Question 1

To assure accuracy of a daily measurement of abdominal girth in a patient with ascites,the nurse will: (Select all that apply.)

Accepted Answer

A) place marks on the lateral sides of the abdomen where the tape is placed. 
B) use the same tape every day. 
C) measure girth with the tape placed 1 inch above the umbilicus. 
D) measure the same area every day. 
E) measure girth at the same time every day. 
A) place marks on the lateral sides of the abdomen where the tape is placed. 
B) use the same tape every day. 
C) measure girth with the tape placed 1 inch above the umbilicus. 
D) measure the same area every day. 
E) measure girth at the same time every day. A,B,D,E

Question 2

Matching
The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence?

-Step: 3

Accepted Answer

A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte 
A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte B

Question 3

To assess cyanosis in a patient with a dark complexion,the nurse should inspect the: (Select all that apply.)

Accepted Answer

A) conjunctiva. 
B) gums. 
C) roof of the mouth. 
D) nail beds. 
E) palms of the hands. 
A) conjunctiva. 
B) gums. 
C) roof of the mouth. 
D) nail beds. 
E) palms of the hands. B,C

Question 4

The nurse explains that,in the event of a massive hemorrhagic episode,the _____ contracts and adds blood to the circulating volume.

Accepted Answer

A) spleen 
B) liver 
C) pancreas 
D) bone marrow 
A) spleen 
B) liver 
C) pancreas 
D) bone marrow

Question 5

The nurse reminds the patient with a bleeding disorder that the life span of the platelet is the shortest of all blood cells,approximately _____ days.

Accepted Answer

A) 10 
B) 14 
C) 30 
D) 45 
A) 10 
B) 14 
C) 30 
D) 45

Question 6

Matching
The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence?

-Step: 1

Accepted Answer

A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte 
A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte

Question 7

The nurse evaluates the lab reports for the patients on the unit,and recognizes the report requiring the most immediate attention is for the patient with RBCs,_____ mil/mm³;WBCs,_____ mil/mm³;and Hb,_____ g/dL.

Accepted Answer

A) 4.2; 4500; 9.1 
B) 5.9; 4500; 12.7 
C) 6.0; 6000; 13.2 
D) 7.6; 8000; 18.0 
A) 4.2; 4500; 9.1 
B) 5.9; 4500; 12.7 
C) 6.0; 6000; 13.2 
D) 7.6; 8000; 18.0

Question 8

The nurse explains that jaundice is present as a result of the release of excessive _____ into the bloodstream.

Accepted Answer

A) histamine 
B) bilirubin 
C) plasma 
D) platelets 
A) histamine 
B) bilirubin 
C) plasma 
D) platelets

Question 9

When reviewing the hematologic system,the student nurse is correct when making which statement?

Accepted Answer

A) "African Americans have the highest incidence of sickle cell disease." 
B) "Iatrogenic blood disorders are congenital in origin." 
C) "Folic acid is directly related to synthesis of hemoglobin." 
D) "Bruising in the elderly patient is of great concern." 
A) "African Americans have the highest incidence of sickle cell disease." 
B) "Iatrogenic blood disorders are congenital in origin." 
C) "Folic acid is directly related to synthesis of hemoglobin." 
D) "Bruising in the elderly patient is of great concern."

Question 10

The nurse reading a complete blood count notes there is an abnormal amount of "bands," or immature granulocytes.From this assessment,the nurse suspects:

Accepted Answer

A) an ongoing bacterial infection. 
B) an allergic reaction. 
C) impending anemia. 
D) an overwhelming viral infection. 
A) an ongoing bacterial infection. 
B) an allergic reaction. 
C) impending anemia. 
D) an overwhelming viral infection.

Question 11

Which nursing intervention is most appropriate following a bone marrow aspiration on the left posterior iliac crest from a patient with pernicious anemia?

Accepted Answer

A) Assist the patient to walk for 10 minutes to stimulate circulation. 
B) Check the pulses in the leg and foot distal to the puncture. 
C) Turn the patient on the back and remove the pillow. 
D) Apply pressure to the site for 5 minutes with an ice pack. 
A) Assist the patient to walk for 10 minutes to stimulate circulation. 
B) Check the pulses in the leg and foot distal to the puncture. 
C) Turn the patient on the back and remove the pillow. 
D) Apply pressure to the site for 5 minutes with an ice pack.

Question 12

Matching
The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence?

-Step: 5

Accepted Answer

A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte 
A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte

Question 13

When the nurse observes melena,she is aware that a minimum of _____ to _____ mL of blood has been deposited into the GI tract.

Accepted Answer

A) 25; 50 
B) 50; 75 
C) 75; 100 
D) 100; 120 
A) 25; 50 
B) 50; 75 
C) 75; 100 
D) 100; 120

Question 14

Red blood cells only live about _____ days.

Accepted Answer

A) 30 
B) 90 
C) 100 
D) 120 
A) 30 
B) 90 
C) 100 
D) 120

Question 15

The nurse cautions that often confused and irritable older adults are thought to have dementia when the real underlying problem is a blood-related:

Accepted Answer

A) deficiency of WBCs resulting in infection. 
B) excess of WBCs resulting in joint pain. 
C) deficiency in RBCs resulting in hypoxia. 
D) massive RBC destruction resulting in hyperbilirubinemia. 
A) deficiency of WBCs resulting in infection. 
B) excess of WBCs resulting in joint pain. 
C) deficiency in RBCs resulting in hypoxia. 
D) massive RBC destruction resulting in hyperbilirubinemia.

Question 16

To help conserve energy for the severely anemic patient,the nurse will: (Select all that apply.)

Accepted Answer

A) manage care so that the patient can have frequent rest periods. 
B) assist with activities of daily living. 
C) place personal care items close at hand. 
D) arrange for small meals with between-meal snacks. 
E) ensure that exercise sessions are planned during the morning. 
A) manage care so that the patient can have frequent rest periods. 
B) assist with activities of daily living. 
C) place personal care items close at hand. 
D) arrange for small meals with between-meal snacks. 
E) ensure that exercise sessions are planned during the morning.

Question 17

The nurse notes a rise in the eosinophil count and suspects the patient has a(n):

Accepted Answer

A) bacterial infection. 
B) allergy. 
C) viral infection. 
D) blood dyscrasia. 
A) bacterial infection. 
B) allergy. 
C) viral infection. 
D) blood dyscrasia.

Question 18

Matching
The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence?

-Step: 6

Accepted Answer

A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte 
A) Becomes a phagocyte 
B) Becomes a macrophage 
C) Engulfs bacteria 
D) Migrates into tissues 
E) Becomes a monocyte
F)Becomes a leukocyte

Question 19

The patient who is taking radiation treatments has a platelet count of 100,000/mm³.The nurse should be alert for:

Accepted Answer

A) significantly decreased blood pressure. 
B) hematuria. 
C) constipation. 
D) confusion and disorientation. 
A) significantly decreased blood pressure. 
B) hematuria. 
C) constipation. 
D) confusion and disorientation.

Question 20

The stem cells in the marrow are stimulated to make blood cells by the erythropoietin- stimulating factor in the:

Accepted Answer

A) brain. 
B) lung. 
C) kidney. 
D) liver. 
A) brain. 
B) lung. 
C) kidney. 
D) liver.

Exam 16: the Hematologic System

To assure accuracy of a daily measurement of abdominal girth in a patient with ascites,the nurse will: (Select all that apply.)

Matching The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence? -Step: 3

To assess cyanosis in a patient with a dark complexion,the nurse should inspect the: (Select all that apply.)

The nurse explains that,in the event of a massive hemorrhagic episode,the _____ contracts and adds blood to the circulating volume.

The nurse reminds the patient with a bleeding disorder that the life span of the platelet is the shortest of all blood cells,approximately _____ days.

Matching The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence? -Step: 1

The nurse evaluates the lab reports for the patients on the unit,and recognizes the report requiring the most immediate attention is for the patient with RBCs,_____ mil/mm³;WBCs,_____ mil/mm³;and Hb,_____ g/dL.

The nurse explains that jaundice is present as a result of the release of excessive _____ into the bloodstream.

When reviewing the hematologic system,the student nurse is correct when making which statement?

The nurse reading a complete blood count notes there is an abnormal amount of "bands," or immature granulocytes.From this assessment,the nurse suspects:

Which nursing intervention is most appropriate following a bone marrow aspiration on the left posterior iliac crest from a patient with pernicious anemia?

Matching The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence? -Step: 5

When the nurse observes melena,she is aware that a minimum of _____ to _____ mL of blood has been deposited into the GI tract.

Red blood cells only live about _____ days.

The nurse cautions that often confused and irritable older adults are thought to have dementia when the real underlying problem is a blood-related:

To help conserve energy for the severely anemic patient,the nurse will: (Select all that apply.)

The nurse notes a rise in the eosinophil count and suspects the patient has a(n):

Matching The student nurse is drawing a diagram of the phases of the monocyte cell to present to the nursing class.The student correctly diagrams the phases in which order of occurrence? -Step: 6

The patient who is taking radiation treatments has a platelet count of 100,000/mm³.The nurse should be alert for:

The stem cells in the marrow are stimulated to make blood cells by the erythropoietin- stimulating factor in the:

Caring for Medical surgical Patients

Critical Thinking and Nursing Process

Fluid, electrolytes, acid-base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Surgical Patients

Infection Prevention and Control

Care of Patients With Pain

Care of Patients With Cancer

Chronic Illness and Rehabilitation

the Immune and Lymphatic Systems

Care of Patient With Hiv/aids

Care of Patients With Immune and Lymphatic Disorders

the Respiratory System

Care of Patients With Disorders of the Upper Respiratory System

Care of Patients With Disorders of the Lower Respiratory System

Care of Patients With Hematologic Disorders

the Cardiovascular System

Care of Patients With Hypertension and Peripheral Vascular Disease

Care of Patients With Cardiac Disorders

Care of Patients With Coronary Artery Disease and Cardiac Surgery

the Neurologic System

Care of Patients With Head and Spinal Cord Injuries

Care of Patients With Disorders of the Brain

Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

the Sensory System: Eye and Ear

Care of Patients With Disorders of the Eyes and Ears

the Gastrointestinal System

Care of Patients With Disorders of the Upper Gastrointestinal System

Care of Patients With Disorders of the Lower Gastrointestinal System

Care of Patients With Disorders of the Gallbladder,liver,and Pancreas

the Musculoskeletal System

Care of Patients With Musculoskeletal and Connective Tissue Disorders

the Urinary System

Care of Patients With Disorders of the Urinary System

the Endocrine System

Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Care of Patients With Diabetes and Hypoglycemia

Care of Women With Reproductive Disorders

Care of Men With Reproductive Disorders

Care of Patients With Sexually Transmitted Infections

the Integumentary System

Care of Patients With Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients With Trauma or Shock

Care of Patients With Anxiety, mood, and Eating Disorders

Care of Patients With Substance Abuse Disorders

Care of Patients With Cognitive Disorders

Care of Patients With Thought and Personality Disorders

Filters

The nurse evaluates the lab reports for the patients on the unit,and recognizes the report requiring the most immediate attention is for the patient with RBCs,___ mil/mm³;WBCs,_ mil/mm³;and Hb,___ g/dL.

When the nurse observes melena,she is aware that a minimum of _ to _ mL of blood has been deposited into the GI tract.