Exam 2: Module 3 & Module 4- FSCJ 1460C Questions
With Complete Solutions
A 10-year-old child with hemophilia A has slipped on the ice
and bumped his knee. The nurse should prepare to administer
which prescription?
a. Injection of factor X
b. Intravenous infusion of iron
c. Intravenous infusion of factor VIII
d. Intramuscular injection of iron using the Z-track method
Correct Answers c. Intravenous infusion of factor VIII
A 4-year-old child is admitted to the hospital for abdominal
pain. The mother reports that the child has been pale and
excessively tired and is bruising easily. On physical
examination, lymphadenopathy and hepatosplenomegaly are
noted. Diagnostic studies are being performed because acute
lymphocytic leukemia is suspected. The nurse determines that
which laboratory result confirms the diagnosis?
a. Lumbar puncture showing no blast cells
b. Bone marrow biopsy showing blast cells
c. Platelet count of 350,000 mm3 (350 × 109/L)
d. White blood cell count 4500 mm3 (4.5 × 109/L) Correct
Answers b. Bone marrow biopsy showing blast cells
A 6-year-old child with leukemia is hospitalized and is receiving
combination chemotherapy. Laboratory results indicate that the
child is neutropenic, and protective isolation procedures are
initiated. The grandmother of the child visits and brings a fresh
bouquet of flowers picked from her garden and asks the nurse
,for a vase for the flowers. Which response should the nurse
provide to the grandmother?
a. "I have a vase in the utility room, and I will get it for you."
b. "I will get the vase and wash it well before you put the
flowers in it."
c. "The flowers from your garden are beautiful, but should not
be placed in the child's room at this time."
d. "When you bring the flowers into the room, place them on the
bedside stand as far away from the child as possible." Correct
Answers c. "The flowers from your garden are beautiful, but
should not be placed in the child's room at this time."
A child undergoes surgical removal of a brain tumor. During the
postoperative period, the nurse notes that the child is restless, the
pulse rate is elevated, and the blood pressure has decreased
significantly from the baseline value. The nurse suspects that the
child is in shock. Which is the most appropriate nursing action?
a. Place the child in a supine position.
b. Place the child in Trendelenburg's position.
c. Increase the flow rate of the intravenous fluids.
d. Notify the primary health care provider (PHCP). Correct
Answers d. Notify the primary health care provider (PHCP).
A child with β-thalassemia is receiving long-term blood
transfusion therapy for the treatment of the disorder. Chelation
therapy is prescribed as a result of too much iron from the
transfusions. Which medication should the nurse anticipate
being prescribed?
a. Fragmin
b. Meropenem
c. Metoprolol
,d. Deferoxamine Correct Answers d. Deferoxamine
A client asks the nurse why his colorectal cancer is being tested
for genetic mutations even though no one else in the family has
ever had cancer. What is the nurse's best response?
A. "Colorectal cancer is rare and most cases are caused by a
genetic mutation."
B. "The results of this testing will indicate what caused your
cancer so you can avoid further exposure."
C. "Many tumors have one or more genetic differences that can
help determine the most effective treatment options."
D. "Genetic testing of tumor cells can help determine the stage
of your cancer and whether it has spread to other organs."
Correct Answers C. "Many tumors have one or more genetic
differences that can help determine the most effective treatment
options."
A client begins therapy with theophylline. The nurse plans to
teach the client to limit the intake of which items while taking
this medication?
a. Coffee, cola, and chocolate
b. Oysters, lobster, and shrimp
c. Melons, oranges, and pineapple
d. Cottage cheese, cream cheese, and dairy creamers Correct
Answers a. Coffee, cola, and chocolate
A client brought to the emergency department states that he has
accidentally been taking 2 times his prescribed dose of warfarin
for the past week. After noting that the client has no evidence of
obvious bleeding, the nurse plans to take which action?
a. Prepare to administer an antidote.
, b. Draw a sample for type and crossmatch and transfuse the
client.
c. Draw a sample for an activated partial thromboplastin time
(aPTT) level.
d. Draw a sample for prothrombin time (PT) and international
normalized ratio (INR). Correct Answers d. Draw a sample for
prothrombin time (PT) and international normalized ratio (INR).
A client has a prescription to take guaifenesin. The nurse
determines that the client understands the proper administration
of this medication if the client states that she or he will perform
which action?
a. Take an extra dose if fever develops
b. Take the medication with meals only
c. Take the tablet with a full glass of water
d. Decrease the amount of daily fluid intake Correct Answers
c. Take the tablet with a full glass of water
A client has been admitted to the hospital for gastroenteritis and
dehydration. The nurse determines that the client has received
adequate volume replacement if the blood urea nitrogen (BUN)
level drops to which value?
a. 3 mg/dL (1.08 mmol/L)
b. 15 mg/dL (5.4 mmol/L)
c. 29 mg/dL (10.44 mmol/L)
d. 35 mg/dL (12.6 mmol/L) Correct Answers b. 15 mg/dL (5.4
mmol/L)
A client has been started on long-term therapy with rifampin.
The nurse should provide which information to the client about
the medication?
With Complete Solutions
A 10-year-old child with hemophilia A has slipped on the ice
and bumped his knee. The nurse should prepare to administer
which prescription?
a. Injection of factor X
b. Intravenous infusion of iron
c. Intravenous infusion of factor VIII
d. Intramuscular injection of iron using the Z-track method
Correct Answers c. Intravenous infusion of factor VIII
A 4-year-old child is admitted to the hospital for abdominal
pain. The mother reports that the child has been pale and
excessively tired and is bruising easily. On physical
examination, lymphadenopathy and hepatosplenomegaly are
noted. Diagnostic studies are being performed because acute
lymphocytic leukemia is suspected. The nurse determines that
which laboratory result confirms the diagnosis?
a. Lumbar puncture showing no blast cells
b. Bone marrow biopsy showing blast cells
c. Platelet count of 350,000 mm3 (350 × 109/L)
d. White blood cell count 4500 mm3 (4.5 × 109/L) Correct
Answers b. Bone marrow biopsy showing blast cells
A 6-year-old child with leukemia is hospitalized and is receiving
combination chemotherapy. Laboratory results indicate that the
child is neutropenic, and protective isolation procedures are
initiated. The grandmother of the child visits and brings a fresh
bouquet of flowers picked from her garden and asks the nurse
,for a vase for the flowers. Which response should the nurse
provide to the grandmother?
a. "I have a vase in the utility room, and I will get it for you."
b. "I will get the vase and wash it well before you put the
flowers in it."
c. "The flowers from your garden are beautiful, but should not
be placed in the child's room at this time."
d. "When you bring the flowers into the room, place them on the
bedside stand as far away from the child as possible." Correct
Answers c. "The flowers from your garden are beautiful, but
should not be placed in the child's room at this time."
A child undergoes surgical removal of a brain tumor. During the
postoperative period, the nurse notes that the child is restless, the
pulse rate is elevated, and the blood pressure has decreased
significantly from the baseline value. The nurse suspects that the
child is in shock. Which is the most appropriate nursing action?
a. Place the child in a supine position.
b. Place the child in Trendelenburg's position.
c. Increase the flow rate of the intravenous fluids.
d. Notify the primary health care provider (PHCP). Correct
Answers d. Notify the primary health care provider (PHCP).
A child with β-thalassemia is receiving long-term blood
transfusion therapy for the treatment of the disorder. Chelation
therapy is prescribed as a result of too much iron from the
transfusions. Which medication should the nurse anticipate
being prescribed?
a. Fragmin
b. Meropenem
c. Metoprolol
,d. Deferoxamine Correct Answers d. Deferoxamine
A client asks the nurse why his colorectal cancer is being tested
for genetic mutations even though no one else in the family has
ever had cancer. What is the nurse's best response?
A. "Colorectal cancer is rare and most cases are caused by a
genetic mutation."
B. "The results of this testing will indicate what caused your
cancer so you can avoid further exposure."
C. "Many tumors have one or more genetic differences that can
help determine the most effective treatment options."
D. "Genetic testing of tumor cells can help determine the stage
of your cancer and whether it has spread to other organs."
Correct Answers C. "Many tumors have one or more genetic
differences that can help determine the most effective treatment
options."
A client begins therapy with theophylline. The nurse plans to
teach the client to limit the intake of which items while taking
this medication?
a. Coffee, cola, and chocolate
b. Oysters, lobster, and shrimp
c. Melons, oranges, and pineapple
d. Cottage cheese, cream cheese, and dairy creamers Correct
Answers a. Coffee, cola, and chocolate
A client brought to the emergency department states that he has
accidentally been taking 2 times his prescribed dose of warfarin
for the past week. After noting that the client has no evidence of
obvious bleeding, the nurse plans to take which action?
a. Prepare to administer an antidote.
, b. Draw a sample for type and crossmatch and transfuse the
client.
c. Draw a sample for an activated partial thromboplastin time
(aPTT) level.
d. Draw a sample for prothrombin time (PT) and international
normalized ratio (INR). Correct Answers d. Draw a sample for
prothrombin time (PT) and international normalized ratio (INR).
A client has a prescription to take guaifenesin. The nurse
determines that the client understands the proper administration
of this medication if the client states that she or he will perform
which action?
a. Take an extra dose if fever develops
b. Take the medication with meals only
c. Take the tablet with a full glass of water
d. Decrease the amount of daily fluid intake Correct Answers
c. Take the tablet with a full glass of water
A client has been admitted to the hospital for gastroenteritis and
dehydration. The nurse determines that the client has received
adequate volume replacement if the blood urea nitrogen (BUN)
level drops to which value?
a. 3 mg/dL (1.08 mmol/L)
b. 15 mg/dL (5.4 mmol/L)
c. 29 mg/dL (10.44 mmol/L)
d. 35 mg/dL (12.6 mmol/L) Correct Answers b. 15 mg/dL (5.4
mmol/L)
A client has been started on long-term therapy with rifampin.
The nurse should provide which information to the client about
the medication?
