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NUR211 Exam 3 Practice

Total questions: 68

Worksheet time: 52mins

Name
Class
Date
1.

If you suffer from Anaemia you should eat foods rich in _____.

a)

Vitamin A and C

b)

Calcium and Phosphorus

c)

Iron and Vitamin B12

2.

A cancerous or malignant conditions in which there is a great increase in the number of white blood cells

a)

Leukemia

b)

Angina Pectoris

c)

Polycythemia

d)

Arrhythmia

3.

A chronic blood disorder inherited from both parents. The disease causes red blood cells to form in the abnormal crescent shape. These cells carry less oxygen and break easily, causing anemia

a)

Arrhythmia

b)

Septicemia

c)

Polycythemia

d)

Sickle cell anemia

4.
Which disease or disorder causes people to have abnormal hemoglobin?
a)
Cystic Fibrosis
b)
Albinism
c)
Sickle-cell Disease
d)
Down Syndrome
5.
Sickle red blood cells have a decreased ability to carry 
a)
nutrients
b)
wastes
c)
oxygen
d)
proteins
6.
Which is NOT a symptom of sickle cell disease?
a)
shortness of breath
b)
pain and tissue damage
c)
increased infections
d)
enlarged blood vessels
7.

A group of disorders that affects hemoglobin, the molecule in red blood cells that delivers oxygen to cells throughout the body.

a)

Sickle Cell Disease

b)

Hemophilia

c)

HIV

d)

Cystic Fibrosis

8.

When you look at the cells of individuals with sickle cell anemia, what do you expect to see?

a)

C-shaped cells

b)

S-shaped cells

c)

Disk-Shaped Cells

d)

Globular shaped cells

e)

Sick cells

9.

Symptoms of sickle cell include

a)

Low red blood cell count

b)

High red blood cell count

c)

Recurrent infections

d)

Periodic pain episodes

e)

Nausea

10.

Sickle cell symptoms usually begin

a)

Early childhood

b)

20s/30s

c)

40s/50s

d)

60s/70s

e)

Puberty

11.

Symptoms of Sickle Cell Anemia are caused by

a)

premature break down of RBCs

b)

stiff and inflexible RBCs get stuck in small blood vessels

c)

oxygen deprivation (lack of) to organs

d)

high blood pressure

12.
Any of the hemoglobin-containing cells that carry oxygen to the tissues and are responsible for the red color of vertebrate blood.
a)
Platelets
b)
White Blood Cell
c)
Thrombocyte
d)
Erythrocyte
13.
Any of the blood cells that are colorless, lack hemoglobin, contain a nucleus, and include the lymphocytes, monocytes, neutrophils, eosinophils, and basophils.
a)
Red Blood Cells
b)
Thrombocytes
c)
Erythrocytes
d)
Leukocytes
14.
A condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume.
a)
Sickle Cell Anemia
b)
Anemia
c)
Hemophilia
15.
The percent of the volume of whole blood that is composed of red blood cells as determined by separation of red blood cells from the plasma usually by centrifugation.
a)
Hematosis
b)
Hematocrit
c)
Hemorrhage
d)
Erythr
16.
Another name for Platelets
a)
Thrombocytes
b)
Leukocytes
c)
Erythrocytes
d)
White blood cells
17.
This picture shows
a)
DNA fingerprinting
b)
Hematocrit analysis
c)
Blood plasma analysis
d)
None of these
18.
What is the function of the plasma?
a)
Circulate blood cells
b)
regulate blood pressure
c)
maintain body temperature
d)
ALL CHOICES
19.
What is the function of the platelets?
a)
Stop bleeding by clumping and clotting
b)
fight infection
c)
carry oxygen and carbon dioxide
d)
circulate blood cells
20.
What is the function of the white blood cells?
a)
carry oxygen and carbon dioxide
b)
protect against infection and foreign invaders
c)
circulates cells and maintains blood pressure and body temperature
d)
stops bleeding by clumping and clotting
21.
What is the function of the red blood cells?
a)
carry oxygen and carbon dioxide
b)
fight infection
c)
circulates cells and maintains blood pressure and body temperature
d)
stops bleeding by clumping and clotting
22.
A low level of RBC is called
a)
sickle cell disease
b)
anemia
c)
infection
d)
normal
23.

What is leukemia

a)

The flu

b)

A cancer of blood tissue

c)

A bone

24.

What are early signs of leukemia

a)

Severe infections

b)

High blood pressure

c)

Low blood pressure

d)

Better immune system

25.

What type of system does Leukemia effect?

a)

Circulatory

b)

Respiratory

c)

Digestive

26.

What is not a symptom of Leukemia?

a)

Anemia

b)

Blood loss

c)

Weight Gain

27.

What is the deadliest type of leukemia?

a)

CML

b)

CLL

c)

AML

d)

ALL

28.

Which is a treatment option for Leukemia

a)

Chemotherapy

b)

Radiation therapy

c)

Cell therapy

d)

Phiyslogical graft

29.

How many types of leukemia is there?

a)

1

b)

2

c)

3

d)

4

30.

Which of these is a way to diagnose leukemia?

a)

Removing bone marrow for testing

b)

Blood test

c)

Urine test

d)

Saliva testing

31.

Which is a type of leukemia?

a)

acute myeloid

b)

acute lymphocytic

c)

chronic myeloid

d)

chronic lymphocytic

e)

all of the above

32.

What type of blood cell does leukemia affect?

a)

red blood cells

b)

white blood cells

33.

Are enlarged lymph nodes a symptom of leukemia?

a)

Yes

b)

No

34.

What is the removal of a breast tumor and surrounding tissue to help treat breast cancer?

a)

mastectomy

b)

chemotherapy

c)

radiation therapy

d)

lumpectomy

35.

In situ breast cancer refers to

a)

cancer that has spread throughout the body

b)

cancer that has spread to local lymph nodes

c)

cancer that appears in only one place in the body

36.

Definition of fibromyalgia.

a)

Inflammatory form or arthritis.

b)

Autoimmune disorders, including: Mixed connective tissue disease.

c)

A disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues.

d)

Disorder characterized by extreme fatigue/tiredness that does not go away with rest and cannot be explained by an underlying medical condition.

37.

Sign and symptoms of fibromyalgia.

a)

Widespread pain.

b)

Cognitive difficulties.

c)

Stiffeness.

d)

Irritable bowel syndrome.

38.

Fibromyalgia common trigger points except:

a)

Ear.

b)

Back of the head.

c)

Tops of the shoulder.

d)

Upper chest.

39.

Example of pain relievers for fibromyalgia.

a)

Duloxetine.

b)

Milnacipran.

c)

Gabapentin.

d)

Acetaminophen.

40.

How are you tested for fibromyalgia?

a)

Complete blood count.

b)

Erythrocyte sedimentation rate.

c)

Cyclic citrullinated peptide test.

d)

Rheumatoid factor.

41.

What can be mistaken for fibromyalgia?

a)

Rheumatoid arthritis.

b)

Myocardial infarction.

c)

Pneumonia.

d)

Allergies.

42.

People with fibromyalgia often awaken tired, even though they report sleeping for long periods of time. Sleep is often disrupted by pain, and many patients with fibromyalgia have other sleep disorders, such as

a)

Restless legs syndrome.

b)

Parasomnias.

c)

Circadian disorders.

d)

Sleep apnea.

43.

One of the symptoms is widespread pain. What is the character of the pain?

a)

Constant dull ache that has lasted for at least one month.

b)

Constant dull ache that has lasted for at least three months.

c)

Constant sharp ache that has lasted for at least one month.

d)

Constant sharp ache that has lasted for at least three months.

44.

When a patient with vitamin B12 deficiency is counseled about diet, what statement by the patient indicates an understanding of the cause of the anemia?

a)

A.  “I know I need to eat more fruits and vegetables.”

b)

B.  “I have cut out all fried foods in my diet.”

c)

C. "I have been eating more organic foods"

d)

D.  “I have been having beef or fish at least once a day.”

45.

What assessment data will best help the nurse determine whether intervention for neutropenia have been effective?

a)

Temperature

b)

Fatigue level

c)

Oxygen saturation

d)

Hemoglobin level

46.

A nurse is teaching a patient with sickle cell anemia about activities to avoid. Which of the following activities the patient plans to do shows that more teaching is needed?

a)

Going to the beach

b)

Taking a long car trip

c)

Running in a marathon

d)

Listening to a concert

47.

The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. For which condition should the nurse assess further?

a)

Pain

b)

Thrombocytopenia

c)

Anemia

d)

Neutropenia

48.

Mostly in children

a)

AML

b)

CLL

c)

ALL

d)

CML

49.

What is the removal of a breast tumor and surrounding tissue to help treat breast cancer?

a)

mastectomy

b)

chemotherapy

c)

radiation therapy

d)

lumpectomy

50.

Which is NOT an early sign of breast cancer?

a)

Lumps in the breast

b)

Change of shape or size of the breast

c)

Feelings of repeated nausea

d)

Skin changes on or around the breast

51.

In situ breast cancer refers to

a)

cancer that has spread throughout the body

b)

cancer that has spread to local lymph nodes

c)

cancer that appears in only one place in the body

52.

Which of the following are good prognostic factors in breast cancer?

a)

Grade III tumour

b)

estrogen receptor positivity

c)

HER 2 receptor overexpression

d)

Lymph node involvement

53.

Which of the following is not necessary when a patient first presents with a breast lump?

a)

Fine needle aspiration (FNA)

b)

Examination of axillary lymph nodes

c)

Chest x-ray

54.
What is unique about leukemia?
a)
It affects the blood
b)
It causes arthritis
c)
It does not affect children at all
d)
It not caused by mutations
55.
Sometimes cells have mutations that affect their function negatively. Most of the time, these cells will perform _________. However, cancer cells fail to do this and will continue to live and replicate.
a)
lytic annihilation
b)
platelization
c)
apoptosis
d)
synthesis
56.

Another name for "red blood cell" is:

a)

Leukocyte

b)

Erythrocyte

c)

Thrombocyte

d)

Eosinophil

57.

Megakaryocytes make which of the following blood elements?

a)

Platelets

b)

Plasma

c)

Keratin

d)

Erythrocytes

58.

What is hematocrit?

a)

Another name for blood plasma

b)

Packed red blood cells

c)

Another name for platelets

d)

A special kind of white blood cell

59.

Another name for platelets is ________

a)

Monocytes

b)

Leukoytes

c)

Thrombocytes

d)

Neutrophils

60.
A 42-year-old woman with a family history of breast cancer and very dense breasts should have which of the following screening breast imaging?
a)
3D mammogram every 6 months
b)
Mammogram every 12 months
c)
Breast MRI and 3D mammogram alternating every 6 months
d)
No breast imaging until age 50 and then every other year 
61.
6. A patient has chemotherapy-induced anemia with a hemoglobin level of 11g/dl and has been started on Procrit®. Which of the following is true regarding Procrit®?
a)
a. The prescription can be filled after the pharmacist confirms that the patient is registered with the ESA APRISE program.
b)
b. The generic name of Procrit® is darbepoeitin.
c)
c. The patient should be aware that they may experience euphoria and increased appetite.
d)
d. The prescription should not be filled; the pharmacist should contact the prescriber.
62.
Which of the following disorders could be treated with chemotherapy, radiation, and/or a bone marrow transplant?
a)
Atherosclerosis
b)
Leukemia
c)
Myocardial infarction
d)
Hypertension
63.
Mrs Lee with stage 2 breast cancer is receiving radiation therapy after her lumpectomy. The purpose of radiotherapy is
a)
adjuvant.
b)
definitive.
c)
neoadjuvant.
d)
symptom management.
64.

ASA (aspirin) should be discontinued...

a)

7-10 days before surgery

b)

1-3 days before surgery

c)

At least 30 days before surgery

d)

At least 60 days before surgery

65.

The nurse has admitted a client to the clinical nursing unit after undergoing a right mastectomy. The nurse should plan to place the right arm in which position?

a)

Elevated on a pillow

b)

Level with the right atrium

c)

Dependent to the right atrium

d)

Elevated above shoulder level

66.
Review:  hemoglobin must have ___ to carry oxygen
a)
calcium
b)
sodium
c)
iron
d)
potassium
67.
This term means stopping blood from flowing (or clotting the blood)
a)
embolus
b)
hemostasis
c)
hematoma
d)
hemophilia
68.

A patient who was recently diagnosed with Acute Myeloid Leukemia has been prescribed several medications. Which of the following medication orders should the nurse question?

a)

Noxafil (posaconazole)

b)

Zovirax (acyclovir)

c)

Flgrastim (neupogen)

d)

Diflucan (fluconazole)

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