Question 1

A nurse is caring for a patient with severe anemia. The patient is tachycardic and complains of dizziness and exertional dyspnea. The nurse knows that in an effort to deliver more blood to hypoxic tissue, the workload on the heart is increased. What signs and symptoms might develop if this patient goes into heart failure?

Accepted Answer

A)   Peripheral edema
B)   Nausea and vomiting
C)   Migraine
D)   Fever A

Question 2

A patients low prothrombin time (PT) was attributed to a vitamin K deficiency and the patients PT normalized after administration of vitamin $\mathrm{K}$. When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?

Accepted Answer

A)   The need for adequate nutrition
B)   The need to avoid NSAIDs
C)   The need for constant access to factor concentrate
D)   The need for meticulous hygiene  A

Question 3

The nurse is assessing a new patient with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs and symptoms associated with what form of what hematologic disorder?

Accepted Answer

A)   Sickle cell anemia
B)   Hemophilia
C)   Megaloblastic anemia
D)   Thrombocytopenia C

Question 4

A patients blood work reveals a platelet level of $17,000 / \mathrm{mm}^{3}$. When inspecting the patients integumentary system, what finding would be most consistent with this platelet level?

Accepted Answer

A)   Dermatitis
B)   Petechiae
C)   Urticaria
D)   Alopecia

Question 5

A patient with a pulmonary embolism is being treated with a heparin infusion. What diagnostic finding suggests to the nurse that treatment is effective?

Accepted Answer

A)   The patients PT is within reference ranges.
B)   Arterial blood sampling tests positive for the presence of factor XIII.
C)   The patients platelet level is below  100,000/mm3100,000 / \mathrm{mm}^{3}100,000/mm3 .
D)   The patients activated partial thromboplastin time (aPTT)  is 1.5 to 2.5 times the control value.

Question 6

A patients electronic health record notes that he has previously undergone treatment for secondary polycythemia. How should this aspect of the patients history guide the nurses subsequent assessment?

Accepted Answer

A)   The nurse should assess for recent blood donation.
B)   The nurse should assess for evidence of lung disease.
C)   The nurse should assess for a history of venous thromboembolism.
D)   The nurse should assess the patient for impaired renal function.

Question 7

A nurse is admitting a patient with immune thrombocytopenic purpura to the unit. In completing the
Admission assessment, the nurse must be alert for what medications that potentially alter platelet function? Select all that apply.

Accepted Answer

A)   Antihypertensives
B)   Penicillins
C)   Sulfa-containing medications
D)   Aspirin-based drugs
E)   NSAIDs

Question 8

The nurse on the pediatric unit is caring for a 10 -year-old boy with a diagnosis of hemophilia. The nurse knows that a priority nursing diagnosis for a patient with hemophilia is what?

Accepted Answer

A)   Hypothermia
B)   Diarrhea
C)   Ineffective coping
D)   Imbalanced nutrition: Less than body requirements

Question 9

A patient newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission assessment, the patient asks the nurse to explain the disease. What should the nurse explain to this patient?

Accepted Answer

A)   There could be an attack on the platelets by antibodies.
B)   There could be decreased production of platelets.
C)   There could be impaired communication between platelets.
D)   There could be an autoimmune process causing platelet malfunction.

Question 10

The results of a patients most recent blood work and physical assessment are suggestive of immune thrombocytopenic purpura (ITP). This patient should undergo testing for which of the following potential causes? Select all that apply.

Accepted Answer

A)   Hepatitis
B)   Acute renal failure
C)   HIV
D)   Malignant melanoma
E)   Cholecystitis

Question 11

A patient with poorly controlled diabetes has developed end-stage renal failure and consequent anemia. When reviewing this patients treatment plan, the nurse should anticipate the use of what drug?

Accepted Answer

A)   Magnesium sulfate
B)   Epoetin alfa
C)   Low-molecular weight heparin
D)   Vitamin  K\mathrm{K}K

Question 12

An intensive care nurse is aware of the need to identify patients who may be at risk of developing disseminated intravascular coagulation (DIC). Which of the following ICU patients most likely faces the highest risk of DIC?

Accepted Answer

A)   A patient with extensive burns
B)   A patient who has a diagnosis of acute respiratory distress syndrome
C)   A patient who suffered multiple trauma in a workplace accident
D)   A patient who is being treated for septic shock

Question 13

A group of nurses are learning about the high incidence and prevalence of anemia among different populations. Which of the following individuals is most likely to have anemia?

Accepted Answer

A)   A 50-year-old African-American woman who is going through menopause
B)   An 81-year-old woman who has chronic heart failure
C)   A 48-year-old man who travels extensively and has a high-stress job
D)   A 13-year-old girl who has just experienced menarche

Question 14

A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The patient is not responding to conservative treatments, and his condition is now becoming life threatening. The nurse is aware that a treatment option in this case may include what?

Accepted Answer

A)   Hepatectomy
B)   Vitamin  K\mathrm{K}K  administration
C)   Platelet transfusion
D)   Splenectomy

Question 15

A patient has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active treatment. What assessment finding would signal complications of anemia?

Accepted Answer

A)   Venous ulcers and visual disturbances
B)   Fever and signs of hyperkalemia
C)   Epistaxis and gastroesophageal reflux
D)   Ascites and peripheral edema

Question 16

A client with several chronic health problems has been newly diagnosed with a qualitative platelet defect. What component of the patients previous medication regimen may have contributed to the development of this disorder?

Accepted Answer

A)   Calcium carbonate
B)    \quad  Vitamin  B12\mathrm{B}_{12}B12​ 
C)   Aspirin
D)   Vitamin D

Question 17

A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?

Accepted Answer

A)   Folic acid
B)   vitamin  B12\mathrm{B}_{12}B12​ 
C)   Lactulose
D)   Magnesium sulfate

Question 18

A nurse is a long-term care facility is admitting a new resident who has a bleeding disorder. When planning this residents care, the nurse should include which of the following?

Accepted Answer

A)   Housing the resident in a private room
B)   Implementing a passive ROM program to compensate for activity limitation
C)   Implementing of a plan for fall prevention
D)   Providing the patient with a high-fiber diet

Question 19

A nurse is providing discharge education to a patient who has recently been diagnosed with a bleeding disorder. What topic should the nurse prioritize when teaching this patient?

Accepted Answer

A)   Avoiding buses, subways, and other crowded, public sites
B)   Avoiding activities that carry a risk for injury
C)   Keeping immunizations current
D)   Avoiding foods high in vitamin  K\mathrm{K}K

Question 20

A patient is being treated for DIC and the nurse has prioritized the nursing diagnosis of Risk for Deficient Fluid Volume Related to Bleeding. How can the nurse best determine if goals of care relating to this diagnosis are being met?

Accepted Answer

A)   Assess for edema.
B)   Assess skin integrity frequently.
C)   Assess the patients level of consciousness frequently.
D)   Closely monitor intake and output.

Exam 33: Management of Patients With Nonmalignant Hematologic Disorders

A patients low prothrombin time (PT) was attributed to a vitamin K deficiency and the patients PT normalized after administration of vitamin $\mathrm{K}$ . When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?

The nurse is assessing a new patient with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs and symptoms associated with what form of what hematologic disorder?

A patients blood work reveals a platelet level of $17,000 / \mathrm{mm}^{3}$ . When inspecting the patients integumentary system, what finding would be most consistent with this platelet level?

A patient with a pulmonary embolism is being treated with a heparin infusion. What diagnostic finding suggests to the nurse that treatment is effective?

A patients electronic health record notes that he has previously undergone treatment for secondary polycythemia. How should this aspect of the patients history guide the nurses subsequent assessment?

A nurse is admitting a patient with immune thrombocytopenic purpura to the unit. In completing the Admission assessment, the nurse must be alert for what medications that potentially alter platelet function? Select all that apply.

The nurse on the pediatric unit is caring for a 10 -year-old boy with a diagnosis of hemophilia. The nurse knows that a priority nursing diagnosis for a patient with hemophilia is what?

A patient newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission assessment, the patient asks the nurse to explain the disease. What should the nurse explain to this patient?

The results of a patients most recent blood work and physical assessment are suggestive of immune thrombocytopenic purpura (ITP) . This patient should undergo testing for which of the following potential causes? Select all that apply.

A patient with poorly controlled diabetes has developed end-stage renal failure and consequent anemia. When reviewing this patients treatment plan, the nurse should anticipate the use of what drug?

An intensive care nurse is aware of the need to identify patients who may be at risk of developing disseminated intravascular coagulation (DIC) . Which of the following ICU patients most likely faces the highest risk of DIC?

A group of nurses are learning about the high incidence and prevalence of anemia among different populations. Which of the following individuals is most likely to have anemia?

A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The patient is not responding to conservative treatments, and his condition is now becoming life threatening. The nurse is aware that a treatment option in this case may include what?

A patient has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active treatment. What assessment finding would signal complications of anemia?

A client with several chronic health problems has been newly diagnosed with a qualitative platelet defect. What component of the patients previous medication regimen may have contributed to the development of this disorder?

A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?

A nurse is a long-term care facility is admitting a new resident who has a bleeding disorder. When planning this residents care, the nurse should include which of the following?

A nurse is providing discharge education to a patient who has recently been diagnosed with a bleeding disorder. What topic should the nurse prioritize when teaching this patient?

A patient is being treated for DIC and the nurse has prioritized the nursing diagnosis of Risk for Deficient Fluid Volume Related to Bleeding. How can the nurse best determine if goals of care relating to this diagnosis are being met?

Exam 33: Management of Patients With Nonmalignant Hematologic Disorders

A patients low prothrombin time (PT) was attributed to a vitamin K deficiency and the patients PT normalized after administration of vitamin K\mathrm{K}K . When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?

The nurse is assessing a new patient with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs and symptoms associated with what form of what hematologic disorder?

A patients blood work reveals a platelet level of 17,000/mm317,000 / \mathrm{mm}^{3}17,000/mm3 . When inspecting the patients integumentary system, what finding would be most consistent with this platelet level?

A patient with a pulmonary embolism is being treated with a heparin infusion. What diagnostic finding suggests to the nurse that treatment is effective?

A patients electronic health record notes that he has previously undergone treatment for secondary polycythemia. How should this aspect of the patients history guide the nurses subsequent assessment?

A nurse is admitting a patient with immune thrombocytopenic purpura to the unit. In completing the Admission assessment, the nurse must be alert for what medications that potentially alter platelet function? Select all that apply.

The nurse on the pediatric unit is caring for a 10 -year-old boy with a diagnosis of hemophilia. The nurse knows that a priority nursing diagnosis for a patient with hemophilia is what?

A patient newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission assessment, the patient asks the nurse to explain the disease. What should the nurse explain to this patient?

The results of a patients most recent blood work and physical assessment are suggestive of immune thrombocytopenic purpura (ITP) . This patient should undergo testing for which of the following potential causes? Select all that apply.

A patient with poorly controlled diabetes has developed end-stage renal failure and consequent anemia. When reviewing this patients treatment plan, the nurse should anticipate the use of what drug?

An intensive care nurse is aware of the need to identify patients who may be at risk of developing disseminated intravascular coagulation (DIC) . Which of the following ICU patients most likely faces the highest risk of DIC?

A group of nurses are learning about the high incidence and prevalence of anemia among different populations. Which of the following individuals is most likely to have anemia?

A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The patient is not responding to conservative treatments, and his condition is now becoming life threatening. The nurse is aware that a treatment option in this case may include what?

A patient has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active treatment. What assessment finding would signal complications of anemia?

A client with several chronic health problems has been newly diagnosed with a qualitative platelet defect. What component of the patients previous medication regimen may have contributed to the development of this disorder?

A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?

A nurse is a long-term care facility is admitting a new resident who has a bleeding disorder. When planning this residents care, the nurse should include which of the following?

A nurse is providing discharge education to a patient who has recently been diagnosed with a bleeding disorder. What topic should the nurse prioritize when teaching this patient?

A patient is being treated for DIC and the nurse has prioritized the nursing diagnosis of Risk for Deficient Fluid Volume Related to Bleeding. How can the nurse best determine if goals of care relating to this diagnosis are being met?

A patients low prothrombin time (PT) was attributed to a vitamin K deficiency and the patients PT normalized after administration of vitamin $\mathrm{K}$ . When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?

A patients blood work reveals a platelet level of $17,000 / \mathrm{mm}^{3}$ . When inspecting the patients integumentary system, what finding would be most consistent with this platelet level?