1. Question
Category: Reduction of Risk Potential
Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in
which of the following physiologic functions?
A. Bowel function
B. Peripheral sensation
C. Bleeding tendencies
D. Intake and output
Correct Answer: C. Bleeding tendencies
Aplastic anemia decreases the bone marrow production of RBCs, white blood
cells, and platelets. The client is at risk for bruising and bleeding tendencies.
Aplastic anemia refers to the syndrome of chronic primary hematopoietic failure
,from injury leading to diminished or absent hematopoietic precursors in the bone
marrow and attendant pancytopenia.
2. Question
Category: Reduction of Risk Potential
Lydia is scheduled for elective splenectomy. Before the client goes to surgery, the
nurse in charge final assessment would be:
A. Signed consent
B. Vital signs
C. Name band
D. Empty bladder
Correct Answer: B. Vital signs
An elective procedure is scheduled in advance so that all preparations can be
completed ahead of time. The vital signs are the final check that must be completed
before the client leaves the room so that continuity of care and assessment is
provided for.
3. Question
Category: Physiological Adaptation
, What is the peak age range for acquiring acute lymphocytic leukemia (ALL)?
A. 4 to 12 years.
B. 20 to 30 years
C. 40 to 50 years
D. 60 to 70 years
Correct Answer: A. 4 to 12 years.
The peak incidence of Acute Lymphocytic Leukemia (ALL) is 4 years of age. It is
uncommon after 15 years of age. It is diagnosed in about 4000 people in the United
States each year with the majority being under the age of 18. It is the most
common malignancy of childhood. The peak age of diagnosis is between two and
ten years of age.
4. Question
Category: Physiological Adaptation
Marie with acute lymphocytic leukemia suffers from nausea and headache. These
clinical manifestations may indicate all of the following except:
A. Effects of radiation
B. Chemotherapy side effects