27 tb & pratice exams

The patient asks the nurse what gives blood its color. Which response by the nurse is accurate?

• Granulocytes

• Erythrocytes

• Agranulocytes

• Thrombocytes

The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which result would concern the nurse the most?

• WBCs 7,400/mm3

• Hemoglobin 14.5 g/100 mL

• Platelets 50,000/mm

• RBCs 5.0 million/mm3

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

• Liver disease

• Renal disease

• Pneumonia

• Lupus

The nurse is caring for a patient being evaluated for lymphoma. The nurse should plan to prepare the patient for which test?

• A bone marrow biopsy

• A complete blood count (CBC)

• Lymphangiography

• A computed tomography (CT) scan

The nurse is reviewing laboratory values for a patient and notes a hemoglobin level of 7.2 g/100 mL and a hematocrit level of 20%. How should the nurse document this finding?

• Acute bronchi

• Thyroid disease

• Anemia

• Hemochromatosis

A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patient’s vital signs were blood pressure 132/82 mm Hg and pulse 88 beats/minute. One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/minute. Which action should the nurse take first?

• Observe the puncture site.

• Check the patient’s most recent CBC report.

• Ask the patient about feelings of lightheadedness or dizziness.

• Determine if the patient had any medications during the procedure.

The nurse is caring for a group of patients. Which patient should the nurse see first?

• A patient with a platelet level of 200,000/mm3

• A patient with a WBC count of 4,500/mm

• A patient with a hemoglobin level of 13.4 g/100 mL

• A patient with an RBC count of 2.4 million/mm3

A patient is prescribed to receive two units of packed red blood cells (PRBCs). What action should the nurse take?

• Obtain vital signs before beginning the transfusion.

• Monitor for hypothermia.

• Stay with the patient for the first 5 minutes.

• Deliver a prophylactic antihistamine.

A patient is being prepared to receive a prescribed blood transfusion. Which statement is correct in the role of the licensed practical/vocational nurse (LPN/LVN)?

• The LPN/LVN can deliver blood independently.

• The LPN/LVN is only able to assist with proper identification.

• The LPN/LVN cannot participate in transfusion delivery.

• The LPN/LVN responsibilities vary by state.

The nurse is caring for a patient who is undergoing a bone marrow biopsy. What is the role of the LPN/LVN in this patient’s care?

• Assist with positioning.

• Obtain vital signs throughout.

• Anesthetize the area with 1% lidocaine.

• Obtain consent from the patient.