DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
Chapter 12, White Blood Cell Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the complete blood count (CBC) of a client and notices a low white blood
cell count. Which part of the body does the nurse identify as the major producer of white blood
cells?
1. Tonsils
2. Adenoids
3. Thymus gland
4. Bone marrow
____ 2. The complete blood count report of a client with enlarged lymph nodes and epistaxis indicates the
development of acute lymphocytic leukemia. For which reason does the nurse initiate client teaching
about safety and injury prevention?
1. Crowding of platelets by blast cells
2. Invasion of blast cells into the central nervous system
3. Proliferation of blast cells in the center of the bones
4. Cancerous cells proliferate within the spleen and liver
____ 3. Which white blood cells are the first responders in defense against antigens?
1. Basophils
2. Macrophages NURSINGTB.COM
3. B lymphocytes
4. T lymphocytes
____ 4. On reviewing the blood reports of a client who presents with a fever, the nurse finds the white blood
cell count is 13,000/microliter. Which term does the nurse use when documenting this finding?
1. Leukocytosis
2. Leukopenia
3. Neutrophilia
4. None of the above
____ 5. A nurse is reviewing the complete blood count of a client who presents with an infection. The report
indicates the white blood cell count is 9,000/microliter, neutrophil count is 8,500, leukocyte count is
4,000, eosinophil count is 600/microliter, and basophil is 1%. Which terminology does the nurse
associate with this finding?
1. Eosinophilia
2. Neutrophilia
3. Leukocytosis
4. Monocytes
____ 6. A client with an infection is brought to an acute care facility. The complete blood count with
differential report shows a white blood cell count of 3,000/uL. Which condition has the client
developed?
1. Leukopenia
2. Leukocytosis
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, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
3. Thrombocytopenia
4. Neutrophilia
____ 7. An older adult client receives chemotherapy for treating cancer. A complete blood count report after
chemotherapy shows red blood cells -3.02 million cells/microliter, white blood cells -3,200
cells/microliter, and platelets -100,000/microliter. What disorder does the nurse recognize in the
client?
1. Myelodysplastic syndrome
2. Lymphocytosis
3. Monocytic leukocytosis
4. Leukemoid reaction
____ 8. A school-age child presents to the hospital with lymphocytopenia. Based on this diagnosis, which
manifestation does the nurse expect to find?
1. A lymphocyte count greater than 9,000/microliter
2. A lymphocyte count less than 3,000/microliter
3. A lymphocyte count greater than 7,000 microliter
4. A lymphocyte count greater than 5,000/microliter
____ 9. The nurse is teaching the client about a possible cause of the client’s hematologic cancer. Which
statement by the client indicates a need for additional teaching?
1. “Exposure to intense radiation causes cancer.”
2. “Contact with benzene causes cancer.”
3. “Damaged deoxyribonucleic acid causes cancer.”
4. “I should have stopped smoking
NURSINyearsGTBago.”
.COM
____ 10. Which blood component is developed from megakaryocytes?
1. Platelets
2. Red blood cells
3. White blood cells
4. Blood plasma
____ 11. The nurse is providing care for an older adult client diagnosed with multiple myeloma. The client’s
laboratory report indicates anemia along with white blood cell (WBC) and red blood cell (RBC)
abnormalities. Radiographic studies indicate rounded, punched-out areas in the bones. Which early
treatment does the nurse expect?
1. Bisphosphonate therapy
2. Aggressive chemotherapy
3. Radiation to bone lesions
4. Autologous stem cell transplant
____ 12. A nurse is formulating a nursing diagnosis for a client with stage IV chronic lymphoid leukemia.
Which observed activity does the nurse interrupt immediately?
1. Placing the client in protective isolation
2. Limiting visitors with colds and infections
3. Washing hands before coming into contact
4. Delivering of flowers, plants, or fruit
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WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
____ 13. A nurse is analyzing the report of a school-age client with leukemia who is receiving chemotherapy.
The platelet count is 20,000/microliter. What would be the best intervention for the nurse to include
in the client’s plan of care?
1. Monitor the client’s vital signs.
2. Check the temperature every 6 hours.
3. Initiate protective isolation precautions.
4. Use a soft toothbrush for oral care.
____ 14. The nurse is providing care for a client with serious influenza symptoms. Which laboratory result
involving white blood cell elevation indicates to the nurse the source of the client’s illness is viral?
1. Neutrophils
2. Lymphocytes
3. Eosinophils
4. Basophils
____ 15. A client comes to an acute care facility with reports of pain from unilateral, swollen cervical lymph
nodes. The client is diagnosed with lymphoma. In which manner is the client’s lymphoma classified?
1. Stage I lymphoma
2. Stage II lymphoma
3. Stage III lymphoma
4. Stage IV lymphoma
____ 16. A client comes to the emergency department with symptoms of an allergic reaction from an
antibiotic. Which blood cells does the nurse monitor for an increase in the complete blood count
report? NURSINGTB.COM
1. Neutrophils
2. Eosinophils
3. Basophils
4. Lymphocytes
____ 17. A client presents with upper right quadrant abdominal pain and a report of feeling weak and
lethargic and states, “There is aching in my bones.” The health-care provider suspects a hematologic
disorder and prescribes blood work. Which possible physiological manifestation does the nurse
associate with the client’s bone pain?
1. Anemia caused by bone marrow overload to increase red blood cells (RBCs)
2. Nonfunctional, cancerous white blood cells (WBCs) have proliferated and
overwhelmed the bone marrow
3. Weakness and lethargy have caused decreased mobility and pathological bone loss
4. Splenomegaly has developed from the loss of and deterioration of bone cells
____ 18. An older adult client comes to an acute care facility and reports severe back pain. The client’s blood
report shows immunoglobulin A (IgA) concentration of 2 grams/deciliter and plasma cells of 8% in
the bone marrow. The client does not show symptoms of anemia or hypercalcemia. Based on these
findings, which diagnosis does the nurse suspect?
1. Multiple myeloma
2. Monoclonal gammopathy
3. Lymphocytic leukemia
4. Hematologic neoplasm
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
Chapter 12, White Blood Cell Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the complete blood count (CBC) of a client and notices a low white blood
cell count. Which part of the body does the nurse identify as the major producer of white blood
cells?
1. Tonsils
2. Adenoids
3. Thymus gland
4. Bone marrow
____ 2. The complete blood count report of a client with enlarged lymph nodes and epistaxis indicates the
development of acute lymphocytic leukemia. For which reason does the nurse initiate client teaching
about safety and injury prevention?
1. Crowding of platelets by blast cells
2. Invasion of blast cells into the central nervous system
3. Proliferation of blast cells in the center of the bones
4. Cancerous cells proliferate within the spleen and liver
____ 3. Which white blood cells are the first responders in defense against antigens?
1. Basophils
2. Macrophages NURSINGTB.COM
3. B lymphocytes
4. T lymphocytes
____ 4. On reviewing the blood reports of a client who presents with a fever, the nurse finds the white blood
cell count is 13,000/microliter. Which term does the nurse use when documenting this finding?
1. Leukocytosis
2. Leukopenia
3. Neutrophilia
4. None of the above
____ 5. A nurse is reviewing the complete blood count of a client who presents with an infection. The report
indicates the white blood cell count is 9,000/microliter, neutrophil count is 8,500, leukocyte count is
4,000, eosinophil count is 600/microliter, and basophil is 1%. Which terminology does the nurse
associate with this finding?
1. Eosinophilia
2. Neutrophilia
3. Leukocytosis
4. Monocytes
____ 6. A client with an infection is brought to an acute care facility. The complete blood count with
differential report shows a white blood cell count of 3,000/uL. Which condition has the client
developed?
1. Leukopenia
2. Leukocytosis
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
3. Thrombocytopenia
4. Neutrophilia
____ 7. An older adult client receives chemotherapy for treating cancer. A complete blood count report after
chemotherapy shows red blood cells -3.02 million cells/microliter, white blood cells -3,200
cells/microliter, and platelets -100,000/microliter. What disorder does the nurse recognize in the
client?
1. Myelodysplastic syndrome
2. Lymphocytosis
3. Monocytic leukocytosis
4. Leukemoid reaction
____ 8. A school-age child presents to the hospital with lymphocytopenia. Based on this diagnosis, which
manifestation does the nurse expect to find?
1. A lymphocyte count greater than 9,000/microliter
2. A lymphocyte count less than 3,000/microliter
3. A lymphocyte count greater than 7,000 microliter
4. A lymphocyte count greater than 5,000/microliter
____ 9. The nurse is teaching the client about a possible cause of the client’s hematologic cancer. Which
statement by the client indicates a need for additional teaching?
1. “Exposure to intense radiation causes cancer.”
2. “Contact with benzene causes cancer.”
3. “Damaged deoxyribonucleic acid causes cancer.”
4. “I should have stopped smoking
NURSINyearsGTBago.”
.COM
____ 10. Which blood component is developed from megakaryocytes?
1. Platelets
2. Red blood cells
3. White blood cells
4. Blood plasma
____ 11. The nurse is providing care for an older adult client diagnosed with multiple myeloma. The client’s
laboratory report indicates anemia along with white blood cell (WBC) and red blood cell (RBC)
abnormalities. Radiographic studies indicate rounded, punched-out areas in the bones. Which early
treatment does the nurse expect?
1. Bisphosphonate therapy
2. Aggressive chemotherapy
3. Radiation to bone lesions
4. Autologous stem cell transplant
____ 12. A nurse is formulating a nursing diagnosis for a client with stage IV chronic lymphoid leukemia.
Which observed activity does the nurse interrupt immediately?
1. Placing the client in protective isolation
2. Limiting visitors with colds and infections
3. Washing hands before coming into contact
4. Delivering of flowers, plants, or fruit
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
, DAVIS ADVANTAGE FOR PATHOPHYSIOLOGY 2ND EDITION CAPRIOTTI TEST BANK
____ 13. A nurse is analyzing the report of a school-age client with leukemia who is receiving chemotherapy.
The platelet count is 20,000/microliter. What would be the best intervention for the nurse to include
in the client’s plan of care?
1. Monitor the client’s vital signs.
2. Check the temperature every 6 hours.
3. Initiate protective isolation precautions.
4. Use a soft toothbrush for oral care.
____ 14. The nurse is providing care for a client with serious influenza symptoms. Which laboratory result
involving white blood cell elevation indicates to the nurse the source of the client’s illness is viral?
1. Neutrophils
2. Lymphocytes
3. Eosinophils
4. Basophils
____ 15. A client comes to an acute care facility with reports of pain from unilateral, swollen cervical lymph
nodes. The client is diagnosed with lymphoma. In which manner is the client’s lymphoma classified?
1. Stage I lymphoma
2. Stage II lymphoma
3. Stage III lymphoma
4. Stage IV lymphoma
____ 16. A client comes to the emergency department with symptoms of an allergic reaction from an
antibiotic. Which blood cells does the nurse monitor for an increase in the complete blood count
report? NURSINGTB.COM
1. Neutrophils
2. Eosinophils
3. Basophils
4. Lymphocytes
____ 17. A client presents with upper right quadrant abdominal pain and a report of feeling weak and
lethargic and states, “There is aching in my bones.” The health-care provider suspects a hematologic
disorder and prescribes blood work. Which possible physiological manifestation does the nurse
associate with the client’s bone pain?
1. Anemia caused by bone marrow overload to increase red blood cells (RBCs)
2. Nonfunctional, cancerous white blood cells (WBCs) have proliferated and
overwhelmed the bone marrow
3. Weakness and lethargy have caused decreased mobility and pathological bone loss
4. Splenomegaly has developed from the loss of and deterioration of bone cells
____ 18. An older adult client comes to an acute care facility and reports severe back pain. The client’s blood
report shows immunoglobulin A (IgA) concentration of 2 grams/deciliter and plasma cells of 8% in
the bone marrow. The client does not show symptoms of anemia or hypercalcemia. Based on these
findings, which diagnosis does the nurse suspect?
1. Multiple myeloma
2. Monoclonal gammopathy
3. Lymphocytic leukemia
4. Hematologic neoplasm
Copyright © 2020 F. A. Davis Company
WWW.NURSINGTB.COM
