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NURS 6501N Week 7 Quiz – Advanced Pathophysiology Fall Term (35 out of 35 points)

1. A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The nurse suspects the most likely cause of this condition is:
2. A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely cause?
3. An adult patient’s blood sample is analyzed in a laboratory. Assuming a normal sample, which type of white blood cell accounts for the highest percentage?
4. A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the nurse suspect the patient has?
5. A 45-year-old female undergoes a splenectomy to remove a tumor. Which of the following assessment finding is most likely to occur following surgery?
6. A 10-year-old male is diagnosed with sickle cell anemia. When do the parents ask who is responsible for this disease, what is the nurse’s best response? He most likely inherited it from:
7. Thrombocytopenia may be:
8. A 65-year-old male experienced the loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death. An autopsy suggested pernicious anemia, and the cause of death would most likely reveal:
9. A group of cells isolated in the laboratory has membrane-bound granules in their cytoplasm and they show phagocytic activity. Which of the following cells is most similar?
10. A nurse is teaching the staff about platelets. Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to:
11. A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion. Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?
12. A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago. He is now experiencing impaired blood clotting. The nurse suspects a decrease in which of the following vitamins?
13. The nurse will check which of the following tests to directly measure iron stores? nurs 6501n week 7
14. A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse monitors for which of the following conditions could result secondary to the treatment?
15. After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?
16. During an infection, the nurse assesses the lymph nodes. Lymph nodes enlarge and become tender because:
17. A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious anemia). How should the nurse respond when the patient asks what causes pernicious anemia? A decrease in ______ is the most likely cause.
18. A staff member wants to know where the greatest proportion of iron is located. How should the nurse respond? The greatest proportion of total body iron is located in the:
19. For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be:
20. A newborn baby is diagnosed with a blood disorder in which her platelet count is low. Which of the following does the nurse suspect could be the reason?
21. A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia?
22. A nurse is caring for a patient who cannot clot. Which end product of the clotting cascade is this patient unable to make?
23. How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia? nurs 6501n week 7
24. A 15-year-old male with infectious mononucleosis is being given instructions on how to prevent the spread of this infection to others. Which statement represents a correct instruction?
25. A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the nurse see documented on the chart?
26. A 15-year-old male is diagnosed with infectious mononucleosis. When the patient asks how he got this disease, how should the nurse respond? The most likely cause is:
27. A 50-year-old female is diagnosed with primary thrombocythemia. A nurse would expect the blood smear to reveal _____ platelets.
28. A hematologist is discussing hematopoiesis. Which information should be included? ________ participate in hematopoiesis.
29. A nurse monitors for the most common childhood cancer, which is:
30. When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes:
31. While reviewing lab results, the nurse recalls the most abundant cells in the blood are: nurs 6501n week 7
32. A 40-year-old male vegetarian is diagnosed with folate deficiency anemia. He reports that he is an alcoholic. Which of the following factors put him at greatest risk for developing his disease?
33. A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched. She also remarks that she has been unintentionally losing weight. Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be screened for which of the following cancers?
34. Which major symptom in a patient with sickle cell anemia indicates to the nurse, the patient is experiencing a vaso-occlusive crisis?
35. In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because: