A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the nurse suspect the patient has?
a. Sideroblastic anemia
b. Hemolytic anemia
c. Pernicious anemia
d. Iron deficiency anemia
For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be:
A nurse is caring for a patient who cannot clot. Which end product of the clotting cascade is this patient unable to make?
A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The nurse suspects the most likely cause of this condition is:
a. Defective DNA synthesis
b. Abnormal synthesis of hemoglobin
c. Defective use of vitamin C
d. Blocked protein synthesis
A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched. She also remarks that she has been unintentionally losing weight. Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be screened for which of the following cancers?
a. Epstein-Barr virus
b. Hodgkin lymphoma
c. Acute leukemia
d. Burkitt lymphoma
A nurse checks individuals with liver disease for clotting problems because:
a. The liver is often the site of platelet pooling.
b. Clotting factors are produced in the liver.
c. High levels of bilirubin interfere with the clotting system.
d. Treatment medications for liver failure cause fibrinolysis.
A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion. Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?
b. Increased rate and depth of breathing
d. Activation of the renin-angiotensin response
a. Colony-stimulating factors (CSFs)
While checking lab results, the nurse remembers the normal leukocyte count is:
c. 4.2-6.2 million/mm3
d. 1.2-2.2 million/mm3
A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death. Autopsy suggested pernicious anemia, and the cause of death would most likely reveal:
a. Brain hypoxia
b. Liver hypoxia
c. Heart failure
d. Kidney failure
A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia?
a. Posthemorrhagic anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Hemolytic anemia
The people from which country have the lowest risk for Hodgkin lymphoma?
a. United States
d. Great Britain
After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?
a. Increased viscosity of blood
b. Decreased cardiac output
c. Altered coagulation
d. Hyperdynamic circulatory state
Thrombocytopenia may be:
a. Transient or consistent
b. Normal or abnormal
c. Congenital or acquired
d. Active or inactive
A group of cells isolated in the laboratory have membrane-bound granules in their cytoplasm and they show phagocytic activity.Which of the following cells is most similar?
A nurse monitors for the most common childhood cancer, which is:
a. Non-Hodgkin lymphoma
b. Chronic myelocytic leukemia (CML)
c. Hodgkin lymphoma
d. Acute lymphoblastic leukemia (ALL)
A 25-year-old female has a heavy menses during which she loses a profuse amount of blood. Which of the following adaptations should the nurse expect?
a. Movement of fluid into the cell
b. Decreased cardiac output
c. Decreased oxygen release from hemoglobin
d. Peripheral vasoconstriction
A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the nurse see documented on the chart?
a. Iron deficiency anemia
b. Pernicious anemia
c. Sideroblastic anemia
d. Hemolytic anemia
A staff member wants to know where the greatest proportion of iron is located. How should the nurse respond? The greatest proportion of total body iron is located in the:
b. Spleen pulp
c. Bone marrow
d. Liver tissue
A 67-year-old female has chronic gastrointestinal bleeding.A nurse recalls the primary cause of her anemia is:
a. Vitamin B12 deficiency
b. Iron deficiency
c. Folate deficiency
d. Bone marrow failure
During an infection, the nurse assesses the lymph nodes.Lymph nodes enlarge and become tender because:
a. Lymphocytes are rapidly dividing.
b. Edema accumulates within the fibrous capsule.
c. Microorganisms are accumulating.
d. The nodes are not functioning properly.
How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia?
a. Administer radioactive cobalamin and measure its excretion in the urine.
b. Measure antigen-antibody immune complexes.
c. Measure serum ferritin and total iron-binding capacity.
d. Administer folate and evaluate folate content in a blood serum sample.
A 5-year-old female is diagnosed with acute leukemia. The nurse will most likely treat this patient with:
a. Bone marrow transplant
d. Localized radiation therapy
A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse monitors for which of the following conditions that could result secondary to the treatment?
While reviewing lab results, the nurse recalls the most abundant cells in the blood are:
A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely cause?
a. Cytomegalovirus (CMV)
c. Human papillomavirus (HPV)
d. Epstein-Barr virus (EBV)
A 15-year-old male is diagnosed with infectious mononucleosis. When the patient asks how he got this disease, how should the nurse respond? The most likely cause is:
a. Lymph node enlargement.
b. Fever and sore throat
c. Rash on the trunk and extremities
e. Enlargement of liver and spleen
A nurse is teaching the staff about platelets. Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to:
a. Stimulate bone marrow production of erythrocytes
b. Release biochemical mediators of inflammation
c. Undergo cell division in response to bleeding
d. Activate a humoral response
A 20-year-old female undergoes lab testing for anemia.Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit. Which of the following is the most likely diagnosis to be documented on the chart?
a. Pernicious anemia
b. Folate deficiency anemia
c. Iron deficiency anemia
d. Sideroblastic anemia
A 45-year-old female undergoes a splenectomy to remove a tumor. Which of the following assessment finding is most likely to occur following surgery?
c. Decreased red blood cell count
d. Decreased platelets
When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes:
In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because:
a. Prothrombin is activated.
b. Clotting factors are depleted.
c. Inflammatory mediators are released.
d. Tissue factor (TF) is inactivated.
A 21-year-old female was recently diagnosed with iron deficiency anemia. In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit?
b. Spoon-shaped nails
c. Gait problems
The nurse will check which of the following tests to directly measure iron stores?
a. Serum ferritin
b. Transferrin saturation
c. Bone marrow biopsy
d. Total iron-binding capacity