
What is the patient's absolute neutrophil count?
A. 500
B. 250
C. 225
D. 2,250 - ANSWER C
What is the priority nursing diagnosis for a client experiencing anemia?
A. risk for injury related to poor blood clotting
B. fatigue related to decreased cellular oxygenation
C. risk for infection related to decreased leukocytes
D. imbalanced nutrition; less than body requirements related to anorexia -
ANSWER B
A patient with thrombocytopenia due to chemotherapy develops a nose bleed
(epistaxis). What is the nurse's expected response?
A. apply ice to the anterior surface of the nose and place the patient in a supine
position
B. apply pressure to the nares and position the patient in a high Fowler position,
leaning slightly forward
C. squeeze the nares together firmly and position the patient in prone position
with mouth open
D. ask the patient to blow the nose vigorously as the nurse applies firm pressure
to the nares - ANSWER B
The nurse recognizes this as the most common hematologic condition
associated with aging.
, A. thrombocytopenia
B. leukopenia
C. agranulocytosis
D. anemia - ANSWER D
A patient's 18-year-old son would like to donate blood. The nurse educates him
regarding eligibility requirements for blood donation. Which statement
demonstrates that he does not understand the education provided?
a. "I am so glad that I am old enough to donate."
b. "Because I just got a tattoo a week ago, I am unable to donate."
c. "Because I live with a friend with HIV, I cannot donate."
d. "Because my girlfriend has hepatitis, and we are sexually active, I cannot
donate." - ANSWER C
The nurse is explaining the potential signs and symptoms of a transfusion
reaction to a patient who is receiving a first blood transfusion for the first time.
How will the nurse ensure safe blood product administration? Select all that
apply.
A. check ABO compatibility by comparing the blood product label to the
patient's medical record
B. use two patient identifiers, such as the patient's date of birth and name, to
verify the blood product
C. administer the blood product slowly for the first 15 minutes
D. administer acetaminophen and diphenhydramine, which are standard pre-
medications used in all transfused patients
E. obtain baseline vital signs before the transfusion is administered - ANSWER
A, B, C
A patient is being treated for sepsis. On the second day of receiving care, the
patient experiences epistaxis and persistent bleeding from a venipuncture site.
The nurse suspects DIC. Which laboratory result supports the nurse's
suspicion?
A. increased fibrinogen, decreased PTT, decreased platelets
B. decreased fibrinogen, increased PTT, increased platelets
C. decreased fibrinogen, increased PTT, decreased platelets
D. Increased fibrinogen, increased PTT< increased platelets - ANSWER C
The nurse provides patient education related to the management of iron
deficiency anemia. Which statement made by the patient signifies understanding
of the education provided?
A. "I should take my iron pills with a glass of orange juice."
B. "I should take my iron pills with breakfast to decrease stomach upset."
C. "Iron pills often cause constipation so I should decrease my fluid and fiber
intake."
