Question 1

The nurse examines the lymph nodes of a patient during a physical assessment.Which assessment finding would be of most concern to the nurse?

Accepted Answer

A)  A 2-cm nontender supraclavicular node 
B)  A 1-cm mobile and nontender axillary node 
C)  An inability to palpate any superficial lymph nodes 
D)  Firm inguinal nodes in a patient with an infected foot 
A)  A 2-cm nontender supraclavicular node 
B)  A 1-cm mobile and nontender axillary node 
C)  An inability to palpate any superficial lymph nodes 
D)  Firm inguinal nodes in a patient with an infected foot A

Question 2

The nurse assesses a patient with pernicious anemia.Which assessment finding would the nurse expect?

Accepted Answer

A)  Yellow-tinged sclerae 
B)  Shiny, smooth tongue 
C)  Numbness of the extremities 
D)  Gum bleeding and tenderness 
A)  Yellow-tinged sclerae 
B)  Shiny, smooth tongue 
C)  Numbness of the extremities 
D)  Gum bleeding and tenderness C

Question 3

The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds.The nurse should notify the health care provider in anticipation of adjusting which medication?

Accepted Answer

A)  Aspirin 
B)  Heparin 
C)  Warfarin 
D)  Erythropoietin 
A)  Aspirin 
B)  Heparin 
C)  Warfarin 
D)  Erythropoietin B

Question 4

The complete blood count (CBC)indicates that a patient is thrombocytopenic.Which action should the nurse include in the plan of care?

Accepted Answer

A)  Avoid intramuscular injections. 
B)  Encourage increased oral fluids. 
C)  Check temperature every 4 hours. 
D)  Increase intake of iron-rich foods. 
A)  Avoid intramuscular injections. 
B)  Encourage increased oral fluids. 
C)  Check temperature every 4 hours. 
D)  Increase intake of iron-rich foods.

Question 5

The nurse reviews the complete blood count (CBC)and white blood cell (WBC)differential of a patient admitted with abdominal pain.Which information will be most important for the nurse to communicate to the health care provider?

Accepted Answer

A)  Monocytes 4% 
B)  Hemoglobin 13.6 g/dL 
C)  Platelet count 168,000/µL 
D)  White blood cells (WBCs) 15,500/µL 
A)  Monocytes 4% 
B)  Hemoglobin 13.6 g/dL 
C)  Platelet count 168,000/µL 
D)  White blood cells (WBCs) 15,500/µL

Question 6

A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest.Which action would be important for the nurse to take after the procedure?

Accepted Answer

A)  Elevate the head of the bed to 45 degrees. 
B)  Apply a sterile 2-inch gauze dressing to the site. 
C)  Use a half-inch sterile gauze to pack the wound. 
D)  Have the patient lie on the left side for 1 hour. 
A)  Elevate the head of the bed to 45 degrees. 
B)  Apply a sterile 2-inch gauze dressing to the site. 
C)  Use a half-inch sterile gauze to pack the wound. 
D)  Have the patient lie on the left side for 1 hour.

Question 7

When assessing a newly admitted patient,the nurse notes pallor of the skin and nail beds.The nurse should ensure that which laboratory test has been ordered?

Accepted Answer

A)  Platelet count 
B)  Neutrophil count 
C)  White blood cell count 
D)  Hemoglobin (Hgb) level 
A)  Platelet count 
B)  Neutrophil count 
C)  White blood cell count 
D)  Hemoglobin (Hgb) level

Question 8

A patient's complete blood count (CBC)shows a hemoglobin of 19 g/dL and a hematocrit of 54%.Which question should the nurse ask to determine possible causes of this finding?

Accepted Answer

A)  "Have you had a recent weight loss?" 
B)  "Do you have any history of lung disease?" 
C)  "Have you noticed any dark or bloody stools?" 
D)  "What is your dietary intake of meats and protein?" 
A)  "Have you had a recent weight loss?" 
B)  "Do you have any history of lung disease?" 
C)  "Have you noticed any dark or bloody stools?" 
D)  "What is your dietary intake of meats and protein?"

Question 9

The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?

Accepted Answer

A)  Cool extremities 
B)  Pallor and weakness 
C)  Elevated temperature 
D)  Low oxygen saturation 
A)  Cool extremities 
B)  Pallor and weakness 
C)  Elevated temperature 
D)  Low oxygen saturation

Question 10

A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago.Which laboratory result would the nurse expect to find?

Accepted Answer

A)  Hematocrit of 46% 
B)  Hemoglobin of 13.8 g/dL 
C)  Elevated reticulocyte count 
D)  Decreased white blood cell (WB
C)  count 
A)  Hematocrit of 46% 
B)  Hemoglobin of 13.8 g/dL 
C)  Elevated reticulocyte count 
D)  Decreased white blood cell (WB
C)  count

Question 11

The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident.Which instructions should the nurse include in the discharge teaching?

Accepted Answer

A)  Watch for excess bruising. 
B)  Check for swollen lymph nodes. 
C)  Take iron supplements to prevent anemia. 
D)  Wash hands and avoid persons who are ill. 
A)  Watch for excess bruising. 
B)  Check for swollen lymph nodes. 
C)  Take iron supplements to prevent anemia. 
D)  Wash hands and avoid persons who are ill.

Question 12

The nurse assesses a patient who has numerous petechiae on both arms.Which question should the nurse ask the patient?

Accepted Answer

A)  "Do you take salicylates?" 
B)  "Are you taking any oral contraceptives?" 
C)  "Have you been prescribed antiseizure drugs?" 
D)  "How long have you taken antihypertensive drugs?" 
A)  "Do you take salicylates?" 
B)  "Are you taking any oral contraceptives?" 
C)  "Have you been prescribed antiseizure drugs?" 
D)  "How long have you taken antihypertensive drugs?"

Question 13

Which information shown in the accompanying figure about a patient who has just arrived in the emergency department is most urgent for the nurse to communicate to the health care provider?

Accepted Answer

A)  Platelet count 
B)  White blood cell count 
C)  History of abdominal pain 
D)  Blood pressure and heart rate 
A)  Platelet count 
B)  White blood cell count 
C)  History of abdominal pain 
D)  Blood pressure and heart rate

Question 14

A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests.The nurse will provide a consent form to sign for which test?

Accepted Answer

A)  ABO blood typing 
B)  Bone marrow biopsy 
C)  Abdominal ultrasound 
D)  Complete blood count (CB
C)  
A)  ABO blood typing 
B)  Bone marrow biopsy 
C)  Abdominal ultrasound 
D)  Complete blood count (CB
C)

Question 15

The health care provider orders a liver/spleen scan for a patient who has been in a motor vehicle accident.Which action should the nurse take before this procedure?

Accepted Answer

A)  Check for any iodine allergy. 
B)  Insert a large-bore IV catheter. 
C)  Place the patient on NPO status. 
D)  Assist the patient to a flat position. 
A)  Check for any iodine allergy. 
B)  Insert a large-bore IV catheter. 
C)  Place the patient on NPO status. 
D)  Assist the patient to a flat position.

Question 16

A nurse reviews the laboratory data for an older patient.The nurse would be most concerned about which finding?

Accepted Answer

A)  Hematocrit of 35% 
B)  Hemoglobin of 11.8 g/dL 
C)  Platelet count of 400,000/µL 
D)  White blood cell (WB
C)  count of 2800/µL 
A)  Hematocrit of 35% 
B)  Hemoglobin of 11.8 g/dL 
C)  Platelet count of 400,000/µL 
D)  White blood cell (WB
C)  count of 2800/µL

Exam 30: Nursing Assessment: Hematologic System

The nurse examines the lymph nodes of a patient during a physical assessment.Which assessment finding would be of most concern to the nurse?

The nurse assesses a patient with pernicious anemia.Which assessment finding would the nurse expect?

The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds.The nurse should notify the health care provider in anticipation of adjusting which medication?

The complete blood count (CBC)indicates that a patient is thrombocytopenic.Which action should the nurse include in the plan of care?

The nurse reviews the complete blood count (CBC)and white blood cell (WBC)differential of a patient admitted with abdominal pain.Which information will be most important for the nurse to communicate to the health care provider?

A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest.Which action would be important for the nurse to take after the procedure?

When assessing a newly admitted patient,the nurse notes pallor of the skin and nail beds.The nurse should ensure that which laboratory test has been ordered?

A patient's complete blood count (CBC)shows a hemoglobin of 19 g/dL and a hematocrit of 54%.Which question should the nurse ask to determine possible causes of this finding?

The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?

A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago.Which laboratory result would the nurse expect to find?

The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident.Which instructions should the nurse include in the discharge teaching?

The nurse assesses a patient who has numerous petechiae on both arms.Which question should the nurse ask the patient?

Which information shown in the accompanying figure about a patient who has just arrived in the emergency department is most urgent for the nurse to communicate to the health care provider?

A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests.The nurse will provide a consent form to sign for which test?

The health care provider orders a liver/spleen scan for a patient who has been in a motor vehicle accident.Which action should the nurse take before this procedure?

A nurse reviews the laboratory data for an older patient.The nurse would be most concerned about which finding?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Abuse

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,Pancreas,and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimer's Disease,Dementia,and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems