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Worksheets

Anemia, Cancer, HIV/AIDS

Total questions: 35

Worksheet time: 6hrs 50mins

Name
Class
Date
1.

Which of the following patients are at most risk for developing iron deficiency anemia?

a)

A 25-year-old female who was recently diagnosed with celiac disease

b)

A 67-year-old female with a hemoglobin level of 14

c)

A 30-year-old man who consumes a lot of red meat

2.

How would red blood cells appear in a person with iron deficiency anemia?

a)

Hypochromic and microcytic

b)

Normochromic and microcytic

c)

Hypochromic and macrocytic

3.

In anemia, cardiac output _________.

a)

Increases

b)

Decreases

c)

Stays the same

4.

How would blood cells appear in a person with hemolytic anemia?

a)

An increased number of reticulocytes in the circulating blood

b)

A decreased number of reticulocytes in the circulating blood

c)

Hypochromic and microcytic

d)

Microcytic and normochromic

5.

Hereditary spherocytosis is mostly transmitted as ________.

a)

An autosomal recessive trait

b)

An autosomal dominant trait

c)

A bacterial infection

d)

a viral infection

6.

Which patient below is at MOST risk for pernicious anemia?

a)

A 25 year old female who reports craving ice

b)

A 66 year old male whose peripheral blood smear showed hypochromic red blood cells

c)

A 75 year old male who recently had surgery on the ileum

d)

All the patients listed are at risk for pernicious anemia

7.

Which of the following is a sign and symptom of pernicious anemia?

a)

Extreme hunger

b)

Paresthesia of the hands and feet

c)

Racing thoughts

d)

Nuchal rigidity

8.

A patient's hematocrit is greater than 60%. Which of the following symptoms do you anticipate this patient to have?

a)

Spoon shaped nails

b)

Craves chewing ice

c)

Hypoxia

d)

Pale gums

9.

What is the normal range for CD4 T cells?

a)

150--200 cells/uL

b)

200--500 cells/uL

c)

800--1000 cells/uL

10.

True or false: Testing for HIV status is recommended for all women when they become pregnant, as well as at the time of labor and delivery.

a)

True

b)

False

11.

After a serious motor vehicle accident, a patient is quickly rushed to the ER and is suffering from post hemorrhagic anemia. Based on the information provided, which of the following is NOT something you would expect from their blood smear test?

a)

Normocytic

b)

Normochromic

c)

High number of reticulocytes

d)

Hypochromic

12.

True or false: Benign tumors have lost their ability to suppress the genetic program for cell proliferation. However, benign tumors still have the program for normal cell differentiation.

a)

True

b)

False

13.

______ is the loss of cell differentiation in cancerous tissue.

a)

Genetic instability

b)

Carcinoma in situ

c)

Anaplasia

14.

A patient with ________ is likely to experience bone pain and is at risk for fractures.

a)

adenocarcinoma

b)

Kaposi sarcoma

c)

Leukemia

15.

______ deficiency anemia is a megaloblastic anemia that produces neurological manifestations.

a)

Vitamin B 12

b)

Folic Acid

c)

Iron

16.

_____ is characterized by the premature destruction of red cells. The inherited versions of this type of anemia are: sickle cell anemia, thalassemia, and hereditary spherocytosis.

a)

Iron deficiency anemia

b)

Megaloblastic anemias

c)

Hemolytic anemias

17.

A characteristic of cancer cells is the ability to proliferate even in the absence of ________.

a)

Seeding

b)

Growth factors

c)

Radiation

d)

antigen expression

18.

Cancer cells have all of the following features EXCEPT:

a)

Unlimited life-span

b)

Antigen expression

c)

High cell-to-cell adhesion

19.

Person A’s last partner just informed them that they have tested positive for HIV. Person A immediately gets tested and the results are negative. Knowing this, Person A assures their new partner, Person B, that their results were negative, so they do not need to use protection during intercourse. Is what person A said correct?

a)

Yes, because tests today are highly accurate and can detect HIV must sooner.

b)

No, because it takes 1-3 months (or possibly even 6 months) before an

individual’s test results show they are positive for HIV. But during that time

they can still infect others.

c)

Yes, because even if person A does test positive several months later, it is not

possible to transmit the virus before seroconversion has taken place.

20.

You are educating a group of nursing students on what actions would lower the risk of transmission of HIV from mother to child. Which statement made by the student indicates a need for further teaching?

a)

Having a cesarean delivery could help lower the risk of transmission.

b)

Feeding her baby formula instead of breast milk would help lower the risk of

transmission.

c)

Refraining from kissing her baby would help lower the risk of transmission.

21.

Which of the following CD4 counts indicates that an HIV infected patient has developed AIDs?

a)

A patient that has a CD4 count of more than 1,000 cells/uL.

b)

A patient has a CD4 cell count of less than 200 cells/uL.

c)

A patient that has a CD4 cell count of more than 500 cells/uL.

22.

A patient who had unprotected sex with an HIV infected person about a month prior reports experiencing a headache, fever, sore throat, fatigue, myalgias, and lymphadenopathy. Which phase of HIV infection is this patient most likely experiencing?

a)

AIDS

b)

The Latent period

c)

The primary phase

23.

HIV can be transmitted through all of the following body fluids EXCEPT:

a)

Breast milk

b)

Blood

c)

Semen

d)

Saliva

e)

Vaginal fluids

24.

True or false: Those who are homozygous for the abnormal hemoglobin S (HbS) gene develop the sickle cell trait.

a)

True

b)

False

25.

True or false: People with sickle cell trait normally have symptoms of sickle cell disease.

a)

True

b)

False

26.

A woman diagnosed with breast cancer asks the nurse how a malignant tumor in her breast could spread to other parts of her body. The nurse answers that a malignant neoplasm is made up of less well differentiated cells that have which of the following abilities? [SATA]

a)

Break loose

b)

Reinvade their original site

c)

Enter the circulatory or lymphatic system

d)

Be excreted through the alimentary canal

e)

Form secondary malignant tumors at other sights

27.

A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection?

a)

Koplik spots

b)

Peripheral neuropathy

c)

Chancre

d)

Candidiasis

28.

A nurse is teaching a client who has pernicious anemia. The nurse should encourage the client to increase consumption of which of the following foods?

a)

Eggs

b)

Squash

c)

Kale

d)

Tofu

29.

A nurse is providing discharge teaching to a client who has aplastic anemia. Which of the following statements indicates that the client understands the instructions?

a)

“I need to stay active to prevent blood clots in my legs.”

b)

“If I have a bad headache, I can take aspirin to get rid of it.”

c)

“I should eliminate uncooked foods from my diet for now.”

d)

“I should eat more iron-fortified cereal to strengthen my blood.”

30.

A nurse is caring for a school-aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk of a vaso-occlusive crisis?

a)

Provide adequate fluid intake throughout the day

b)

Provide oxygen at 2 L/min via nasal cannula

c)

Administer a blood transfusion

d)

Give ibuprofen to manage pain

31.

In what cancer would these owl-eye shaped cells show up in?

a)

Non Hodgkin’s lymphoma

b)

Hodgkin’s lymphoma

c)

Kaposis sarcoma

d)

Cardiac sarcoma

32.

A patient with _______ (shown in the image) who is under the age of 60 is very likely to have HIV/AIDS.

a)

Non Hodgkin’s lymphoma

b)

Kaposi sarcoma

c)

Psoriasis

d)

Vitiligo

33.

A nurse is caring for a client who has human immunodeficiency virus (HIV). Which of the following types of isolation should the nurse implement to prevent the transmission of HIV?

a)

Protective isolation

b)

Droplet isolation

c)

Standard precautions

d)

Airborne precautions

34.

A nurse is assessing a client who has Kaposi’s sarcoma. Which of the following findings should the nurse expect?

a)

Nonproductive cough, fever, and shortness of breath

b)

Lesions on the retina that produce blurred vision

c)

Onset of progressive dementia

d)

Reddish-purple skin lesions

35.

Because___________ expand slowly, they can develop a fibrous capsule, which is responsible for the sharp line of demarcation between the tumor and adjacent tissues.

a)

Malignant Tumors

b)

Benign tumors

c)

Adenocarcinomas