NEW
Font size
WorksheetsHematopoietic SystemS25M1/1
Total questions: 37
Worksheet time: 19mins
A lack of intrinsic factor, leading to a deficiency of vitamin B12 and large pale cells called macrocytes, is characteristic of:
Sickle-cell anemia
Polychthemia
Pernicious anemia
Aplastic anemia
Thromboembolic disorder:
Result in uncontrolled bleeding
Include embolus formation, a clot moving within the circulatory system
Are caused by vitamin K deficiency
Include thrombus formation, a clot in a broken blood vessel
Sickling of red blood cells can be produced in those with sickle-cell anemia by:
Malaria and travel at high altitude
Travel at high altitude and vigorous exercise
Vigorous exercise
Travel at high altitude
All of the following conditions impair coagulation Except:
Vitamin K deficiency
Liver disease
Vascular spasm
Severe hypocalcemia
Complications of aplastic anemia generally do Not include:
Suppressed immunity
Bleeding disorders
Impaired formation of all formed elements
Hemorrhage
Leukocytes consist of three categories of cells that have different roles in the inflammatory and immune responses. Which of the following leukocytes is correctly matched with its function?
Lymphocyte—phagocytosis
Basophils—engulf antigens
Monocytes—release heparin
Eosinophils—allergic reactions
The 16-year-old boy has enlarged lymph nodes and a sore throat. His girlfriend was recently diagnosed with infectious mononucleosis. While educating this teenager, the nurse emphasizes that infectious mononucleosis is caused by which pathogen and usually transmitted via:
Bacterial infection; monocytes
Heterophil antibodies, blood
T-cell infection; plasma
Epstein-Barr virus; saliva
A client presents to the emergency clinic not feeling well. Which of the following complaints leads the health care provider to suspect the client may have acute leukemia?
Bleeding from the gums, not related to brushing the teeth
Severe headache with associated photophobia
Muscle aches and pains in large muscle groups, especially while lying in bed
Frequent nausea and vomiting for the past week
An elderly client presents to the clinic, just not “feeling well.” Which of the following bone marrow results would confirm the diagnosis of chronic lymphocytic leukemia?
Proliferation of well-differentiated blood cells (B-lymphocytes) in the marrow
Uncontrolled growth of immature blood cells in the marrow
Replication of pluripotent precursor blood cells in the marrow
Production of undifferentiated blood cells in the marrow
The client is undergoing a diagnostic workup for possible Hodgkin's type of lymphoma. Which of the following laboratory results would confirm the diagnosis of Hodgkin lymphoma?
Bence Jones proteins
Reed-Sternberg cells
Philadelphia chromosome
M-type protein antibodies
A client is undergoing a diagnostic workup to rule out multiple myeloma. Which of the following diagnostic findings would confirm the diagnosis of multiple myeloma?
Decreased production of bone osteoblasts
Immunoglobulin A level of 200 mg/dL (normal)
T-cell lymphocyte level of 34% (normal)
Increased Plasma cell number on bone marrow biopsy
Which of the following abnormal blood work results is most closely associated with a diagnosis of multiple myeloma?
Low glomerular filtration rate and high calcium levels
Extremely high levels of abnormal lymphocytes
Decreased hemoglobin, hematocrit, and red blood cells
Low potassium levels and increased blood urea nitrogen
A client reports shortness of breath and severe pain in the back, chest, and muscles. Which condition could the client possibly be diagnosed with?
Von Willebrand disease
Disseminated intravascular coagulation
Hemophilia B
Hemophilia A
A 30-year-old client who presents with symptoms of redness, heat, and pain in the joints undergoes a complete blood count test. The blood report shows an increased white blood cell count. Which condition does this indicate?
Pulmonary embolism
Inflammation
Increased bleeding tendency
Anemia
While reviewing a client’s medical history, a nurse understands that the client is at risk of bleeding because the client’s platelet count is 80,000/uL. Which condition is this?
Thrombocytopenia
Thrombosis
Thrombocytosis
Thrombus
How does primary thrombocytosis differ from secondary thrombocytosis?
It is a development of thrombosis, which is unclear.
It has an elevated platelet count.
It occurs as a result of an excessive number of platelets.
It occurs in the bone marrow.
Which part of the body produces white blood cells?
Tonsils
Thymus gland
Adenoids
Bone marrow
A nurse is formulating a nursing diagnosis for a client with chronic lymphoid leukemia. Which nursing measure should be included in the process?
Ensuring that all visitors wash their hands before coming in contact with the client
Limiting visitors with cold and infections
Placing the client in protective isolation
All of the above
A client comes to the hospital with symptoms of an allergic reaction to an antibiotic. Which blood cells would show an increase in the complete blood count report?
Eosinophils
Basophils
Neutrophils
None of the above
Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia include:
Impaired red blood cell maturation
Decreased oxygen saturation
Increased iron content of blood
Increased intravascular volume
Which of the following individuals is likely to face the highest risk of megaloblastic anemia?
A 21-year-old college student who lives a vegan lifestyle
An infant who is exclusively fed commercial baby formula
A 69-year-old woman who takes ASA four times daily to treat her arthritis
A 44-year-old man who lost approximately 500 mL of blood in a workplace accident
A 48-year-old male client, who normally enjoys good health, has been admitted to the hospital for the treatment of polycythemia vera. The nurse who is providing care for the client should prioritize assessments aimed at the early identification of which of the following health problems?
Orthostatic hypotension
Hyperventilation
Thromboembolism
Vasculitis
A client has been diagnosed with non-Hodgkin lymphoma (NHL), a form of malignancy that most likely originated in which of the following sites?
Thymus
Lymph nodes
Bone marrow
Spleen
Which of the following is a common complication of Polycythemia Vera?
Increased risk of infectious diseases
Blood clots
Reduced red blood cell production
Decrease in blood plasma volume
What symptom is commonly associated with Disseminated Intravascular Coagulation (DIC)?
Excessive production of white blood cells
Increased blood oxygen levels
Bleeding from multiple sites
High blood pressure
What is a characteristic feature of Chronic Lymphocytic Leukemia (CLL) compared to other types of leukemia?
It progresses rapidly, requiring immediate treatment.
It is characterized by the overproduction of red blood cells.
It develops from B cells and progresses slowly, often affecting older adults.
It primarily affects young children.
Which of the following statements correctly differentiates Non-Hodgkin Lymphoma (NHL) from Hodgkin Lymphoma (HL)?
Hodgkin Lymphoma often starts in the upper body, such as the neck, chest, or armpits, and is associated with Reed-Sternberg cells.
Non-Hodgkin Lymphoma is characterized by the presence of Reed-Sternberg cells.
Non-Hodgkin Lymphoma typically has a better prognosis and higher survival rate than Hodgkin Lymphoma.
Only Hodgkin Lymphoma can involve B lymphocytes.
What is the purpose of compression therapy in treating lymphedema?
To improve circulation and prevent fluid buildup
To increase fluid retention
To promote swelling
To exacerbate symptoms
What are varicose veins primarily caused by?
Weak or damaged vein walls and valves
Lack of exercise
Excessive sun exposure
High cholesterol levels
A client presents to the emergency clinic not feeling well. Which of the following complaints leads the health care provider to suspect the client may have acute leukemia?
Frequent nausea and vomiting for the past week
Severe headache with associated photophobia
Bleeding from the gums, not related to brushing the teeth
Muscle aches and pains in large muscle groups, especially while lying in bed
An elderly client presents to the clinic, just not “feeling well.” Which of the following bone marrow results would confirm the diagnosis of chronic lymphocytic leukemia?
Replication of pluripotent precursor blood cells in the marrow
Proliferation of well-differentiated blood cells (B-lymphocytes) in the marrow
Uncontrolled growth of immature blood cells in the marrow
Production of undifferentiated blood cells in the marrow
The client is undergoing a diagnostic workup for possible Hodgkin's type of lymphoma. Which of the following laboratory results would confirm the diagnosis of Hodgkin lymphoma?
Reed-Sternberg cells
M-type protein antibodies
Bence Jones proteins
Philadelphia chromosome
A client is undergoing a diagnostic workup to rule out multiple myeloma. Which of the following diagnostic findings would confirm the diagnosis of multiple myeloma?
Immunoglobulin A level of 200 mg/dL (normal)
Decreased production of bone osteoblasts
Increased Plasma cell number on bone marrow biopsy
T-cell lymphocyte level of 34% (normal)
Which of the following abnormal blood work results is most closely associated with a diagnosis of multiple myeloma?
Low potassium levels and increased blood urea nitrogen
Extremely high levels of abnormal lymphocytes
Low glomerular filtration rate and high calcium levels
Decreased hemoglobin, hematocrit, and red blood cells
Which of the following abnormal blood work results is most closely associated with a diagnosis of multiple myeloma?
Decreased hemoglobin, hematocrit, and red blood cells
Low glomerular filtration rate and high calcium levels
Extremely high levels of abnormal lymphocytes
Low potassium levels and increased blood urea nitrogen
A 30-year-old client who presents with symptoms of redness, heat, and pain in the joints undergoes a complete blood count test. The blood report shows an increased white blood cell count. Which condition does this indicate?
Increased bleeding tendency
Anemia
Inflammation
Pulmonary embolism
While reviewing a client’s medical history, a nurse understands that the client is at risk of bleeding because the client’s platelet count is 80,000/uL. Which condition is this?
Thrombus
Thrombocytopenia
Thrombocytosis
Thrombosis
