Nclex-Rn Practice Questions-Care Of The Adult - Hematologic & İmmune Disorders Part 1
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Question 1 |
The nurse is developing a dietary care plan for a client diagnosed with microcytic anemia. Which foods, if selected by the client, would indicate to the nurse that teaching was effective?
A | Enriched breakfast cereal and hot tea |
B | Eggs and yogurt |
C | Chicken and brown rice |
D | Split pea soup with ham |
Question 2 |
The nurse has instructed the client on self-administration of heparin injections. The nurse determines teaching is effective when the client makes which statement?
A | Heparin slows the time it takes for the blood to clot. |
B | Heparin stops the blood from clotting. |
C | Heparin thins the blood. |
D | Heparin dissolves clots in the arteries of the heart. |
Question 3 |
The nurse is aware that a client with a diagnosis of thrombocytopenia would be likely to complain of which of the following?
A | Weakness and fatigue |
B | Dizziness and vomiting |
C | Bruising and petechiae |
D | Light-headedness and nausea |
Question 4 |
The nurse is assessing a postoperative client who is recovering from a partial gastrectomy. The nurse is aware that the client is at risk for developing:
A | anemia. |
B | polycythemia. |
C | purpura. |
D | thrombocytopenia. |
Question 5 |
A client has received an antibiotic infusion and is now experiencing an anaphylactic reaction. What is the most important intervention by the nurse?
A | Administer a bolus of normal saline solution. |
B | Maintain a patent airway. |
C | Administer epinephrine. |
D | Monitor vital signs. |
Question 6 |
A client asks the nurse about what commonly causes anemia. The best response by the nurse would be?
A | Lack of dietary iron |
B | Vitamin C deficiency |
C | Virus |
D | Hereditary disorders of the red blood cells |
Question 7 |
A client is admitted with a possible diagnosis of rheumatoid arthritis (RA). Which of the following screening tests should the nurse expect to be ordered?
A | Antinuclear antibody (ANA) titer |
B | Complete blood count (CBC) |
C | Erythrocyte sedimentation rate (ESR) |
D | Rheumatoid factor (RF) |
Question 8 |
The nurse determines that a client is at risk for developing anemia if which of the following predisposing factors is identified?
A | Colostomy following colon resection |
B | Gastroesophageal reflux disease (GERD) |
C | Gastrectomy |
D | Bouts of dumping syndrome |
Question 9 |
The nurse is developing a plan of care for a client diagnosed with rheumatoid arthritis. What is the goal of treatment?
A | To cure the disease |
B | To prevent osteoporosis |
C | To control inflammation |
D | To encourage bone regeneration |
Question 10 |
The nurse is assessing a client in the emergency room who has been experiencing black stools for the past month. The client suddenly complains of chest and stomach pain. What is the most important action for the nurse to perform?
A | Give nasal oxygen. |
B | Take vital signs. |
C | Begin cardiac monitoring. |
D | Draw blood for laboratory analysis. |
Question 11 |
A nurse is preparing a dietary teaching plan for a client with rheumatoid arthritis. Select the recommended supplement that will reduce inflammation for the client.
A | Fish oil |
B | Vitamin D |
C | Iron-rich foods |
D | Calcium carbonate |
Question 12 |
A client is diagnosed with uncomplicated rheumatoid arthritis. The nurse explains to the client that nonsteroidal anti-inflammatory drugs (NSAIDs) are used in the treatment plan. Which NSAID medication is used to treat rheumatoid arthritis?
A | Furosemide |
B | Haloperidol |
C | Ibuprofen |
D | Methotrexate |
Question 13 |
A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is receiving Retrovir (zidovudine). The client asked the nurse, “How does this drug work?” The nurse determines that teaching was effective when the client makes which statement?
A | “It kills the human immunodeficiency (HIV) virus.” |
B | “It suppresses the HIV virus.” |
C | “I won’t infect anyone else when I take this drug.” |
D | “It’s the only drug for HIV I need to take.” |
Question 14 |
A nursing student is assigned an HIV-positive client. The student asks the staff nurse what precautions are necessary when taking the clients blood pressure. The nurse instructs the student to:
A | wear gloves. |
B | wear a gown. |
C | use contact precautions. |
D | wash hands. |
Question 15 |
A client with HIV experiences frequent bouts of diarrhea. The nurse determines dietary teaching is effective when the client states the need to avoid:
A | milk. |
B | red licorice. |
C | chicken soup. |
D | broiled meat. |
Question 16 |
A nurse is teaching a community education class on human immunodeficiency virus (HIV). The nurse explains to her clients that the group or factor linked to higher morbidity and mortality in HIV-infected clients is:
A | homosexual men. |
B | lower socioeconomic status. |
C | treatment in a large teaching hospital. |
D | treatment by a physician who specializes in HIV infection. |
Question 17 |
A nurse has volunteered for a mission trip to an area with a high incidence of HIV. Part of the responsibility will be teaching a class about HIV. The next question in the PowerPoint presentation is, “Which body substances most easily transmit human immunodeficiency virus (HIV)?” Which of the following options would you include in your next PowerPoint slide to answer that question?
A | Feces and saliva |
B | Blood and semen |
C | Breast milk and tears |
D | Vaginal secretions and urine |
Question 18 |
The nurse is reviewing first-line therapy medications of a client recently diagnosed with rheumatoid arthritis. Which medication does the nurse anticipate will be included?
A | Aspirin |
B | Cytoxan |
C | Ferrous sulfate |
D | Prednisone |
Question 19 |
The nurse is reviewing a client’s complete blood count and notes a decreased number of erythrocytes, leukocytes, and platelets. The nurse interprets this as indicative of what condition?
A | Pernicious anemia |
B | Aplastic anemia |
C | Sickle cell anemia |
D | Polycythemia |
Question 20 |
A nurse is reviewing the laboratory results of a client with anemia and anticipates which lab value would be decreased?
A | Erythrocytes |
B | Granulocytes |
C | Leukocytes |
D | Platelets |
Question 21 |
The nurse determines that teaching a client about rheumatoid arthritis was successful when the client makes which statement?
A | “It will get better and worse again.” |
B | “Once it clears up, it will never come back.” |
C | “I will definitely have to have surgery for this.” |
D | “It will never get any better than it is right now.” |
Question 22 |
The nurse is reviewing client’s charts. Select the client who would be most at risk for developing anemia.
A | A 2-year old in day care |
B | A 22-year-old college student |
C | A 55-year-old neighbor |
D | An elderly nursing home resident |
Question 23 |
A client arrives at the emergency department complaining of chest and stomach pain and a report of black, tarry stools for the past 2 months. Which orders should the nurse anticipate?
A | Cardiac monitor, oxygen, creatine kinase, and lactate dehydrogenase (LD) levels |
B | Prothrombin time (PT), partial thromboplastin time (PTT), fibrinogen, and fibrin split product values |
C | ECG, complete blood count, testing for occult blood, and comprehensive serum metabolic panel |
D | EEG, alkaline phosphatase and aspartate aminotransferase levels, and basic serum metabolic panel |
Question 24 |
A client had coronary artery bypass graft (CABG) surgery 3 days ago. The nurse notes a decrease in the client’s platelet count from 230,000/µl to 5,000/µl. The nurse determines the client may be developing:
A | pancytopenia. |
B | idiopathic thrombocytopenic purpura (ITP). |
C | disseminated intravascular coagulation (DIC). |
D | heparin-associated thrombosis and thrombocytopenia (HATT). |
Question 25 |
Immediately after giving an injection, a nurse is accidentally stuck with the needle. The nurse is aware that testing for human immunodeficiency virus (HIV) antibodies should occur:
A | immediately and then again in 6 weeks. |
B | immediately and then again in 3 months. |
C | in 2 weeks and then again in 6 months. |
D | in 2 weeks and then again in 1 year. |
Question 26 |
The nurse reviews lab results of a second-day postoperative client and notes a hemoglobin level of 10 g/dl. During assessment of the client, the nurse would expect to see which of the following?
A | No clinical sign |
B | Pallor |
C | Palpitations |
D | Shortness of breath |
Question 27 |
While preparing a case study, the nurse notes that which client is most likely to develop rheumatoid arthritis?
A | A 25-year-old woman |
B | A 40-year-old man |
C | A 65-year-old woman |
D | A 70-year-old man |
Question 28 |
A 27-year-old male who is an established client in the in the Family Medicine Clinic was recently diagnosed with acquired immunodeficiency syndrome (AIDS). When reviewing his chart, what does the nurse expect to find with this diagnosis?
A | Infection with human immunodeficiency virus (HIV), tuberculosis, and cytomegalovirus |
B | Infection with HIV, an alternative lifestyle, and a T-cell count above 200 cells/µl |
C | Infection with HIV, CD4+ count below 200 cells/µl, and a T-cell count above 400 cells/µl |
D | Infection with HIV, a history of acute HIV infection, and a CD4+ T-cell count below 200 cells/µl |
Question 29 |
The nurse is reviewing a 52-year-old client’s laboratory values. The platelet count is 75,000/µl. How would the nurse interpret this value?
A | Normal platelet count |
B | Thrombocytopenia |
C | Thrombocytopathy |
D | Thrombocytosis |
Question 30 |
The nurse is planning care for a 67-year-old client who recently had abdominal aortic aneurysm repair surgery. The client has developed disseminated intravascular coagulation (DIC). The nurse is aware that the client has an increased risk for what?
A | Ineffective breathing pattern |
B | Risk for aspiration |
C | Risk for infection |
D | Risk for ineffective cerebral tissue perfusion |
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