NUR 320 EXAM 4 REVIEW ACCURATE
100%
The family of an older adult client are wondering why the client's blood counts are not
rising after the last gastrointestinal bleed. The family states, "The client has always
bounced back after one of these episodes, but this time it is not happening. Do you
know why?" The nurse will respond based on which pathophysiologic principle?
A. "Everything slows down when you get older. You just have to wait and see what
happens."
B. "Due to stress, the red blood cells of older adults are not replaced as promptly as
younger people."
C. "The doctor may start looking for another cause of his anemia, maybe cancer of the
bone."
D. "Do not worry about it. We can always give the client more blood." - ANSWER B.
"Due to stress, the red blood cells of older adults are not replaced as promptly as
younger people
A nurse is monitoring a client with anemia and low oxygen levels. The nurse knows that
which condition stimulates the secretion of erythropoietin?
A. Low blood pressure
B. Tachycardia
C. Inflammation
D. Hypoxia - ANSWER D
A nurse is assessing a client who displays pale skin and nail beds. Which laboratory
data should the nurse evaluate?
A. Erythrocyte sedimentation rate
B. Neutrophil count
C. White blood cell count
D. Hemoglobin level - ANSWER D
A nurse is caring for a client who has sustained severe trauma and has developed
disseminated intravascular coagulation (DIC). The nurse will explain this complication to
the family based on which physiologic principle?
A. Widespread coagulation and bleeding in the vascular compartment
B. Bleeding due to structurally weak vessels resulting from vitamin C deficiency
C. Impaired platelet function due to vitamin K deficiency
D. Thrombocytosis as a result of widespread infection - ANSWER A
, The nurse caring for a client in the early stage of multiple myeloma would anticipate the
client to report which symptom?
A. Bone pain
B. Pathologic fractures
C. Hypercalcemia
D. Kidney failure - ANSWER bone pain
Explanation: Bone pain is one of the first symptoms to occur in approximately 75% of all
individuals diagnosed with multiple myeloma. Multiple myeloma presents primarily in the
bones and bone marrow. The other choices are also signs and symptoms of the
disease; however, they appear later as the disease progresses.
A 10-month-old infant has begun to take his first steps and his mother has brought him
for assessment because of swelling in his ankles and knees. The mother also states
that he was eager to walk but has now regressed and cries when she tries to encourage
it. The clinician should:
A. assess the child for signs and symptoms of hemophilia A.
B. prescribe a trial of desmopressin acetate (DDAVP) to rule out von Willebrand
disease.
C. order testing to rule out disseminated intravascular coagulation (DIC).
D. administer vitamin K STAT - ANSWER A
A pregnant woman contacts her physician because she has developed sudden, severe
pain and swelling in her left lower leg. The physician explains to her that her past
medical includes an inherited defect in factor V Leiden, which predisposes her to the
development of:
A. Abnormal bleeding
B. Excessive clotting
C. Thrombocytopenia
D. Platelet disorders - ANSWER B
The nurse is caring for a client diagnosed with sickle cell disease. For which factor
should the nurse assess to prevent the cells from sickling?
A. Reduced oxygen tension while the client sleeps
B. Rapid administration of intravenous fluids
C. Presence of pain in the client's joints
D. Coughing and sneezing - ANSWER A. Reduced oxygen tension while the client
sleeps Factors
associated with sickling include cold, stress, physical exertion, infection, dehydration,
and illnesses that cause hypoxia, dehydration, or acidosis. Even such trivial incidents as
reduced oxygen tension induced by sleep may contribute to the sickling process.
A client is suspected of having acute leukemia. Which diagnostic test does the nurse
prepare for to verify that diagnosis?
A. Bone marrow biopsy
B. White blood cell count with differential
100%
The family of an older adult client are wondering why the client's blood counts are not
rising after the last gastrointestinal bleed. The family states, "The client has always
bounced back after one of these episodes, but this time it is not happening. Do you
know why?" The nurse will respond based on which pathophysiologic principle?
A. "Everything slows down when you get older. You just have to wait and see what
happens."
B. "Due to stress, the red blood cells of older adults are not replaced as promptly as
younger people."
C. "The doctor may start looking for another cause of his anemia, maybe cancer of the
bone."
D. "Do not worry about it. We can always give the client more blood." - ANSWER B.
"Due to stress, the red blood cells of older adults are not replaced as promptly as
younger people
A nurse is monitoring a client with anemia and low oxygen levels. The nurse knows that
which condition stimulates the secretion of erythropoietin?
A. Low blood pressure
B. Tachycardia
C. Inflammation
D. Hypoxia - ANSWER D
A nurse is assessing a client who displays pale skin and nail beds. Which laboratory
data should the nurse evaluate?
A. Erythrocyte sedimentation rate
B. Neutrophil count
C. White blood cell count
D. Hemoglobin level - ANSWER D
A nurse is caring for a client who has sustained severe trauma and has developed
disseminated intravascular coagulation (DIC). The nurse will explain this complication to
the family based on which physiologic principle?
A. Widespread coagulation and bleeding in the vascular compartment
B. Bleeding due to structurally weak vessels resulting from vitamin C deficiency
C. Impaired platelet function due to vitamin K deficiency
D. Thrombocytosis as a result of widespread infection - ANSWER A
, The nurse caring for a client in the early stage of multiple myeloma would anticipate the
client to report which symptom?
A. Bone pain
B. Pathologic fractures
C. Hypercalcemia
D. Kidney failure - ANSWER bone pain
Explanation: Bone pain is one of the first symptoms to occur in approximately 75% of all
individuals diagnosed with multiple myeloma. Multiple myeloma presents primarily in the
bones and bone marrow. The other choices are also signs and symptoms of the
disease; however, they appear later as the disease progresses.
A 10-month-old infant has begun to take his first steps and his mother has brought him
for assessment because of swelling in his ankles and knees. The mother also states
that he was eager to walk but has now regressed and cries when she tries to encourage
it. The clinician should:
A. assess the child for signs and symptoms of hemophilia A.
B. prescribe a trial of desmopressin acetate (DDAVP) to rule out von Willebrand
disease.
C. order testing to rule out disseminated intravascular coagulation (DIC).
D. administer vitamin K STAT - ANSWER A
A pregnant woman contacts her physician because she has developed sudden, severe
pain and swelling in her left lower leg. The physician explains to her that her past
medical includes an inherited defect in factor V Leiden, which predisposes her to the
development of:
A. Abnormal bleeding
B. Excessive clotting
C. Thrombocytopenia
D. Platelet disorders - ANSWER B
The nurse is caring for a client diagnosed with sickle cell disease. For which factor
should the nurse assess to prevent the cells from sickling?
A. Reduced oxygen tension while the client sleeps
B. Rapid administration of intravenous fluids
C. Presence of pain in the client's joints
D. Coughing and sneezing - ANSWER A. Reduced oxygen tension while the client
sleeps Factors
associated with sickling include cold, stress, physical exertion, infection, dehydration,
and illnesses that cause hypoxia, dehydration, or acidosis. Even such trivial incidents as
reduced oxygen tension induced by sleep may contribute to the sickling process.
A client is suspected of having acute leukemia. Which diagnostic test does the nurse
prepare for to verify that diagnosis?
A. Bone marrow biopsy
B. White blood cell count with differential
