NEW
Font size
S
M
L
XL
WorksheetsQuizizz #54
Total questions: 20
Worksheet time: 15mins
Name
Class
Date
1.
A patient’s wound has begun to heal and the blood clot which formed is no longer necessary. When a blood clot is no longer needed, the fibrinogen and fibrin will be digested by which of the following?
a)
Plasminogen
b)
Thrombin
c)
Prothrombin
d)
Plasmin
2.
A patient undergoing a hip replacement has autologous blood on standby if a transfusion is needed. What is the primary advantage of autologous transfusions?
a)
Safe transfusion for patients with a history of transfusion reactions
b)
Prevention of viral infections from another person’s blood
c)
Avoidance of complications in patients with alloantibodies
d)
Prevention of alloimmunization
3.
The nurse educating a patient with anemia is describing the process of RBC production. When the patient’s kidneys sense a low level of oxygen in circulating blood, what physiologic response is initiated?
a)
Increased stem cell synthesis
b)
Decreased respiratory rate
c)
Arterial vasoconstriction
d)
Increased production of erythropoietin
4.
A patient is being treated for the effects of a longstanding vitamin B12 deficiency. What aspect of the patient’s health history would most likely predispose her to this deficiency?
a)
The patient has irregular menstrual periods.
b)
The patient is a vegan.
c)
The patient donated blood 60 days ago.
d)
The patient frequently smokes marijuana.
5.
The nurse’s review of a patient’s most recent blood work reveals a significant increase in the number of band cells. The nurse’s subsequent assessment should focus on which of the following?
a)
Respiratory function
b)
Evidence of decreased tissue perfusion
c)
Signs and symptoms of infection
d)
Recent changes in activity tolerance
6.
A nurse is educating a patient about the role of B lymphocytes. The nurse’s description will include which of the following physiologic processes?
a)
Stem cell differentiation
b)
Cytokine production
c)
Phagocytosis
d)
Antibody production
7.
An individual has accidentally cut his hand, immediately initiating the process of hemostasis. Following vasoconstriction, what event in the process of hemostasis will take place?
a)
Fibrin will be activated at the bleeding site.
b)
Platelets will aggregate at the injury site.
c)
Thromboplastin will form a clot.
d)
Prothrombin will be converted to thrombin.
8.
A client’s health history reveals daily consumption of two to three bottles of wine. The nurse should plan assessments and interventions in light of the patient’s increased risk for what hematologic disorder?
a)
Leukemia
b)
Anemia
c)
Thrombocytopenia
d)
Lymphoma
9.
A patient has been scheduled for a bone marrow biopsy and admits to the nurse that she is worried about the pain involved with the procedure. What patient education is most accurate?
a)
You’ll be given painkillers before the test, so there won’t likely be any pain.
b)
You’ll feel some pain when the needle enters your skin, but none when the needle enters the bone because of the absence of nerves in bone.
c)
Most people feel some brief, sharp pain when the needle enters the bone.
d)
I’ll be there with you, and I’ll try to help you keep your mind off the pain.
10.
The nurse’s brief review of a patient’s electronic health record indicates that the patient regularly undergoes therapeutic phlebotomy. Which of the following rationales for this procedure is most plausible?
a)
The patient may chronically produce excess red blood cells.
b)
The patient may frequently experience a low relative plasma volume.
c)
The patient may have impaired stem cell function.
d)
The patient may previously have undergone bone marrow biopsy.
11.
A patient on the medical unit is receiving a unit of PRBCs. Difficult IV access has necessitated a slow infusion rate and the nurse notes that the infusion began 4 hours ago. What is the nurse’s most appropriate action?
a)
Apply an icepack to the blood that remains to be infused.
b)
Discontinue the remainder of the PRBC transfusion and inform the physician.
c)
Disconnect the bag of PRBCs, cool for 30 minutes and then administer.
d)
Administer the remaining PRBCs by the IV direct (IV push) route.
12.
A patient is receiving a blood transfusion and complains of a new onset of slight dyspnea. The nurse’s rapid assessment reveals bilateral lung crackles and elevated BP. What is the nurse’s most appropriate action?
a)
Slow the infusion rate and monitor the patient closely.
b)
Discontinue the transfusion and begin resuscitation.
c)
Pause the transfusion and administer a 250 mL bolus of normal saline.
d)
Discontinue the transfusion and administer a beta-blocker, as ordered.
13.
The nurse is preparing to administer a unit of platelets to an adult patient. When administering this blood product, which of the following actions should the nurse perform?
a)
Administer the platelets as rapidly as the patient can tolerate.
b)
Establish IV access as soon as the platelets arrive from the blood bank.
c)
Ensure that the patient has a patent central venous catheter.
d)
Aspirate 10 to 15 mL of blood from the patient’s IV immediately following the transfusion.
14.
A patient’s electronic health record states that the patient receives regular transfusions of factor IX. The nurse would be justified in suspecting that this patient has what diagnosis?
a)
Leukemia
b)
Hemophilia
c)
Hypoproliferative anemia
d)
Hodgkin’s lymphoma
15.
A nurse is providing education to a patient with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?
a)
Take the iron with dairy products to enhance absorption.
b)
Increase the intake of vitamin E to enhance absorption.
c)
Iron will cause the stools to darken in color.
d)
Limit foods high in fiber due to the risk for diarrhea.
16.
The nurse is assessing a new patient with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs and symptoms associated with what form of what hematologic disorder?
a)
Sickle cell anemia
b)
Hemophilia
c)
Megaloblastic anemia
d)
Thrombocytopenia
17.
A patient with renal failure has decreased erythropoietin production. Upon analysis of the patient’s complete blood count, the nurse will expect which of the following results?
a)
An increased hemoglobin and decreased hematocrit
b)
A decreased hemoglobin and hematocrit
c)
A decreased mean corpuscular volume (MCV) and red cell distribution width (RDW)
d)
An increased MCV and RDW
18.
A patient comes to the clinic complaining of fatigue and the health interview is suggestive of pica. Laboratory findings reveal a low serum iron level and a low ferritin level. With what would the nurse suspect that the patient will be diagnosed?
a)
Iron deficiency anemia
b)
Pernicious anemia
c)
Sickle cell anemia
d)
Hemolytic anemia
19.
A patient comes into the clinic complaining of fatigue. Blood work shows an increased bilirubin concentration and an increased reticulocyte count. What would the nurse suspect the patient has?
a)
A hypoproliferative anemia
b)
A leukemia
c)
Thrombocytopenia
d)
A hemolytic anemia
20.
A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?
a)
Folic acid
b)
Vitamin B12
c)
Lactulose
d)
Magnesium sulfate
Reset
