Hematology disorder Qustions


Index

Hematologic disorders


1. When assessing a patient with anemia from acute blood loss, the nurse would expect to fi nd which of the following?
A. Sudden onset of symptoms, hypotension, and tachycardia
B. Exertional dyspnea, poor nutrition, and hypotension
C. Sudden onset of symptoms, glossitis, and tachycardia
D. Fatigue, neuropathy, and tachycardia


2. When teaching safety precautions to a patient with thrombocytopenia, the nurse should include which of the following directives?
A. Eat foods high in iron.
B. Avoid products that contain aspirin.
C. Avoid people with respiratory tract infections.
D. Eat only cooked vegetables.


3. When assessing the patient, the nurse knows that the body system least affected by multiple myeloma is the:
A. skeletal system.
B. renal system.
C. nervous system.
D. cardiovascular system.


4. The nurse is reviewing assessment data for a patient with a diagnosis of stage III Hodgkin’s disease. This diagnosis is most strongly supported by lymphatic involvement on both sides of the:
A. blood–brain barrier.
B. diaphragm.
C. descending aorta.
D. spinal column.


5. A 50-year-old male with a diagnosis of leukemia is responding poorly to treatment. He is tearful and trying to express his feelings, but he is having diffi culty. The nurse should fi rst:
A. tell him that she will leave for now but she will be back.
B. offer to call pastoral care.
C. ask if he would like her to sit with him while he collects his thoughts.
D. tell him that she can understand how he is feeling.


6. A patient with blood type B can receive a transfusion of what type of RBCs?
A. Type A or type O
B. Type B or type O
C. Type AB or type O
D. Type A or type B


7.Which type of anemia results from defi ciency of all the blood’s formed elements, caused by failure of the bone marrow to generate enough new cells?
A. Sickle cell anemia
B. Folic acid defi ciency anemia
C. Aplastic anemia
D. Iron defi ciency anemia


8. Which disorder results from a defi ciency of circulating platelets?

A. Hemophilia
B. Sickle cell anemia
C. Von Willebrand’s disease
D. Thrombocytopenia


9. A patient with Hodgkin’s disease has lymph node involvement on both sides of the diaphragm and involvement of the spleen. According to the Ann Harbor classifi cation system, what stage lymphoma does this patient have?

A. Stage I
B. Stage II
C. Stage III
D. Stage IV

10. A patient with anemia from acute blood loss has been admitted to the medical-surgical unit. What assess-ment fi ndings would the nurse expect to fi nd?

A. Night sweats, weight loss, and diarrhea
B. Dyspnea, tachycardia, and pallor
C. Nausea, vomiting, and anorexia
D. Itching, rash, and jaundice


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