NUR 235 CARDIOLOGY ACUTE CARE NURSING FINAL
ACTUAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
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? - Answer-- 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 - Answer-- 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? - Answer-Are
you keeping up with your work schedule?"
/.The nurse is assessing a client diagnosed with chronic leukemia. Which should the
nurse focus on? (select all that apply) - Answer-- Fatigue
- Infection
- Social isolation
/.A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis.
Which intervention would be appropriate for this client? (select all that apply) - Answer--
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? - Answer-
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: (select all that apply) - Answer-- 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? - Answer-- 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? -
Answer-- While there is an increase in WBCs, they are abnormal cells and won't provide
protection
/.A client has been admitted after sustaining a humerus fracture that occurs when
picking up the family cat. What test result would the nurse correlate to this condition -
Answer-- Bence Jones protein in the urine
/.A client with thrombocytopenic purpura has had a splenectomy and returned to the
surgical unit from the med-surg 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? - Answer-- 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? - Answer-- "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 - Answer-- 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? - Answer-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? -
Answer-
/.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? - Answer-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? - Answer-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? - Answer-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? - Answer-Avoid exposure to others
with acute infection
ACTUAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
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? - Answer-- 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 - Answer-- 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? - Answer-Are
you keeping up with your work schedule?"
/.The nurse is assessing a client diagnosed with chronic leukemia. Which should the
nurse focus on? (select all that apply) - Answer-- Fatigue
- Infection
- Social isolation
/.A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis.
Which intervention would be appropriate for this client? (select all that apply) - Answer--
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? - Answer-
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: (select all that apply) - Answer-- 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? - Answer-- 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? -
Answer-- While there is an increase in WBCs, they are abnormal cells and won't provide
protection
/.A client has been admitted after sustaining a humerus fracture that occurs when
picking up the family cat. What test result would the nurse correlate to this condition -
Answer-- Bence Jones protein in the urine
/.A client with thrombocytopenic purpura has had a splenectomy and returned to the
surgical unit from the med-surg 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? - Answer-- 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? - Answer-- "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 - Answer-- 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? - Answer-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? -
Answer-
/.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? - Answer-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? - Answer-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? - Answer-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? - Answer-Avoid exposure to others
with acute infection
