Med Surg-Exam 2 NCLEX Questions And
Answers With Verified Solutions Already
Passed!!! Latest Updated 2024
When assessing a patient's nutritional-metabolic pattern related to hematologic
health, what should the nurse do?
Inspect the skin for petechiae.
Ask the patient about joint pain.
Assess for vitamin C deficiency.
Determine if the patient can perform ADLs. - ANSWER✔✔A
When assessing laboratory values on a patient admitted with septicemia, what
should the nurse expect to find?
Increased platelets
Decreased red blood cells
Decreased erythrocyte sedimentation rate (ESR)
Increased bands in the white blood cell (WBC) differential (shift to the left) -
ANSWER✔✔D
Results of a patient's most recent blood work indicate an elevated neutrophil level.
The nurse should recognize that this diagnostic finding most likely suggests which
problem?
Hypoxemia
An infection
A risk of hypocoagulation
An acute thrombotic event - ANSWER✔✔B
A 30-year-old patient has undergone a splenectomy as a result of injuries suffered
in a motor vehicle accident. Which phenomena are likely to result from the
absence of the patient's spleen (select all that apply)?
Impaired fibrinolysis
Increased platelet levels
Increased eosinophil levels
Fatigue and cold intolerance
Impaired immunologic function - ANSWER✔✔B, E
The nurse is providing care for older adults on a subacute, geriatric medicine unit.
What effect is aging likely to have on hematologic function of older adults?
A blood type and cross-match has been ordered for a male patient who is
experiencing an upper gastrointestinal bleed. The results of the blood work indicate
that the patient has type A blood. Which description explains what this means?
The patient can be transfused with type AB blood.
The patient may only receive a type A transfusion.
.The patient has A antigens on his red blood cells (RBCs).
Antibodies are present on the surface of the patient's RBCs. - ANSWER✔✔C
The patient has anemia and has had laboratory tests done to diagnose the cause.
Which results should the nurse know indicates a lack of nutrients needed to
produce new red blood cells (select all that apply)?
Increased homocysteine
Decreased reticulocyte count
Decreased cobalamin (vitamin B12)
Increased methylmalonic acid (MMA)
Elevated erythrocyte sedimentation rate (ESR) - ANSWER✔✔A, C, D
In assessing the patient, which abnormal finding should the nurse relate to
hemostasis abnormalities?
Purpura
Pruritus
Weakness
Pale conjunctiva - ANSWER✔✔A
During the admission assessment, the nurse discovers that the patient has used
illicit drugs. Related to the hematologic system, what question should the nurse
next ask the patient?
"Do you have any blood in your stools?"
"What agent and when did you last use it?"
"Have you had any surgeries causing pain?"
"Do you have shortness of breath with activity?" - ANSWER✔✔B
, The thrombocytopenic patient has had a bone marrow biopsy taken from the
posterior iliac crest. What nursing care is the priority for this patient after this
procedure?
Position the patient prone.
Apply a pressure dressing.
Administer analgesic for pain.
Return metal objects to the patient. - ANSWER✔✔B
When caring for a patient with metastatic cancer, the nurse notes a hemoglobin
level of 8.7 g/dL and hematocrit of 26%. What should the nurse place highest
priority on initiating interventions to reduce?
Thirst
Fatigue
Headache
Abdominal pain - ANSWER✔✔B
The nurse is caring for a patient who is to receive a transfusion of two units of
packed red blood cells. After obtaining the first unit from the blood bank, the nurse
would ask which health team member in the nurses' station to assist in checking the
unit before administration?
Unit secretary
A physician's assistant
Another registered nurse
An unlicensed assistive personnel - ANSWER✔✔C
Before starting a transfusion of packed red blood cells for an older anemic patient,
the nurse would arrange for a peer to monitor his or her other assigned patients for
how many minutes when the nurse begins the transfusion?
5
15
30
60 - ANSWER✔✔B
When preparing to administer an ordered blood transfusion, which IV solution
does the nurse use when priming the blood tubing?
Lactated Ringer's
5% dextrose in water
0.9% sodium chloride
0.45% sodium chloride - ANSWER✔✔C
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