Adult Health II Exam 3
ADULT HEALTH II EXAM 3 NEWEST 2025/2026 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A patient will need a blood transfusion for the replacement of blood loss from the
gastrointestinal tract. The patient states, "That stuff isn't safe!" Which response by
the nurse will be the best?
a. "I agree that you should be concerned with the safety of the blood, but it is
important that you have this transfusion."
b. "The blood is carefully screened, so there is no possibility of you contracting any
illness or disease from the blood."
c. "I understand your concern. The blood is carefully screened but is not
completely risk free."
d. "You will have to decide if refusing the blood transfusion is worth the risk to
your health."
c
A patient with chronic anemia has had many blood transfusions over the last 3
years. Which type of transfusion reaction will the nurse monitor for that is
commonly found in patients who frequently receive blood transfusions?
a. Allergic reactions
b. Acute hemolytic reaction
c. Circulatory overload
d. Febrile nonhemolytic reactions
d
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, Adult Health II Exam 3
The nurse is administering a blood transfusion to a patient over 4 hours. After 2
hours, the patient reports chills and has a fever of 101°F, an increase from a
previous temperature of 99.2°F. Which does the nurse identify the patient is
experiencing?
a. The patient is having an allergic reaction to the blood.
b. The patient is experiencing vascular collapse.
c. The patient is having decrease in tissue perfusion from a shock state.
d. The patient is having a febrile nonhemolytic reaction.
d
The nurse is administering two units of packed RBCs to an older adult patient with
a bleeding duodenal ulcer. The patient begins to experience difficulty breathing
and the nurse assesses crackles in the lung bases, jugular vein distention, and an
increase in blood pressure. Which action by the nurse is a priority? (Select all that
apply.)
a. Continue the infusion but slow the rate down.
b. Place the patient in an upright position with the feet dependent.
c. Administer diuretics as prescribed.
d. Discontinue the transfusion.
e. Administer oxygen.
b,c,d,e
A patient receiving plasma develops transfusion-related acute lung injury (TRALI) 4
hours after the transfusion. Which type of aggressive therapy will the patient
receive to prevent death from the injury? (Select all that apply.)
a. Performance of serial chest x-rays
b. Supplemental oxygen
c. Provision of intravenous fluid support
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, Adult Health II Exam 3
d. Intubation and mechanical ventilation
e. Intra-aortic balloon pump
b,c,d
A patient who has long-term packed RBC transfusions develops symptoms of iron
toxicity that affect liver function. Which immediate treatment will the nurse
prepare the patient for that may help prevent organ damage?
a. Iron chelation therapy
b. Oxygen therapy
c. Therapeutic phlebotomy
d. Anticoagulation therapy
a
A patient develops a hemolytic reaction to a blood transfusion. Which priority
actions will the nurse perform? (Select all that apply.)
a. Administer diphenhydramine.
b. Begin iron chelation therapy.
c. Obtain appropriate blood specimens.
d. Collect a urine sample to detect hemoglobin.
e. Document the reaction according to policy.
c,d,e
The nurse is preparing a patient for a bone marrow aspiration and biopsy from the
site of the posterior superior iliac crest. Which position will the nurse place the
patient in?
a. Lateral position with one leg flexed
b. Lithotomy position
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, Adult Health II Exam 3
c. Supine with head of the bed elevated 30 degrees
d. Jackknife position
a
A patient with chronic kidney disease has chronic anemia. Which pharmacologic
alternative to blood transfusion may be used for this patient?
a. GM-CSF
b. Erythropoietin
c. Eltrombopag
d. Thrombopoietin
b
A patient is undergoing plateletpheresis at the outpatient clinic. Which does the
nurse identify as the most likely clinical disorder the patient is being treated for?
a. Essential thrombocythemia
b. Extreme leukocytosis
c. Sickle cell disease
d. Renal transplantation
a
The nurse is assessing a patient who reports feeling "constantly tired and very
weak." The patient reports a very sore tongue, and upon observing the patient's
oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do
these findings correlate with?
a. Iron deficiency anemia
b. Megaloblastic anemia
c. Sickle cell disease
4|Page
ADULT HEALTH II EXAM 3 NEWEST 2025/2026 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A patient will need a blood transfusion for the replacement of blood loss from the
gastrointestinal tract. The patient states, "That stuff isn't safe!" Which response by
the nurse will be the best?
a. "I agree that you should be concerned with the safety of the blood, but it is
important that you have this transfusion."
b. "The blood is carefully screened, so there is no possibility of you contracting any
illness or disease from the blood."
c. "I understand your concern. The blood is carefully screened but is not
completely risk free."
d. "You will have to decide if refusing the blood transfusion is worth the risk to
your health."
c
A patient with chronic anemia has had many blood transfusions over the last 3
years. Which type of transfusion reaction will the nurse monitor for that is
commonly found in patients who frequently receive blood transfusions?
a. Allergic reactions
b. Acute hemolytic reaction
c. Circulatory overload
d. Febrile nonhemolytic reactions
d
1|Page
, Adult Health II Exam 3
The nurse is administering a blood transfusion to a patient over 4 hours. After 2
hours, the patient reports chills and has a fever of 101°F, an increase from a
previous temperature of 99.2°F. Which does the nurse identify the patient is
experiencing?
a. The patient is having an allergic reaction to the blood.
b. The patient is experiencing vascular collapse.
c. The patient is having decrease in tissue perfusion from a shock state.
d. The patient is having a febrile nonhemolytic reaction.
d
The nurse is administering two units of packed RBCs to an older adult patient with
a bleeding duodenal ulcer. The patient begins to experience difficulty breathing
and the nurse assesses crackles in the lung bases, jugular vein distention, and an
increase in blood pressure. Which action by the nurse is a priority? (Select all that
apply.)
a. Continue the infusion but slow the rate down.
b. Place the patient in an upright position with the feet dependent.
c. Administer diuretics as prescribed.
d. Discontinue the transfusion.
e. Administer oxygen.
b,c,d,e
A patient receiving plasma develops transfusion-related acute lung injury (TRALI) 4
hours after the transfusion. Which type of aggressive therapy will the patient
receive to prevent death from the injury? (Select all that apply.)
a. Performance of serial chest x-rays
b. Supplemental oxygen
c. Provision of intravenous fluid support
2|Page
, Adult Health II Exam 3
d. Intubation and mechanical ventilation
e. Intra-aortic balloon pump
b,c,d
A patient who has long-term packed RBC transfusions develops symptoms of iron
toxicity that affect liver function. Which immediate treatment will the nurse
prepare the patient for that may help prevent organ damage?
a. Iron chelation therapy
b. Oxygen therapy
c. Therapeutic phlebotomy
d. Anticoagulation therapy
a
A patient develops a hemolytic reaction to a blood transfusion. Which priority
actions will the nurse perform? (Select all that apply.)
a. Administer diphenhydramine.
b. Begin iron chelation therapy.
c. Obtain appropriate blood specimens.
d. Collect a urine sample to detect hemoglobin.
e. Document the reaction according to policy.
c,d,e
The nurse is preparing a patient for a bone marrow aspiration and biopsy from the
site of the posterior superior iliac crest. Which position will the nurse place the
patient in?
a. Lateral position with one leg flexed
b. Lithotomy position
3|Page
, Adult Health II Exam 3
c. Supine with head of the bed elevated 30 degrees
d. Jackknife position
a
A patient with chronic kidney disease has chronic anemia. Which pharmacologic
alternative to blood transfusion may be used for this patient?
a. GM-CSF
b. Erythropoietin
c. Eltrombopag
d. Thrombopoietin
b
A patient is undergoing plateletpheresis at the outpatient clinic. Which does the
nurse identify as the most likely clinical disorder the patient is being treated for?
a. Essential thrombocythemia
b. Extreme leukocytosis
c. Sickle cell disease
d. Renal transplantation
a
The nurse is assessing a patient who reports feeling "constantly tired and very
weak." The patient reports a very sore tongue, and upon observing the patient's
oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do
these findings correlate with?
a. Iron deficiency anemia
b. Megaloblastic anemia
c. Sickle cell disease
4|Page
