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Question 1

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1. Fragments of cell in the blood stream that breaks down on exposure to injured tissue and begin
the chain reaction leading to blood clot are known as:
Select one:
a. Red blood cells
b. Platelets
c. Leukocytes
d. Erythrocytes
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Question 2

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2. In caring for a client with impaired immune system, the nurse recognizes the blood protein
involved is:
Select one:
a. Hemoglobin
b. Albumin
c. Globulin
d. Thrombin
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Question 3

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3. The nurse understands that thromboplastin, which initiates the clotting process, is found in:
Select one:
a. Plasma
b. Erythrocytes
c. Platelets
d. leukocytes
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Question 4

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4. The nurse is conducting an admission assessment of a client with vitamin B12 deficiency.
Which of the following would the nurse include in the physical assessment?
Select one:
a. Palpate the spleen
b. Examine the feet for petechiae
c. Take the blood pressure
d. Examine the tongue
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Question 5

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5. Procedure in diagnosing Leukemia


Select one:
a. Histamine test.
b. Schilling test
c. Platelet count
d. Bone marrow examination
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Question 6

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6. When a client is receiving anticoagulant, the nursing care should observation for:
Select one or more:
a. nausea
b. epistaxis
c. headache
d. chest pain

Question 7

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7. A client with anemia may be tired due to a tissue deficiency of which of the following
substances?
Select one:
a. Carbon dioxide
b. Factor VIII
c. Oxygen
d. T-cell antibiodies
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Question 8

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8. What is the primary nursing objective in caring for a child with sickle anemia in vaso-
occlusive crisis?
Select one:
a. Managing pain
b. Promoting activity
c. Promoting sickling
d. Preventing tissue oxygenation.
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Question 9

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9. Which of the following nursing measures would NOT be included in the care of a child in
vaso- occlusive crisis to maximize tissue perfusion?
Select one:
a. Increasing fluids.
b. Encouraging activity as tolerated
c. Monitoring fluid restrictions.
d. Administering oxygen as prescribed
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Question 10

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10. Which of the following nursing measures is most important to decrease the surgical risks of a
client with sickle-cell anemia?
Select one:
a. Increasing fluids.
b. Preparing the client psychologically.
c. Discouraging coughing.
d. Limiting the use of analgesics.
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Question 11

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11. Which of the following foods are appropriate sources of dietary iron for the prevention of
nutritional anemia?
Select one or more:
a. Citrus fruits
b. Fish
c. Green vegetables
d. Milk products

Question 12

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12. When providing instruction for parents who is taking Iron.The nurse should best instruct that
when is Iron best taken?
Select one:
a. Give calcium supplements at night for better absorption.
b. With a glass of orange juice
c. Decrease dose if constipation occurs.
d. Before meals
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Question 13

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13. Which of the following complications are the main consequences of leukemia
Select one:
a. Bone deformities, anemia, and infection.
b. Anemia, infection, and bleeding tendencies.
c. Pneumonia, thrombocytopenia, and alopecia
d. Polycythemia, decreased clotting time and infection.
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Question 14

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14. A 35-year-old man is seen in an urgent care clinic. He presents with symptoms of
polycythemia vera The laboratory value that would confirm the possible diagnosis is an
extremely:
Select one:
a. high hemoglobin level
b. low platelet count.
c. low white cell count.
d. high iron level.
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Question 15

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15. The rationale for administering injections of vitamin B12 to patients with pernicious anemia
is that:
Select one:
a. the patient’s body does not normally manufacture enough vitamin B12.
b. the patient may lack intrinsic factor necessary for vitamin B12 absorption.
c. vitamin B12 is found in very small quantities in the patient’s body.
d. vitamin B12 is a mineral necessary to aid in the formation of strong bones
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Question 16

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16. A client has been admitted with active rectal bleeding. He has been typed and cross-matched
for 2 units of packed red blood cells (RBCs). Within 10 minutes of admission the client faints
when getting up to go to the bedside commode. The nurse notifies the health care provider, who
orders a unit of blood immediately. The nurse should expect which type of packed RBCs will be
used for immediate transfusion?
Select one:
a. A
b. B
c. AB
d. O
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Question 17

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17. Immediately after the initiation of a blood transfusion, the patient complains of tightness in
the throat, shortness of breath, and chest pain. What is the priority nursing intervention?
Select one:
a. Notify the physician
b. Complete a head-to-toe physical assessment of the patient
c. Stop the infusion
d. Decrease the flow rate.
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Question 18

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18. When assessing the patient with thrombocytopenia, the nurse observes for:
Select one:
a. distended neck veins and skin discoloration.
b. discoloration of the nails and sclera
c. petechiae on the skin and bleeding gums.
d. enlarged thyroid gland and excitability.
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Question 19

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19. Which of the following type of anemia is primarily due to overcooking of food?
Select one or more:
a. Iron deficiency anemia
b. Pernicious anemia
c. Megaloblastic anemia
d. . Sickle cell anemia

Question 20

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20. The client has been diagnosed to have aplastic anemi
Select one:
a. Which of the following statements of the client indicates the need for further teaching?
{
b. “ I will brushed my teeth with soft-briskled toothbrush.”
c. ‘ I will avoid eating raw fruits and vegetables.
d. “ I am allowed to go and watch basketball games.”
e. “ I have to avoid people with cough and colds.”
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Question 21

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21. The client with acute myelocytic leukemia will receive blood transfusion. Which of the
following is inappropriate nursing action?
Select one:
a. Check cross-matching and blood-typing before administration of blood transfusion.
b. Administer lactated ringers in dextrose 5% as “piggyback”.
c. Use blood transfusion set.
d. Obtain baseline vital signs.
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Question 22

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22. The client has been diagnosed to have polycythemia ver


Select one:
a. Which of the following measures is Not included in the nursing care plan of the client?
{
b. increase fluid intake
c. Monitor the clients for signs and symptoms of thromboembolism.
d. Advise the client to avoid high altitude.
e. Implement isolation precaution.
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Question 23

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23. The nurse assists the physician in treating a client in shock. One modality in treatment that
employs the physical law explaining the increased venous return accompanying mild constriction
underlies the used of:
Select one:
a. Adrenalin in treating shock.
b. Rotating tourniquets in pulmonary edema
c. Sympathectomy in treating hypertension.
d. Digoxin to increase cardiac output.
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Question 24

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24. The emergency department nurse is admitting a client following an automobile accident. The
client has lost a considerable amount of blood, an early stage of shock is suspecte~ An
assessment finding the nurse would expect this client to exhibit is:
Select one:
a. A destention of the neck veins
b. An apical heart rate of 142 bpm
c. An output of 50 ml urine per hour
d. A blood pressure of 150/ 90mmHg.
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Question 25

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25. Which of the following drugs is most commonly used to treat cardiogenic shock?
Select one:
a. Dopamine
b. Furosemide
c. Enalapril (Vasotec)
d. Metoprolol
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