System Exam questions And Answers Latest 2024
Update graded A+ all units covered Accurate
Spring-Summer REAL /AUTHENTIC
A client has idiopathic thrombocytopenic purpura. The nurse should prepare the
client for which prescribed initial treatment? - ANSWER: Prednisone (Deltasone)
Which characteristics will help a nurse identify a client who has macrocytic anemia? -
ANSWER: Large red blood cell size, Presence of megaloblasts
A child from east-central Africa has Burkitt lymphoma. Which finding will the nurse
probably find upon assessment? - ANSWER: Facial mass around the jaw
Which measurement units will the nurse observe when a client's platelets are
measured? - ANSWER: 10^3/mm^3
A client has eosinophilia. Which type of allergic reaction did the client most likely
experience? - ANSWER: Type I allergic disorders
Which information should the nurse include in a teaching session about pernicious
anemia? - ANSWER: It is associated with end-stage type A chronic atrophic gastritis
The nurse is caring for a client recovering from a motor vehicle accident in which
massive crushing injuries occurred, resulting in disseminated intravascular
coagulation (DIC). What relevant blood tests are needed to diagnose DIC? - ANSWER:
Platelet count, D-dimer assay, prothrombin time, fibrin degradation products test
A nurse is describing a nonnucleated cytoplasmic disk. The nurse is teaching the
client about which cellular component of the blood? - ANSWER: Erythrocyte
Which clients are at risk for absolute secondary polycythemia? - ANSWER:
Individuals living in high altitudes, individuals living with coronary heart failure,
individuals with chronic obstructive pulmonary disease, smokers with increased
levels of carbon monoxide (CO)
A nurse monitors a client with multiple myeloma for renal failure. Which rationale
supports the nurse's action? - ANSWER: Bence Jones proteins are excreted in the
urine and can damage renal tubular cells.
A nurse notices a shift to the left in the laboratory reports. Which action is most
appropriate for the nurse to take? - ANSWER: Monitor the client's temperature
every 4 hours
, A client presents with pica. Which diagnosis will the nurse observe documented on
the chart? - ANSWER: Iron deficiency anemia
A nurse is teaching the staff about sites in the adult body where hematopoiesis
occurs. Which information from the staff indicates successful teaching? - ANSWER:
ribs, mandible, vertebrae, flat pelvic bones
A 6-year-old child presents with ecchymosis, prolonged bleeding upon minor trauma,
low-grade fever, weight loss, headache, and fatigue. These symptoms manifested
after the child's recovery from a viral infection. The client is given prednisone and
intravenous immunoglobulin to prevent bleeding, but the platelet count continues to
drop. The subsequent plan of care will include which measures? - ANSWER:
splenectomy, aggressive immunosuppressive medications
A nurse is asked what heparin-binding proteins do. How should the nurse respond? -
ANSWER: They enhance clot formation at the injury site
A client has Hodgkin disease, and the spread of lymphoma has reached multiple
extralymphatic organs and tissues. Which stage will the nurse observe written on the
chart? - ANSWER: Stage IV
The adult client is undergoing a second round of chemotherapy for metastatic
cancer. When the nurse checks the indwelling intravenous line, there is oozing from
the central line site, bleeding from the nose and gums, and ecchymotic lesions on
the hip. Which condition is most likely the cause of these clinical signs? - ANSWER:
disseminated intravascular coagulation (DIC)
Which information from the client indicates teaching by the nurse was effective
about white blood cells that are considered granulocytes? - ANSWER: basophils,
neutrophils, eosinophils
Which clients should the nurse monitor for the development of disseminated
intravascular coagulation (DIC)? - ANSWER: a client with sepsis, a client with major
trauma, a client with hematologic cancer, a client with pregnancy complications
A nurse is planning care for a client with disseminated intravascular coagulation
(DIC). What pathophysiologic process occurs in this client? - ANSWER: Natural
anticoagulants are greatly diminished
A client has low platelet levels, low red blood cell levels, and low white blood cell
levels. Which term should the nurse use to describe this condition during report? -
ANSWER: Pancytopenia
A nurse closely monitors a client who had gastric bypass surgery for the
development of pernicious anemia. What is the rationale for the nurse's actions? -
ANSWER: Intrinsic factor production by the gastric epithelium is reduced