NUR 2502 Multidimensional Care III
NUR 2502 MDC 3 Final Exam
A patient admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best?
- "Both you and the father are equally responsible for passing it on."
- "I can see you are upset. I can stay here with you a while if you like."
- "It's not your fault; there is no way to know who will have this disease."
- "There are many good treatments for sickle cell disease these days."
Correct Answer:
- "I can see you are upset. I can stay here with you a while if you like."
A nurse is caring for a client diagnosed with multiple myeloma. Which of the following signs and symptoms are not consistent with early stages of the disease?
- Fatigue
- Bruising
- Bone pain
- Hypertension
Correct Answer:
- Hypertension
- / 4
Which of the following assessment findings are common with autoimmune thrombocytopenic purpura?
- Bruising
- Fatigue
- Confusion
- Fever
Correct Answer:
- Bruising
A nurse is caring for a client who was recently diagnosed with hemophilia.Which of the following laboratory test is consistent with that diagnosis?
- Prolonged bleeding time
- Prolonged activated partial thromboplastin time
- Prolonged prothrombin time
- Decreased platelet count
Correct Answer:
- Prolonged activated partial thromboplastin time
A client is receiving treatment for the diagnosis of hemophilia A. Which of the following is the most appropriate to include in the assessment of this client?
- Appetite
- Urine output
- Joint pain and bruising
- Respiratory rate
Correct Answer:
- Joint pain and bruising 2 / 4
The nurse knows that hemolytic reactions to blood transfusions occur most often within the first _____mL of the infusion.
- 5
- 50
- 100
- 150
Correct Answer:
- 50
Which of the following is the priority nursing intervention for a client experiencing a transfusion reaction?
- Stop transfusion immediately
- Notify the provider
- Flush the IV line
- Check vital signs
Correct Answer:
*a. Stop transfusion immediately
Which of the following assessment findings is a priority during a blood transfusion?
- Chest pain
- Headache
- Joint pain
- Fatigue
Correct Answer:
Chest pain 3 / 4
Which patient is not at risk for iron-deficiency anemia?
- 24-year-old female with heavy menses
- 64-year-old male diabetic with chronic kidney disease
- 72-year old male with osteoarthritis
- 32-year-old female with ulcerative colitis exacerbation
Correct Answer:
*b. 64-year-old male diabetic with chronic kidney disease
A 78-year-old female presented to the emergency department with shortness of breath. Her daughter is at the bedside and shares that the client has a history of heart failure. You place the client on the cardiac monitor and find that the client is in atrial fibrillation at a rate of 180 beats per minute. Which of the following are your concerns regarding this rhythm?(Select all that apply)
- Potential for embolic event
- Hypotension due to elevated heart rate
- Worsening heart failure
- Increased confusion
- Cerebral edema
Correct Answer:
- Potential for embolic event
- Hypotension due to elevated heart rate
- Worsening heart failure
- Increased confusion
- / 4