Nursing III Midterm Questions &
Answers
How much blood is in the human body?
- 1-3 L
- 4-6 L
- 7-9 L
- 10-12 L - ANSWER-4-6 liters
The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which
result would concern the nurse most?
-WBCs 7,400/mm^3
-HGB 14.5 g/100mL
-Platelets 50,000/mm^3
-RBCs 5.0 million/mm^3 - ANSWER-Platelets 50,000/mm^3
Rationale:
Normal Range is 150,000-450,000
The nurse is taking a health history and notes the patient has a history of a
splenectomy. For which condition is the patient at risk?
-Liver disease
-Renal failure
-Meningitis
-Asthma - ANSWER-Meningitis
Rationale:
The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The
nurse should plan to prepare the patient for which test?
-Bone marrow biopsy
-CBC
-Lymphangiography
-CT Scan - ANSWER-Lymphangiography
Rationale:
The nurse is reviewing lab values and notes a HGB level of 8.2 g/100mL and a HCT
level of 21%. These levels are found in patients with which condition?
-Acute bronchitis
-Thyroid disease
-Anemia
-Hemochromatosis - ANSWER-Anemia
Rationale:
HCT and HGB are below levels
Normal HCT-
,Normal HGB-
A Pt has a bone marrow aspiration from the posterior iliac crest. Before the procedure,
the patient's vital signs were BP 132/82 mmHg and HR 88 bpm. 1 hour after the
procedure, the BP was 108/70 mmHg and HR 96 bpm. Which assessment is the
LEAST important for the patient at this time?
-Observe the puncture site
-Check the Pt most recent CBC report
-Ask the Pt about feelings of light headedness or dizziness
-Determine if the Pt had any medications before the procedure - ANSWER-Check the Pt
most recent CBC report
Rationale:
-This wouldve been done before the procedure
The nurse is caring for a group of Pt. Which Pt. should the nurse see first?
-Pt with Platelet level of 200,000/mm^3
-Pt with WBC count of 4,500/mm^3
-Pt with Hgb of 13.4/100mL
-Pt with RBC count of 2.4 million/mm^3 - ANSWER-Pt with RBC count of 2.4
million/mm^3
Rationale:
That is the only lab out of range
RBC count normal range:
A Pt is prescribed to receive 2 units of packed RBCs (PRBCs). What approach should
the nurse use to ensure that the correct blood will be provided to this Pt.?
-Check the patient's arm band.
-Check the order of the medical record.
-Follow the organizations verification process.
-Assume the correct blood was provided by the blood bank. - ANSWER-Follow the
organizations verification process.
A Pt is being prepared to receive a prescribed blood transfusion. What is the best way
that the LPN can assist the health team to prevent a transfusion reaction?
-Monitor VS every 15 minutes
-Warm blood to 98.6*F before infusion
-Administer diphenhydramine (Benadryl) before the infusion
-Assist the RN to correctly identify the Pt and the blood product - ANSWER-Assist the
RN to correctly identify the Pt and the blood product
The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role
of the LPN/LVN in this patient's care?
-Monitor the site for bleeding and infection
-Position Pt in High Fowler's position
-Anesthetize the area with 1% lidocaine
-Obtain consent from the Pt - ANSWER-Monitor the site for bleeding and infection
, A Pt who underwent lymphangiography the day before asks the LPN, "Why does my
urine look blue?" What should the LPN respond to the patient's concern?
-"It is nothing to be concerned about"
-"I will notify the Rn immediately"
-"This indicates that the procedure found abnormal results"
-"The dye used in this procedure may cause bluish skin and urine for 2 days" -
ANSWER-"The dye used in this procedure may cause bluish skin and urine for 2 days"
The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at
risk for this condition?
-A Pt who smokes occasionally
-A Pt who drinks alcohol daily
-A Pt who is vegan
-A Pt who takes herbal remedies - ANSWER-A Pt who drinks alcohol daily
The nurse is providing education to a Pt newly diagnosed with iron deficiency anemia.
Which of the following would be a component of the education?
-Avoid green leafy vegetables as they will counteract the medication
-Include citrus fruits while taking the medication for this disorder
-Avoid immunizations with live viruses for 3 months
-Avoid intramuscular(IM) injections while on this medication - ANSWER-Include citrus
fruits while taking the medication for this disorder
Rationale:
This will increase absorption of iron
The nurse is assisting in the development of a care plan for a Pt with pernicious anemia.
Which of the following would be the most common nursing diagnosis with this medical
condition?
-Activity tolerance related to tissue hypoxia
-Ineffective airway clearance related to dyspnea
-Chronic pain related to bone marrow dysfucntion
-Risk for injection related to reductions in WBCs - ANSWER-Activity tolerance related to
tissue hypoxia
Rationale:
Decreased HGB and HCT causes decreased oxygenation in tissues causing fatigue
and SOB
The nurse providing care to the Pt with thrombocytopenia. Which of the following
actions should the Pt avoid?
-Planting tulip bulbs in the garden
-Using an electric razor to shave
-Attending church services
-Receiving an influenza vaccination - ANSWER
Answers
How much blood is in the human body?
- 1-3 L
- 4-6 L
- 7-9 L
- 10-12 L - ANSWER-4-6 liters
The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which
result would concern the nurse most?
-WBCs 7,400/mm^3
-HGB 14.5 g/100mL
-Platelets 50,000/mm^3
-RBCs 5.0 million/mm^3 - ANSWER-Platelets 50,000/mm^3
Rationale:
Normal Range is 150,000-450,000
The nurse is taking a health history and notes the patient has a history of a
splenectomy. For which condition is the patient at risk?
-Liver disease
-Renal failure
-Meningitis
-Asthma - ANSWER-Meningitis
Rationale:
The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The
nurse should plan to prepare the patient for which test?
-Bone marrow biopsy
-CBC
-Lymphangiography
-CT Scan - ANSWER-Lymphangiography
Rationale:
The nurse is reviewing lab values and notes a HGB level of 8.2 g/100mL and a HCT
level of 21%. These levels are found in patients with which condition?
-Acute bronchitis
-Thyroid disease
-Anemia
-Hemochromatosis - ANSWER-Anemia
Rationale:
HCT and HGB are below levels
Normal HCT-
,Normal HGB-
A Pt has a bone marrow aspiration from the posterior iliac crest. Before the procedure,
the patient's vital signs were BP 132/82 mmHg and HR 88 bpm. 1 hour after the
procedure, the BP was 108/70 mmHg and HR 96 bpm. Which assessment is the
LEAST important for the patient at this time?
-Observe the puncture site
-Check the Pt most recent CBC report
-Ask the Pt about feelings of light headedness or dizziness
-Determine if the Pt had any medications before the procedure - ANSWER-Check the Pt
most recent CBC report
Rationale:
-This wouldve been done before the procedure
The nurse is caring for a group of Pt. Which Pt. should the nurse see first?
-Pt with Platelet level of 200,000/mm^3
-Pt with WBC count of 4,500/mm^3
-Pt with Hgb of 13.4/100mL
-Pt with RBC count of 2.4 million/mm^3 - ANSWER-Pt with RBC count of 2.4
million/mm^3
Rationale:
That is the only lab out of range
RBC count normal range:
A Pt is prescribed to receive 2 units of packed RBCs (PRBCs). What approach should
the nurse use to ensure that the correct blood will be provided to this Pt.?
-Check the patient's arm band.
-Check the order of the medical record.
-Follow the organizations verification process.
-Assume the correct blood was provided by the blood bank. - ANSWER-Follow the
organizations verification process.
A Pt is being prepared to receive a prescribed blood transfusion. What is the best way
that the LPN can assist the health team to prevent a transfusion reaction?
-Monitor VS every 15 minutes
-Warm blood to 98.6*F before infusion
-Administer diphenhydramine (Benadryl) before the infusion
-Assist the RN to correctly identify the Pt and the blood product - ANSWER-Assist the
RN to correctly identify the Pt and the blood product
The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role
of the LPN/LVN in this patient's care?
-Monitor the site for bleeding and infection
-Position Pt in High Fowler's position
-Anesthetize the area with 1% lidocaine
-Obtain consent from the Pt - ANSWER-Monitor the site for bleeding and infection
, A Pt who underwent lymphangiography the day before asks the LPN, "Why does my
urine look blue?" What should the LPN respond to the patient's concern?
-"It is nothing to be concerned about"
-"I will notify the Rn immediately"
-"This indicates that the procedure found abnormal results"
-"The dye used in this procedure may cause bluish skin and urine for 2 days" -
ANSWER-"The dye used in this procedure may cause bluish skin and urine for 2 days"
The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at
risk for this condition?
-A Pt who smokes occasionally
-A Pt who drinks alcohol daily
-A Pt who is vegan
-A Pt who takes herbal remedies - ANSWER-A Pt who drinks alcohol daily
The nurse is providing education to a Pt newly diagnosed with iron deficiency anemia.
Which of the following would be a component of the education?
-Avoid green leafy vegetables as they will counteract the medication
-Include citrus fruits while taking the medication for this disorder
-Avoid immunizations with live viruses for 3 months
-Avoid intramuscular(IM) injections while on this medication - ANSWER-Include citrus
fruits while taking the medication for this disorder
Rationale:
This will increase absorption of iron
The nurse is assisting in the development of a care plan for a Pt with pernicious anemia.
Which of the following would be the most common nursing diagnosis with this medical
condition?
-Activity tolerance related to tissue hypoxia
-Ineffective airway clearance related to dyspnea
-Chronic pain related to bone marrow dysfucntion
-Risk for injection related to reductions in WBCs - ANSWER-Activity tolerance related to
tissue hypoxia
Rationale:
Decreased HGB and HCT causes decreased oxygenation in tissues causing fatigue
and SOB
The nurse providing care to the Pt with thrombocytopenia. Which of the following
actions should the Pt avoid?
-Planting tulip bulbs in the garden
-Using an electric razor to shave
-Attending church services
-Receiving an influenza vaccination - ANSWER
