Final SATA Multiple Choice questions and
correct answers With Rationale, With Complete
Solution 2024.
A patient develops neutropenia after receiving chemotherapy. Which information about ways to
prevent infection will the nurse include in the teaching plan (select all that apply)?
A. Cook food thoroughly before eating.
b. Choose low fiber, low residue foods.
c. Avoid public transportation such as buses.
d. Use rectal suppositories if needed for constipation.
e. Talk to the oncologist before having any dental work done.
ANS: A, C, E
Eating only cooked food and avoiding public transportation will decrease infection risk. A high-fiber diet
is recommended for neutropenic patients to decrease constipation. Because bacteria may enter the
circulation during dental work or oral surgery, the patient may need to postpone dental work or take
antibiotics.
A student nurse learns that the spleen has several functions. What functions do they include? (Select
all that apply.)
a. Breaks down hemoglobin
b. Destroys old or defective red blood cells (RBCs)
c. Forms vitamin K for clotting
d. Stores extra iron in ferritin
e. Stores platelets not circulating
ANS: A, B, E
Functions of the spleen include breaking down hemoglobin released from RBCs, destroying old or
defective RBCs, and storing the platelets that are not in circulation. Forming vitamin K for clotting and
storing extra iron in ferritin are functions of the liver.
An older client asks the nurse why people my age have weaker immune systems than younger people.
What responses by the nurse are best? (Select all that apply.)
a. Bone marrow produces fewer blood cells.
b. You may have decreased levels of circulating platelets.
c. You have lower levels of plasma proteins in the blood.
d. Lymphocytes become more reactive to antigens.
e. Spleen function declines after age 60.
, ANS: A, C
The aging adult has bone marrow that produces fewer cells and decreased blood volume with fewer
plasma proteins. Platelet numbers remain unchanged, lymphocytes become less reactive, and spleen
function stays the same.
A nursing student learns that many drugs can impair the immune system. Which drugs does this
include? (Select all that apply.)
a. Acetaminophen (Tylenol)
b. Amphotericin B (Fungizone)
c. Ibuprofen (Motrin)
d. Metformin (Glucophage)
e. Nitrofurantoin (Macrobid)
ANS: B, C, E
Amphotericin B, ibuprofen, and nitrofurantoin all can disrupt the hematologic (immune) system.
Acetaminophen and metformin do not.
A nurse works in a gerontology clinic. What age-related changes cause the nurse to alter standard
assessment techniques from those used for younger adults? (Select all that apply.)
a. Dentition deteriorates with more cavities.
b. Nail beds may be thickened or discolored.
c. Progressive loss of hair occurs with age.
d. Sclerae begin to turn yellow or pale.
e. Skin becomes dry as the client ages.
ANS: B, C, E
Common findings in older adults include thickened or discolored nail beds, dry skin, and thinning hair.
The nurse adapts to these changes by altering assessment techniques. Having more dental caries and
changes in the sclerae are not normal age-related changes.
A nurse working with clients with sickle cell disease (SCD) teaches about self-management to prevent
exacerbations and sickle cell crises. What factors should clients be taught to avoid? (Select all that
apply.)
a. Dehydration
b. Exercise
c. Extreme stress
d. High altitudes
e. Pregnancy
ANS: A, C, D, E
Several factors cause red blood cells to sickle in SCD, including dehydration, extreme stress, high
altitudes, and pregnancy. Strenuous exercise can also cause sickling, but not unless it is very vigorous.
correct answers With Rationale, With Complete
Solution 2024.
A patient develops neutropenia after receiving chemotherapy. Which information about ways to
prevent infection will the nurse include in the teaching plan (select all that apply)?
A. Cook food thoroughly before eating.
b. Choose low fiber, low residue foods.
c. Avoid public transportation such as buses.
d. Use rectal suppositories if needed for constipation.
e. Talk to the oncologist before having any dental work done.
ANS: A, C, E
Eating only cooked food and avoiding public transportation will decrease infection risk. A high-fiber diet
is recommended for neutropenic patients to decrease constipation. Because bacteria may enter the
circulation during dental work or oral surgery, the patient may need to postpone dental work or take
antibiotics.
A student nurse learns that the spleen has several functions. What functions do they include? (Select
all that apply.)
a. Breaks down hemoglobin
b. Destroys old or defective red blood cells (RBCs)
c. Forms vitamin K for clotting
d. Stores extra iron in ferritin
e. Stores platelets not circulating
ANS: A, B, E
Functions of the spleen include breaking down hemoglobin released from RBCs, destroying old or
defective RBCs, and storing the platelets that are not in circulation. Forming vitamin K for clotting and
storing extra iron in ferritin are functions of the liver.
An older client asks the nurse why people my age have weaker immune systems than younger people.
What responses by the nurse are best? (Select all that apply.)
a. Bone marrow produces fewer blood cells.
b. You may have decreased levels of circulating platelets.
c. You have lower levels of plasma proteins in the blood.
d. Lymphocytes become more reactive to antigens.
e. Spleen function declines after age 60.
, ANS: A, C
The aging adult has bone marrow that produces fewer cells and decreased blood volume with fewer
plasma proteins. Platelet numbers remain unchanged, lymphocytes become less reactive, and spleen
function stays the same.
A nursing student learns that many drugs can impair the immune system. Which drugs does this
include? (Select all that apply.)
a. Acetaminophen (Tylenol)
b. Amphotericin B (Fungizone)
c. Ibuprofen (Motrin)
d. Metformin (Glucophage)
e. Nitrofurantoin (Macrobid)
ANS: B, C, E
Amphotericin B, ibuprofen, and nitrofurantoin all can disrupt the hematologic (immune) system.
Acetaminophen and metformin do not.
A nurse works in a gerontology clinic. What age-related changes cause the nurse to alter standard
assessment techniques from those used for younger adults? (Select all that apply.)
a. Dentition deteriorates with more cavities.
b. Nail beds may be thickened or discolored.
c. Progressive loss of hair occurs with age.
d. Sclerae begin to turn yellow or pale.
e. Skin becomes dry as the client ages.
ANS: B, C, E
Common findings in older adults include thickened or discolored nail beds, dry skin, and thinning hair.
The nurse adapts to these changes by altering assessment techniques. Having more dental caries and
changes in the sclerae are not normal age-related changes.
A nurse working with clients with sickle cell disease (SCD) teaches about self-management to prevent
exacerbations and sickle cell crises. What factors should clients be taught to avoid? (Select all that
apply.)
a. Dehydration
b. Exercise
c. Extreme stress
d. High altitudes
e. Pregnancy
ANS: A, C, D, E
Several factors cause red blood cells to sickle in SCD, including dehydration, extreme stress, high
altitudes, and pregnancy. Strenuous exercise can also cause sickling, but not unless it is very vigorous.
