2024 NR 511 FINAL EXAM WITH
CORRECT ANSWERS
One of the initial steps in assessing patients with musculoskeletal complaints
is to determine whether the complain is articular or nonarticular in origin.
Which of the following in an example of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia - CORRECT-ANSWERSSynovium
A client is diagnosed with a varicocele. The nurse realizes that this client is
likely to develop
A Hydrocele
B Prostate cancer
C Prostatitis
D Infertility - CORRECT-ANSWERSD Infertility
A newborn male child is diagnosed with cryptorchidism. The nurse should
prepare to administer which of the following to this client
A IV Fluids
B Antipyretic medication
C Human chorionic gonadotropin medication
D Antibiotics - CORRECT-ANSWERSC Human chorionic gonadotropin
medication
A client is experiencing priapism. Which of the following should the nurse do
first to help the client
A Apply ice packs to the perineum
B Prepare for emergency surgery
C Prepare for an aspiration of blood from the penis
D Apply heat to the perineum - CORRECT-ANSWERSA Apply ice packs to the
perineum
What is the process by which certain cells engulf and digest microorganisms
and cellular debris
A Erythrocytosis
B Hematocrit
C Phagocytosis
D Hemostasis - CORRECT-ANSWERSC Phagocytosis
,The nurse assessing a differential sees an increase in immature neutrophils
(bands) and is aware that this indicates
A Significant hemorrhage
B aplastic anemia
C an overwhelming bacterial infections
D Beginning recovery from an infection - CORRECT-ANSWERSC an
overwhelming bacterial infections
B cells and T cells fit under which classification
A Erythrocytes
B Basophils
C Lymphocytes
D Monocytes - CORRECT-ANSWERSC Lymphocytes
The nurse explains that in the event of an invasion of an allergen ,the
basophils release a strong vasodilator which is
A Lysozyme
B Prothrombin
C hematocrit
C Histamine - CORRECT-ANSWERSC Histamine
The presence of excess bands in the peripheral blood that indicate severe
infection is called
A Shift to the left
B Shift to the right
C Bone marrow aspiration
D Thrombocytosis - CORRECT-ANSWERSA Shift to the left
A patient who has a Schilling test shows a 20% excretion of the radioactive
vitamin B12. What would this indicate
A The patient has a low reserve of iron and has iron deficiency anemia
B The patient has a normal finding and does not have pernicious anemia
C The patient has a deficiency of thrombocytes and has a clotting disorder
D The patient has an excess of RBCs and has polycythemia - CORRECT-
ANSWERSB The patient has a normal finding and does not have pernicious
anemia
In an adult, where are erythrocytes continuously produced
A Yellow bone marrow
B Lymphatic system
C Spleen
D Red bone marrow - CORRECT-ANSWERSD Red bone marrow
What does the elevation in the eosinophil count to 10% indicate
A Anemia
B Allergy
,C Infection
D Hypoxia - CORRECT-ANSWERSB Allergy
What would a nurse include in teaching plan for a home health patient with a
hemoglobin of 8.4
A Exercising for periods of 30 mins daily
B Limiting fluid intake
C Alternating activity with rest periods
D Avoiding the use of oxygen - CORRECT-ANSWERSC Alternating activity with
rest periods
Approximately how much blood is stored in the spleen that can be released
in a hypovolemic emergency
A 100 cc
B 300 cc
C 500 cc
D 1000 cc - CORRECT-ANSWERSC 500 cc
The nurse is caring for a patient with pernicious anemia should make
provisions for
A Freq iced drinks
B lightweight blankets
C a fan to circulate the air
D reverse isolation - CORRECT-ANSWERSB lightweight blankets
When instructing the patient taking an oral liquid iron preparation, what
should the nurse include
A Information relative to taking the iron with milk
B Information relative to the bowel movement color changing to dark red
C Information relative to taking preparation through a straw to prevent
staining of teeth
D Information relative to taking a drug wit meals or a snack - CORRECT-
ANSWERSC Information relative to taking preparation through a straw to
prevent staining of teeth
When the 14-year-old African American boy comes into the emergency room
in sickle cell crisis, what should be the primary focus of care?
A instruct patient about transfusion process
B Starting of IV fluids
C Pain control
D relief of dyspnea - CORRECT-ANSWERSC Pain control
The mother of a 4 year old child with leukemia says to the nurse, I don't
understand why he is crying about his legs hurting. The nurses most
informative response would be based on the information that bone pain is
related to
, A Elevated WBC in diff
B Long periods of inactivity
C Splenomegaly
D Bone marrow congested with white cells - CORRECT-ANSWERSD Bone
marrow congested with white cells
What must a patient undergo before a bone marrow transplant
A A thorough nutritional plan to support new marrow
B Total body irradiation to kill all the marrow cells
C A PT program to strengthen the body
D Inhalation therapy to reduce possible pathogens in the lungs - CORRECT-
ANSWERSB Total body irradiation to kill all the marrow cells
The 9 year old child with leukemia who is on palliative care has drawn a
picture of a boy under a huge black cloud that has lightning coming out of it.
Which of the following would be an appropriate intervention for the nurse
A What is this picture about
B Are you afraid of lightning
C I bet this is a picture of you isn't it
D Is tit about to rain in your picture - CORRECT-ANSWERSA What is this
picture about
The home health nurse recommends to the mother of a 12 year old with
leukemia that the child should have
A The series for prevention of hep B
B Annual influenza vaccine
C Annual pneumococcal vaccine
D Vit B12 shots - CORRECT-ANSWERSB Annual influenza vaccine
Which patient statement from a 15 year old with thrombocytopenia would
require more assessment to report to the charge nurse
A I think the red spots on my skin are going away
B I am so bored lying in bed I could scream
C My BM is brown and stinks
D I have this really weird coke colored urine - CORRECT-ANSWERSD I have
this really weird coke colored urine
A 23 year old male patient with hemophilia A says, How can I keep my
children from having hemophilia A. What of the following is the informative
response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A.
Your son is not at risk
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