NRSG 3420 - MODULE 1 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS LATEST
UPDATE
Which client is not a candidate to be a blood donor according to the American
Red Cross?
18-year-old male weighing 52 kg
86-year-old male with blood pressure 110/70 mm Hg
26-year-old female with hemoglobin 11.0 g/dL
50-year-old female with pulse 95 beats/minute
26-year-old female with hemoglobin 11.0 g/dL
Clients must meet a number of criteria to be eligible as blood donors, including the
following: body weight at least 50 kg; pulse rate regular between 50 and 100 bpm;
systolic BP 90-100 to 180 mm Hg and diastolic 50 to 100 mm Hg; hemoglobin level at
least 12.5 g/dL. There is no upper age limit to donation.
A client is scheduled for surgery to remove an abdominal mass. The nurse knows
that which reason hemodilution would be contraindicated as a method to provide
blood to the client during the surgery?
Takes medications for seasonal allergies
Treatment for osteoarthritis
,History of renal disease
Previous thyroidectomy
History of renal disease
Hemodilution is the removal of 1 to 2 units of blood after induction of anesthesia and
replaced with a colloid or crystalloid solution. The blood is then reinfused after the
surgery. The purpose of this approach is to reduce the amount of erythrocytes lost
during the surgery because the intravenous fluids dilute the concentration of red blood
cells and lowers the hematocrit. Hemodilution has been linked to tissue ischemia in the
kidneys and would be contraindicated in the client with a history of renal disease.
Hemodilution would not be contraindicated for a previous thyroidectomy, treatment for
osteoarthritis, or medication used to treat seasonal allergies.
A nurse cares for a client who has had a bone marrow aspiration. In addition to
the client's aspiration site, what locations on the body does the nurse recognize
as having bone marrow? Select all that apply.
Vertebrae
Tibia
Pelvis
Sternum
Ribs
Pelvis, Ribs, Vertebrae, Sternum
Bone marrow can be found in the pelvis, ribs, vertebrae, and sternum. Additionally,
,bone marrow is found on the spongy end of the femur and humerus long bones. The
tibia does not have bone marrow.
Which blood cell type is matched correctly with its function?
T lymphocyte: Humoral immunity
B lymphocyte: Secretes immunoglobulin
Plasma cell: Cell-mediated immunity
Leukocyte: Fights infection
Leukocyte: Fights infection
Various blood cell types have unique, major functions. Leukocytes fight infection, T
lymphocytes are integral in cell-mediated immunity, plasma cells secrete
immunoglobulin, and B lymphocytes are integral in humoral immunity.
The health care provider believes that the client has a deficiency in the leukocyte
responsible for cell-mediated immunity. What should the nurse check the WBC
count for?
Monocytes
Basophils
Plasma cells
T lymphocytes
T lymphocytes
T lymphocytes are responsible for cell-mediated immunity, in which they recognize
material as "foreign," acting as a surveillance system.
, Albumin is important for the maintenance of fluid balance within the vascular
system. Albumin is produced by which of the following?
Kidney
Large intestine
Pancreas
Liver
Liver
The nurse is working at a blood donation clinic. What teaching should the nurse
provide to the donor immediately after blood donation?
Sit up promptly after the needle is removed.
Remove the band-aid after 5 minutes.
Hold the involved arm below the heart.
Remain for observation after eating and drinking.
Remain for observation after eating and drinking.
After blood donation, the donor receives food and fluids and is asked to remain for
observation. After the needle is removed, donors are asked to hold the involved arm
straight up, and firm pressure is applied with sterile gauze for 2 to 3 minutes. A firm
bandage is then applied. The donor remains recumbent until he or she feels able to sit
up, usually within a few minutes.
The nurse is providing health education to an older adult client who has low red
blood cell levels. To promote red blood cell production, the nurse should
encourage intake of what foods? Select all that apply.
ANSWERS WITH COMPLETE SOLUTIONS LATEST
UPDATE
Which client is not a candidate to be a blood donor according to the American
Red Cross?
18-year-old male weighing 52 kg
86-year-old male with blood pressure 110/70 mm Hg
26-year-old female with hemoglobin 11.0 g/dL
50-year-old female with pulse 95 beats/minute
26-year-old female with hemoglobin 11.0 g/dL
Clients must meet a number of criteria to be eligible as blood donors, including the
following: body weight at least 50 kg; pulse rate regular between 50 and 100 bpm;
systolic BP 90-100 to 180 mm Hg and diastolic 50 to 100 mm Hg; hemoglobin level at
least 12.5 g/dL. There is no upper age limit to donation.
A client is scheduled for surgery to remove an abdominal mass. The nurse knows
that which reason hemodilution would be contraindicated as a method to provide
blood to the client during the surgery?
Takes medications for seasonal allergies
Treatment for osteoarthritis
,History of renal disease
Previous thyroidectomy
History of renal disease
Hemodilution is the removal of 1 to 2 units of blood after induction of anesthesia and
replaced with a colloid or crystalloid solution. The blood is then reinfused after the
surgery. The purpose of this approach is to reduce the amount of erythrocytes lost
during the surgery because the intravenous fluids dilute the concentration of red blood
cells and lowers the hematocrit. Hemodilution has been linked to tissue ischemia in the
kidneys and would be contraindicated in the client with a history of renal disease.
Hemodilution would not be contraindicated for a previous thyroidectomy, treatment for
osteoarthritis, or medication used to treat seasonal allergies.
A nurse cares for a client who has had a bone marrow aspiration. In addition to
the client's aspiration site, what locations on the body does the nurse recognize
as having bone marrow? Select all that apply.
Vertebrae
Tibia
Pelvis
Sternum
Ribs
Pelvis, Ribs, Vertebrae, Sternum
Bone marrow can be found in the pelvis, ribs, vertebrae, and sternum. Additionally,
,bone marrow is found on the spongy end of the femur and humerus long bones. The
tibia does not have bone marrow.
Which blood cell type is matched correctly with its function?
T lymphocyte: Humoral immunity
B lymphocyte: Secretes immunoglobulin
Plasma cell: Cell-mediated immunity
Leukocyte: Fights infection
Leukocyte: Fights infection
Various blood cell types have unique, major functions. Leukocytes fight infection, T
lymphocytes are integral in cell-mediated immunity, plasma cells secrete
immunoglobulin, and B lymphocytes are integral in humoral immunity.
The health care provider believes that the client has a deficiency in the leukocyte
responsible for cell-mediated immunity. What should the nurse check the WBC
count for?
Monocytes
Basophils
Plasma cells
T lymphocytes
T lymphocytes
T lymphocytes are responsible for cell-mediated immunity, in which they recognize
material as "foreign," acting as a surveillance system.
, Albumin is important for the maintenance of fluid balance within the vascular
system. Albumin is produced by which of the following?
Kidney
Large intestine
Pancreas
Liver
Liver
The nurse is working at a blood donation clinic. What teaching should the nurse
provide to the donor immediately after blood donation?
Sit up promptly after the needle is removed.
Remove the band-aid after 5 minutes.
Hold the involved arm below the heart.
Remain for observation after eating and drinking.
Remain for observation after eating and drinking.
After blood donation, the donor receives food and fluids and is asked to remain for
observation. After the needle is removed, donors are asked to hold the involved arm
straight up, and firm pressure is applied with sterile gauze for 2 to 3 minutes. A firm
bandage is then applied. The donor remains recumbent until he or she feels able to sit
up, usually within a few minutes.
The nurse is providing health education to an older adult client who has low red
blood cell levels. To promote red blood cell production, the nurse should
encourage intake of what foods? Select all that apply.
