Excelsior College Lifespan 1 Exams questions with
correct answers
1. A patient who has chest tubes attached to a Pleur-evac water-seal
drainage system is being transported to X ray. Which is the most
appropriate action for the nurse to take during transit?
a. clamping the tubes during transport
b. clamping the tubes during transport
c. maintain the patency of the chest tubes and hang the Pleur-evac from
an IV pole
d. maintain the patency of the chest tubes and keep the Pleur-evac below
the chest level Correct Answer-d. maintain the patency of the chest tubes
and keep the Pleur-evac below the chest level
After a pediatric patient has had a bone marrow biopsy and aspiration,
which findings would the RN instruct the parents to monitor and report?
1. Nausea and vomiting
2. Temperature and pain
3. Headache and chills
4. Hypotension and cramps Correct Answer-Temperature and pain
*2) The procedure is painful and the parents are instructed to monitor
the child's temperature 12 hours after and 24 hours after the procedure to
detect infection.
A patient is in sickle cell crisis. Which laboratory values should the RN
report to the health care provider?
(Select all that apply.)
,1. Hemoglobin of 7.3 g/dL
2. Bilirubin of 2.2 mg/dL
3. White blood cell (WBC) count of 12,580
4. Platelet count of 220,000
5.Partial thromboplastin time (PTT) of 13.2 seconds Correct Answer-*1)
Sickle cell does result in anemia, so hemoglobin would be lower than 12
to 16 g/dL.
*2) Bilirubin would be elevated above the normal of 0 to1 mg/dL.
*3) WBCs would be elevated above the normal of 4500 to 10,000/mm3.
Which statement by a patient with pernicious anemia indicates an
understanding of the RN's teaching plan about the therapeutic regimen?
1. "I will increase my intake of meats."
2. "I will be able to stop therapy when my red blood cell count is
normal."
3. "I will take multivitamins and iron tablets daily."
4. "I will need to have vitamin B12 injections on a monthly basis."
Correct Answer-4. "I will need to have vitamin B12 injections on a
monthly basis."
*4) Pernicious anemia is linked with a deficiency of vitamin B12
A patient presents at a hematology clinic for a blood transfusion and
asks, "Can I catch anything from a blood transfusion?" The nurse would
base the response on knowledge that which of the following diseases
may be transmitted via blood transfusion?
,Answers:
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Cytomegalovirus (CMV)
5. Human Immunodeficiency Virus (HIV) Correct Answer-*2) Hepatitis
B may be transmitted via blood transfusions. There is a greater risk from
pooled blood products and from the blood of paid donors than from
volunteer donors. A screening test detects most cases of hepatitis B.
*3) Hepatitis C may be transmitted via blood transfusions. There is a
greater risk from pooled blood products and from the blood of paid
donors than from volunteer donors. A screening test detects most cases
of hepatitis C.
*4) Cytomegalovirus may be transmitted via blood transfusions.
Transmittal risk is greater for premature newborns with CMV antibody-
negative mothers and for immunocompromised recipients who are CMV
negative (e.g., those with acute leukemia, organ, or tissue transplant
recipients). Blood products rendered "leukocyte reduced" help reduce
transmission of virus.
*5) Human Immunodeficiency Virus may be transmitted via blood
transfusions. Donated blood is screened for antibodies to
HIV.Transmittal risk is estimated at 1:1.5 million per transfusion. People
with high-risk behaviors (multiple sex partners, anal sex, IV/injection
drug use) and people with signs and symptoms that suggest AIDS should
not donate blood.
, A patient has received a blood transfusion secondary to blood loss from
a head laceration caused by a fall. Which statement by the patient
indicates to the RN understanding of the discharge instructions?
1. "I hope all this new blood will stop the dizziness I had before I fell."
2. "I know I need to call you if I start feeling funny for the next day or
two."
3. "I sure wish I would start breathing better now, rather than in a day or
two."
4."I know I won't be able to donate blood any more since I have
someone else's blood mixed with mine. Correct Answer-2. "I know I
need to call you if I start feeling funny for the next day or two."
*2) Delayed transfusion reactions can include febrile, non-hemolytic
reaction and acute hemolytic reaction. Chills, fever, muscle stiffness,
low back pain, nausea, chest tightness, dyspnea, and anxiety can all by
symptoms of a significant problem and warrant a call to a
provider/medical facility.
A patient is on chemotherapy. The RN is teaching the patient about
neutropenia. Which statement by the patient indicates they understood
the teaching?
1. "I will have to use a soft-bristled toothbrush when brushing my teeth."
2. "I can give an infection to others because my body can't fight off
infection."
3. "Eating fresh fruit and vegetables will help improve the neutropenia."
correct answers
1. A patient who has chest tubes attached to a Pleur-evac water-seal
drainage system is being transported to X ray. Which is the most
appropriate action for the nurse to take during transit?
a. clamping the tubes during transport
b. clamping the tubes during transport
c. maintain the patency of the chest tubes and hang the Pleur-evac from
an IV pole
d. maintain the patency of the chest tubes and keep the Pleur-evac below
the chest level Correct Answer-d. maintain the patency of the chest tubes
and keep the Pleur-evac below the chest level
After a pediatric patient has had a bone marrow biopsy and aspiration,
which findings would the RN instruct the parents to monitor and report?
1. Nausea and vomiting
2. Temperature and pain
3. Headache and chills
4. Hypotension and cramps Correct Answer-Temperature and pain
*2) The procedure is painful and the parents are instructed to monitor
the child's temperature 12 hours after and 24 hours after the procedure to
detect infection.
A patient is in sickle cell crisis. Which laboratory values should the RN
report to the health care provider?
(Select all that apply.)
,1. Hemoglobin of 7.3 g/dL
2. Bilirubin of 2.2 mg/dL
3. White blood cell (WBC) count of 12,580
4. Platelet count of 220,000
5.Partial thromboplastin time (PTT) of 13.2 seconds Correct Answer-*1)
Sickle cell does result in anemia, so hemoglobin would be lower than 12
to 16 g/dL.
*2) Bilirubin would be elevated above the normal of 0 to1 mg/dL.
*3) WBCs would be elevated above the normal of 4500 to 10,000/mm3.
Which statement by a patient with pernicious anemia indicates an
understanding of the RN's teaching plan about the therapeutic regimen?
1. "I will increase my intake of meats."
2. "I will be able to stop therapy when my red blood cell count is
normal."
3. "I will take multivitamins and iron tablets daily."
4. "I will need to have vitamin B12 injections on a monthly basis."
Correct Answer-4. "I will need to have vitamin B12 injections on a
monthly basis."
*4) Pernicious anemia is linked with a deficiency of vitamin B12
A patient presents at a hematology clinic for a blood transfusion and
asks, "Can I catch anything from a blood transfusion?" The nurse would
base the response on knowledge that which of the following diseases
may be transmitted via blood transfusion?
,Answers:
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Cytomegalovirus (CMV)
5. Human Immunodeficiency Virus (HIV) Correct Answer-*2) Hepatitis
B may be transmitted via blood transfusions. There is a greater risk from
pooled blood products and from the blood of paid donors than from
volunteer donors. A screening test detects most cases of hepatitis B.
*3) Hepatitis C may be transmitted via blood transfusions. There is a
greater risk from pooled blood products and from the blood of paid
donors than from volunteer donors. A screening test detects most cases
of hepatitis C.
*4) Cytomegalovirus may be transmitted via blood transfusions.
Transmittal risk is greater for premature newborns with CMV antibody-
negative mothers and for immunocompromised recipients who are CMV
negative (e.g., those with acute leukemia, organ, or tissue transplant
recipients). Blood products rendered "leukocyte reduced" help reduce
transmission of virus.
*5) Human Immunodeficiency Virus may be transmitted via blood
transfusions. Donated blood is screened for antibodies to
HIV.Transmittal risk is estimated at 1:1.5 million per transfusion. People
with high-risk behaviors (multiple sex partners, anal sex, IV/injection
drug use) and people with signs and symptoms that suggest AIDS should
not donate blood.
, A patient has received a blood transfusion secondary to blood loss from
a head laceration caused by a fall. Which statement by the patient
indicates to the RN understanding of the discharge instructions?
1. "I hope all this new blood will stop the dizziness I had before I fell."
2. "I know I need to call you if I start feeling funny for the next day or
two."
3. "I sure wish I would start breathing better now, rather than in a day or
two."
4."I know I won't be able to donate blood any more since I have
someone else's blood mixed with mine. Correct Answer-2. "I know I
need to call you if I start feeling funny for the next day or two."
*2) Delayed transfusion reactions can include febrile, non-hemolytic
reaction and acute hemolytic reaction. Chills, fever, muscle stiffness,
low back pain, nausea, chest tightness, dyspnea, and anxiety can all by
symptoms of a significant problem and warrant a call to a
provider/medical facility.
A patient is on chemotherapy. The RN is teaching the patient about
neutropenia. Which statement by the patient indicates they understood
the teaching?
1. "I will have to use a soft-bristled toothbrush when brushing my teeth."
2. "I can give an infection to others because my body can't fight off
infection."
3. "Eating fresh fruit and vegetables will help improve the neutropenia."
