Fairleigh Dickinson University

NURS 2210

Quiz 3 questions:

1)A client has been diagnosed with non-Hodgkin lymphoma (NHL), a form of malignancy that most likely originated in which of the following sites?

2. Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia include:

3. The client is an average-sized adult and has abnormal microcytic hypochromic red blood cells due to a long-term, chronic disease. Which of the following complete blood count (CBC) results is characteristic of her type of anemia?

4. Polycythemia develops in clients with lung disease as a result of:

5. Which of the following clients are at risk for developing blood clots and should be assessed frequently?

6. When an Rh-negative mother has been sensitized and is pregnant with an Rh- positive fetus, what happens to the fetus?

7. A client is undergoing a diagnostic workup to rule out multiple myeloma. Which of the following diagnostic findings would confirm the diagnosis of multiple myeloma?

8. Leukocytes consist of three categories of cells that have different roles in the inflammatory and immune responses. Which of the following leukocytes is correctly matched with its function?

9. In immune thrombocytopenia purpura (ITP), the client has what type of disorder that primarily destroys which blood component?

1. 1. A 72-year-old woman with complaints of increasing fatigue has completed a series of fecal occult blood tests that indicate the presence of blood in her stool. Which of the following health problems is likely to accompany this client's gastrointestinal bleed?

1. 1. A 48-year-old male client, who normally enjoys good health, has been admitted to the hospital for the treatment of polycythemia vera. The nurse who is providing care for the client should prioritize assessments aimed at the early identification of which of the following health problems?

1. 1. A young adult is preparing to begin treatment for non-Hodgkin lymphoma (NHL), a disease that has disseminated widely. What is the most likely treatment regimen for this client?

1. 1. A 23-year-old female client has been diagnosed with von Willebrand disease following a long history of “heavy periods” and occasional nosebleeds. Which of the client's following statements demonstrates a sound understanding of her new diagnosis?

14. The client is undergoing diagnostic workup for possible Hodgkin type of lymphoma. Which of the following laboratory results would confirm the diagnosis of Hodgkin lymphoma?

15. During a client's admission assessment prior to reduction mammoplasty surgery, the nurse notes a reference to a Leiden mutation in the client's history. The nurse assesses the client for an increased risk of developing which of the following postsurgical complications?

16. The pathologic effects of the thalassemias are primarily due to which of the following pathophysiologic processes?

1. 1. A client presents to the emergency clinic not feeling well. Which of the following complaints leads the health care provider to suspect the client may have acute leukemia?

18. The 16-year-old boy has enlarged lymph nodes and a sore throat. His girlfriend was recently diagnosed with infectious mononucleosis. While educating this teenager, the nurse emphasizes that infectious mononucleosis is caused by which pathogen and usually transmitted via:

19. In the ICU, a postsurgical client has developed sepsis and is being treated with multiple medications. During the mid-morning assessment, which finding would lead the nurse to suspect the client may be developing a complication called disseminated intravascular coagulation (DIC)? Select all that apply.

1. 1. A client who had a pulmonary embolism is receiving IV heparin and has just begun taking his first dose of warfarin (Coumadin). The client asks the nurse, “How long will this pill take in order to prevent me from developing more clots. I would like to go home soon.” The nurse responds:

21. Sue is fatigued, and some blood tests are done. Her results include Hct 24%; Hgb 8g/dL; WBC 8000; and platelets 175,000. The nurse should interpret Sue's blood work as indicative of:

22. Following peripheral blood testing and a bone marrow biopsy, a client has been diagnosed with chronic myelogenous leukemia. Which of the following is most likely to have preceded the client's diagnosis?
    1. A 69-year-old client who is obese and has a diagnosis of angina pectoris has been prescribed clopidogrel (Plavix) by his primary care provider. The client asks, “Why do I need this medication? It won't help my chest pain.” The best response would be this medication:

24. Hemolytic anemia is characterized by excessive red blood cell destruction and compensatory:

1. 1. A client with a long-standing diagnosis of human immunodeficiency virus (HIV) has recently developed neutropenia and been admitted to a hospital. Which of the following measures should be prioritized by the nurses who are providing his care?