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NUR 235 CARDIOLOGY ACUTE CARE NURSING
FINAL ACTUAL EXAM NEWEST 2025 ACTUAL
EXAM COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND
NEW!!A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain. The client's significant other says, "I don't really understand why he is hurting so badly." Which response by the nurse is best?
Correct answer: Clumping of abnormal RBCs blocks blood flow
through the capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which foods should the nurse teach the client to avoid
Correct answer: Alcoholic beverages
The nurse is determining the effectiveness of treatment prescribed for a client with anemia. Which question should the nurse use to make this evaluation?
Correct answer: Are you keeping up with your work schedule?
The nurse is assessing a client diagnosed with chronic leukemia.Which should the nurse focus on? (select all that apply)
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Correct answer: Fatigue, Infection, Social isolation
A client diagnosed with sickle cell anemia is experiencing vaso- occlussive crisis. Which intervention would be appropriate for this client? (select all that apply)
Correct answer: Administering oxygen, Managing pain,
Encouraging rest
A client hospitalized with sickle cell frequently asks for opioid pain medications often shortly after receiving a dose. The nurse on the unit believes the client is drug seeking. When the client requests pain medication, what action by the nurse is best?
Correct answer: Give the client pain medication if it is time for
another dose
A client is having diagnostic tests to determine the cause of
anemia. The nurse realizes that the test will focus on: (select all
that apply)
Correct answer: Disorders that cause RBC destruction,
Disorders that reduce production of RBCs, Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia vera. Which client should the nurse see first?
Correct answer: Client who reports SOB
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A nursing student is caring for a client with leukemia. The nurse asked why the client is still at risk for infection when client's WBC is high. What response by the nurse is best?
Correct answer: While there is an increase in WBCs, they are
abnormal cells and won't provide protection
A client has been admitted after sustaining a humerus fracture that occurs when picking up the family cat. What test result would the nurse correlate to this condition
Correct answer: Bence Jones protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the surgical unit from the med-surg floor a few minutes ago. The nurse assesses the client and finds the abdominal dressing saturated with blood. What is the priority action of the nurse?
Correct answer: Take a set of vital signs and notify the surgeon
A client has thrombocytopenia. Which client statement indicates that the client understands self-management of this condition?
Correct answer: "I usually put ice on bumps and bruises."
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A nurse is caring for 4 clients with leukemia. After hand-off report, which client should the nurse see first
Correct answer: The client who has 2 bloody diarrhea stools this
morning
A client's health record states that they have regular infusions of factor 9. The nurse would justify and suspect that this client has what diagnosis?
Correct answer: Hemophilia
A nurse working with clients with sickle cell teaches about self- management to prevent exacerbation of sickle cell crisis. What factors should clients be taught to avoid?
Correct answer: [No specific factors listed in the question;
typically includes dehydration, infection, extreme temperatures, stress, and alcohol]
A client who had a splenectomy 2 days ago complains of malaise. The nurse checks the client's temperature and finds it at 102*F. What action by the nurse should take priority?
Correct answer: Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international normalized ratio (INR) of 2.5. It is time to