Chapter 12, White Blood Cell Disorders
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 244
Heading: Basic Concepts of White Blood Cell Function>Synthesis and Maturation of WBCs
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. White blood cells mature in the tonsils.
2 This is incorrect. White blood cells mature in the adenoids.
3 This is incorrect. White blood cells mature in the thymus gland.
4 This is correct. White blood cells are produced in the bone marrow.
NURSINGTB.COM
PTS: 1 CON: Hematologic Regulation
2. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Discuss the basic pathological mechanisms that occur in hematologic neoplastic disease.
Page: 247
Heading: Pathophysiology of Selected White Blood Cell Disorders>Leukemia>Acute
Lymphoblastic Leukemia
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is correct. The reason for the occurrence of epistaxis is the crowding of
platelets by blast cells. This leads to bleeding disorders in the client. The
tendency toward bleeding causes unexplained bruising, gingival bleeding,
epistaxis, and extremely heavy bleeding with menstrual periods; safety teaching
is appropriate.
2 This is incorrect. Invasion of blast cells into the central nervous system causes
headache.
3 This is incorrect. Proliferation of blast cells in the center of the bones causes
pain mainly in the sternum, tibia, and femur.
, 4 This is incorrect. Proliferation of cancerous lymphocytes to the spleen and liver
increases the size of the organs and gives a sensation of fullness.
PTS: 1 CON: Hematologic Regulation
3. ANS: 2
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Compare and contrast different types of white blood cells and their role in defending the
body.
Page: 244
Heading: Basic Concepts of WBC Function>Categories of White Blood Cells
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. Basophils are a type of granulocyte cells that contribute less
than 1% of circulating white blood cells.
2 This is correct. The first responders in defense against antigens are the
macrophages. They function within the innate immune system.
3 This is incorrect. B lymphocytes are a type of lymphoid cells. They are
produced in the bone marrow.
4 This is incorrect. T lymNpUhR
ocSyI
teN
sGarT
eBa.
tyC
peOoMf lymphoid cells. They are
produced in the bone marrow.
PTS: 1 CON: Hematologic Regulation
4. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is correct. Leukocytosis occurs when the number of white blood cells is
greater than 11,000/microliter. Therefore, the client has developed leukocytosis.
2 This is incorrect. Leukopenia occurs when the number of white blood cells
decreases below 4,000/microliter.
3 This is incorrect. Neutrophilia occurs when the number of neutrophils increases
, above 7,700/microliter and the number of white blood cells is less than
11,000/microliter.
4 This is incorrect. The client has developed leukocytosis, as the number of white
blood cells is above 11,000/microliter.
PTS: 1 CON: Hematologic Regulation
5. ANS: 2
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. Eosinophilia is a condition where the number of eosinophils is
greater than 600/microliter in blood.
2 This is correct. Neutrophilia occurs when the number of neutrophils increases
above 7,700/microliterNaUndRtShI
eNnuGmTbB
er.oCf O
wMhite blood cells is less than
11,000/microliter. Therefore, the nurse should document that the client has
developed neutrophilia.
3 This is incorrect. Leukocytosis is a condition where the number of leukocytes
increases above 4,000/microliter.
4 This is incorrect. Monocyte counts are not included in this scenario.
PTS: 1 CON: Hematologic Regulation
6. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Hematologic Regulation
Difficulty: Difficult
Feedback
1 This is correct. The client has developed leukopenia, which is caused by a
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 244
Heading: Basic Concepts of White Blood Cell Function>Synthesis and Maturation of WBCs
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. White blood cells mature in the tonsils.
2 This is incorrect. White blood cells mature in the adenoids.
3 This is incorrect. White blood cells mature in the thymus gland.
4 This is correct. White blood cells are produced in the bone marrow.
NURSINGTB.COM
PTS: 1 CON: Hematologic Regulation
2. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Discuss the basic pathological mechanisms that occur in hematologic neoplastic disease.
Page: 247
Heading: Pathophysiology of Selected White Blood Cell Disorders>Leukemia>Acute
Lymphoblastic Leukemia
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is correct. The reason for the occurrence of epistaxis is the crowding of
platelets by blast cells. This leads to bleeding disorders in the client. The
tendency toward bleeding causes unexplained bruising, gingival bleeding,
epistaxis, and extremely heavy bleeding with menstrual periods; safety teaching
is appropriate.
2 This is incorrect. Invasion of blast cells into the central nervous system causes
headache.
3 This is incorrect. Proliferation of blast cells in the center of the bones causes
pain mainly in the sternum, tibia, and femur.
, 4 This is incorrect. Proliferation of cancerous lymphocytes to the spleen and liver
increases the size of the organs and gives a sensation of fullness.
PTS: 1 CON: Hematologic Regulation
3. ANS: 2
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Compare and contrast different types of white blood cells and their role in defending the
body.
Page: 244
Heading: Basic Concepts of WBC Function>Categories of White Blood Cells
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Comprehension [Understanding]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. Basophils are a type of granulocyte cells that contribute less
than 1% of circulating white blood cells.
2 This is correct. The first responders in defense against antigens are the
macrophages. They function within the innate immune system.
3 This is incorrect. B lymphocytes are a type of lymphoid cells. They are
produced in the bone marrow.
4 This is incorrect. T lymNpUhR
ocSyI
teN
sGarT
eBa.
tyC
peOoMf lymphoid cells. They are
produced in the bone marrow.
PTS: 1 CON: Hematologic Regulation
4. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is correct. Leukocytosis occurs when the number of white blood cells is
greater than 11,000/microliter. Therefore, the client has developed leukocytosis.
2 This is incorrect. Leukopenia occurs when the number of white blood cells
decreases below 4,000/microliter.
3 This is incorrect. Neutrophilia occurs when the number of neutrophils increases
, above 7,700/microliter and the number of white blood cells is less than
11,000/microliter.
4 This is incorrect. The client has developed leukocytosis, as the number of white
blood cells is above 11,000/microliter.
PTS: 1 CON: Hematologic Regulation
5. ANS: 2
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Moderate
Feedback
1 This is incorrect. Eosinophilia is a condition where the number of eosinophils is
greater than 600/microliter in blood.
2 This is correct. Neutrophilia occurs when the number of neutrophils increases
above 7,700/microliterNaUndRtShI
eNnuGmTbB
er.oCf O
wMhite blood cells is less than
11,000/microliter. Therefore, the nurse should document that the client has
developed neutrophilia.
3 This is incorrect. Leukocytosis is a condition where the number of leukocytes
increases above 4,000/microliter.
4 This is incorrect. Monocyte counts are not included in this scenario.
PTS: 1 CON: Hematologic Regulation
6. ANS: 1
Chapter: Chapter 12, White Blood Cell Disorders
Objective: Identify normal versus abnormal laboratory values of white blood cells on complete
blood count.
Page: 247
Heading: Basic Concepts of White Blood Cell Pathophysiology>Alteration in White Blood Cell
Number
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Hematologic Regulation
Difficulty: Difficult
Feedback
1 This is correct. The client has developed leukopenia, which is caused by a
