NUR 235 Cardiology Acute care nursing
Exam Questions With All Correct
Answers 2025 New Update
A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain. The
client's significant other says, "I don't really understand why he is hurting so badly."
Which response by the nurse is best? - Answers - ✔✔- Clumping of abnormal RBCs
blocks blood flow through the capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which foods
should the nurse teach the client to avoid? - Answers - ✔✔- Alcoholic beverages
The nurse is determining the effectiveness of treatment prescribed for a client with
anemia. Which question should the nurse use to make this evaluation? - Answers -
✔✔Are you keeping up with your work schedule?"
The nurse is assessing a client diagnosed with chronic leukemia. Which should the
nurse focus on? - Answers - ✔✔- Fatigue
- Infection
- Social isolation
A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis. Which
intervention would be appropriate for this client? - Answers - ✔✔- Administering oxygen
- Managing pain
- Encouraging rest
A client hospitalized with sickle cell frequently asks for opioid pain medications often
shortly after receiving a dose. The nurse on the unit believes the client is drug seeking.
When the client requests pain medication, what action by the nurse is best? - Answers -
✔✔Give the client pain medication if it is time for another dose
A client is having diagnostic tests to determine the cause of anemia. The nurse realizes
that the test will focus on: - Answers - ✔✔- Disorders that cause RBC destruction
- Disorders that reduce production of RBCs
- Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia Vera.
Which client should the nurse see first? - Answers - ✔✔- Client who reports SOB
A nursing student is caring for a client with leukemia. The nurse asked why the client is
still at risk for infection when client's WBC is high. What response by the nurse is best? -
,Answers - ✔✔- While there is an increase in WBCs, they are abnormal cells and won't
provide protection
A client has been admitted after sustaining a numerus fracture that occurs when picking
up the family cat. What test result would the nurse correlate to this condition - Answers -
✔✔- Bunce Jones protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the
surgical unit from the med-surge floor a few minutes ago. The nurse assesses the client
and finds the abdominal dressing saturated with blood. What is the priority action of the
nurse? - Answers - ✔✔- Take a set of vital signs and notify the surgeon
A client has thrombocytopenia. Which client statement indicates that the client
understands self-management of this condition? - Answers - ✔✔- "I usually put ice on
bumps and bruises."
A nurse is caring for 4 clients with leukemia. After hand-off report, which client should
the nurse see first - Answers - ✔✔- The client who has 2 bloody diarrhea stools this
morning
A client's health record states that they have regular infusions of factor 9. The nurse
would justify and suspect that this client has what diagnosis? - Answers -
✔✔Hemophilia
A nurse working with clients with sickle cell teaches about self-management to prevent
exacerbation of sickle cell crisis. What factors should clients be taught to avoid? -
Answers - ✔✔
A client who had a splenectomy 2 days ago complains of malaise. The nurse checks the
client's temperature and finds it at 102*F. What action by the nurse should take priority?
- Answers - ✔✔Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international normalized
ratio (INR) of 2.5. It is time to administer the next dose of coumadin. What should the
nurse do? - Answers - ✔✔Administer as ordered (therapeutic INR for pt on coumadin is
2-3)
A nurse is assisting with d***** on a newly admitted client with a history of hemophilia.
Which assessment finding indicates that the client has experienced several episodes of
bleeding in the past? - Answers - ✔✔Joint deformities (pts with hemophilia bleed into
joints)
A nurse provides a teaching plan for a client with aplastic anemia. Which is the most
important concept to teach for health maintenance? - Answers - ✔✔Avoid exposure to
others with acute infection
, A client is diagnosed with folic acid deficiency. On what dietary changes would the
nurse instruct this client? (select all that apply) - Answers - ✔✔Add green leafy
vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for hematologic
disorder. Which s/s most likely suggests hematologic disorder? - Answers - ✔✔Severe
fatigue
The family of a neutropenic client reports the client is not acting right. What action by
the nurse is the priority? - Answers - ✔✔Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV access has
necessitated a slow perfusion rate and the nurse notes that the infusion began 4 hours
ago. What is the nurses most appropriate action? - Answers - ✔✔Discontinue remaining
of packed RBCs and inform the physician
The nurse is teaching a client with polycytopenia vera about potential complications of
this disease. Which clinical manifestation should the nurse include in the client's
teaching plan? - Answers - ✔✔Visual disturbances
Headache
Orthopnea
Two units of packed RBCs have been ordered for a client who has experienced a GI
bleed. The client is highly reluctant to receive a transfusion stating "I'm terrified of
getting AIDS from blood transfusion. How can the nurse best address the client's
concerns? - Answers - ✔✔Contracting AIDS from a blood transfusion in the US is
exceedingly low
A nurse caring for a cardiac client manually estimates a client's heart rate that has 9 R-
waves on a 6-second strip. What would the estimated rate be? - Answers - ✔✔90
The nurse is reviewing the ABG results of a client. ABG values are pH 7.6; CO2 40,
HCO3 32. Which of the following acid-based conditions should the nurse identify the
client is experiencing? - Answers - ✔✔Metabolic alkalosis
A nurse is providing health teaching for a client taking antihypertensive medications.
The highest priority teaching point regarding discontinuation of the drug is: - Answers -
✔✔Abrupt discontinuation of the drug may result in rebound hypertension
Exam Questions With All Correct
Answers 2025 New Update
A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain. The
client's significant other says, "I don't really understand why he is hurting so badly."
Which response by the nurse is best? - Answers - ✔✔- Clumping of abnormal RBCs
blocks blood flow through the capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which foods
should the nurse teach the client to avoid? - Answers - ✔✔- Alcoholic beverages
The nurse is determining the effectiveness of treatment prescribed for a client with
anemia. Which question should the nurse use to make this evaluation? - Answers -
✔✔Are you keeping up with your work schedule?"
The nurse is assessing a client diagnosed with chronic leukemia. Which should the
nurse focus on? - Answers - ✔✔- Fatigue
- Infection
- Social isolation
A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis. Which
intervention would be appropriate for this client? - Answers - ✔✔- Administering oxygen
- Managing pain
- Encouraging rest
A client hospitalized with sickle cell frequently asks for opioid pain medications often
shortly after receiving a dose. The nurse on the unit believes the client is drug seeking.
When the client requests pain medication, what action by the nurse is best? - Answers -
✔✔Give the client pain medication if it is time for another dose
A client is having diagnostic tests to determine the cause of anemia. The nurse realizes
that the test will focus on: - Answers - ✔✔- Disorders that cause RBC destruction
- Disorders that reduce production of RBCs
- Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia Vera.
Which client should the nurse see first? - Answers - ✔✔- Client who reports SOB
A nursing student is caring for a client with leukemia. The nurse asked why the client is
still at risk for infection when client's WBC is high. What response by the nurse is best? -
,Answers - ✔✔- While there is an increase in WBCs, they are abnormal cells and won't
provide protection
A client has been admitted after sustaining a numerus fracture that occurs when picking
up the family cat. What test result would the nurse correlate to this condition - Answers -
✔✔- Bunce Jones protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the
surgical unit from the med-surge floor a few minutes ago. The nurse assesses the client
and finds the abdominal dressing saturated with blood. What is the priority action of the
nurse? - Answers - ✔✔- Take a set of vital signs and notify the surgeon
A client has thrombocytopenia. Which client statement indicates that the client
understands self-management of this condition? - Answers - ✔✔- "I usually put ice on
bumps and bruises."
A nurse is caring for 4 clients with leukemia. After hand-off report, which client should
the nurse see first - Answers - ✔✔- The client who has 2 bloody diarrhea stools this
morning
A client's health record states that they have regular infusions of factor 9. The nurse
would justify and suspect that this client has what diagnosis? - Answers -
✔✔Hemophilia
A nurse working with clients with sickle cell teaches about self-management to prevent
exacerbation of sickle cell crisis. What factors should clients be taught to avoid? -
Answers - ✔✔
A client who had a splenectomy 2 days ago complains of malaise. The nurse checks the
client's temperature and finds it at 102*F. What action by the nurse should take priority?
- Answers - ✔✔Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international normalized
ratio (INR) of 2.5. It is time to administer the next dose of coumadin. What should the
nurse do? - Answers - ✔✔Administer as ordered (therapeutic INR for pt on coumadin is
2-3)
A nurse is assisting with d***** on a newly admitted client with a history of hemophilia.
Which assessment finding indicates that the client has experienced several episodes of
bleeding in the past? - Answers - ✔✔Joint deformities (pts with hemophilia bleed into
joints)
A nurse provides a teaching plan for a client with aplastic anemia. Which is the most
important concept to teach for health maintenance? - Answers - ✔✔Avoid exposure to
others with acute infection
, A client is diagnosed with folic acid deficiency. On what dietary changes would the
nurse instruct this client? (select all that apply) - Answers - ✔✔Add green leafy
vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for hematologic
disorder. Which s/s most likely suggests hematologic disorder? - Answers - ✔✔Severe
fatigue
The family of a neutropenic client reports the client is not acting right. What action by
the nurse is the priority? - Answers - ✔✔Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV access has
necessitated a slow perfusion rate and the nurse notes that the infusion began 4 hours
ago. What is the nurses most appropriate action? - Answers - ✔✔Discontinue remaining
of packed RBCs and inform the physician
The nurse is teaching a client with polycytopenia vera about potential complications of
this disease. Which clinical manifestation should the nurse include in the client's
teaching plan? - Answers - ✔✔Visual disturbances
Headache
Orthopnea
Two units of packed RBCs have been ordered for a client who has experienced a GI
bleed. The client is highly reluctant to receive a transfusion stating "I'm terrified of
getting AIDS from blood transfusion. How can the nurse best address the client's
concerns? - Answers - ✔✔Contracting AIDS from a blood transfusion in the US is
exceedingly low
A nurse caring for a cardiac client manually estimates a client's heart rate that has 9 R-
waves on a 6-second strip. What would the estimated rate be? - Answers - ✔✔90
The nurse is reviewing the ABG results of a client. ABG values are pH 7.6; CO2 40,
HCO3 32. Which of the following acid-based conditions should the nurse identify the
client is experiencing? - Answers - ✔✔Metabolic alkalosis
A nurse is providing health teaching for a client taking antihypertensive medications.
The highest priority teaching point regarding discontinuation of the drug is: - Answers -
✔✔Abrupt discontinuation of the drug may result in rebound hypertension
