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This quiz covers key concepts in hematology and oncology, focusing on various blood disorders, their causes, symptoms, and treatments. It includes questions on iron deficiency anemia, pernicious anemia, leukemia, lymphoma, and other blood-related conditions. The quiz is designed to assess understanding of the pathophysiology, clinical manifestations, and management of these disorders.
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When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Ye s Correct Answer: Ye s How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia? Selecte d Answer: Correc t Answe r: a. Administer radioactive cobalamin and measure its excretion in the urine. a. Administer radioactive cobalamin and measure its excretion in the urine. 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: Selecte d Answer: Correc t Answe r: a. Erythrocytes a. Erythrocytes
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A 21-year-old female was recently diagnosed with iron deficiency anemia. In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit? Selecte d Answer: Correc t Answe r: b. Spoon-shaped nails b. Spoon-shaped nails
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c. Intrinsic factor c. Intrinsic factor The nurse will check which of the following tests to directly measure iron stores? Selecte d Answer: Correc t Answe r: c. Bone marrow biopsy c. Bone marrow biopsy
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When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes: Selecte d Answer: Correc t Answe r: b. Hypochromic b. Hypochromic A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death. Autopsy suggested pernicious anemia, and the cause of death would most likely reveal: Selecte d Answer: Correc t Answe r: c. Heart failure c. Heart failure A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the nurse suspect the patient has? Selecte d Answer: Correc t Answe r: b. Hemolytic anemia b. Hemolytic anemia 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? Selecte d Answer:
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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? Selecte d Answer: Correc t Answe r: b. Hodgkin lymphoma b. Hodgkin lymphoma 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? Selecte d Answer: Correc t Answe r: a. Neutrophils a. Neutrophils 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? Selected a. Answer: K Correct a. Answer: K 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? Selecte d Answer: Correc t Answe r:
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c. Decreas ed thrombopoietin c. Decreased thrombopoietin 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: Selected b.
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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: Selecte d Answer: Correc t Answe r: b. Release biochemical mediators of inflammation b. Release biochemical mediators of inflammation
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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? Selecte d Answer: Correc t Answe r: b. Increased rate and depth of breathing b. Increased rate and depth of breathing A 25-year-old female has a heavy menses during which she loses a profuse amount of blood. Which of the following adaptations should the nurse expect? Selecte d Answer: Correc t Answe r: d. Peripheral vasoconstriction d. Peripheral vasoconstriction A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the nurse see documented on the chart? Selecte d Answer: Correc t Answe r: b. Pernicious anemia b. Pernicious anemia In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because: Selecte d Answer: Correct Answer:
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Correc t Answe r: c. Congenital or acquired A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse monitors for which of the following conditions that could result secondary to the treatment? Selecte d Answer: Correc t Answe r: d. Lymphocytosis b. Basophilia A 20-year-old female undergoes lab testing for anemia. Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit. Which of the following is the most likely diagnosis to be documented on the chart? Selecte d Answer: Correc t Answe r: a. Pernicious anemia a. Pernicious anemia While reviewing lab results, the nurse recalls the most abundant cells in the blood are: Selecte d Answer: Correc t Answe r: c. Erythrocytes c. Erythrocytes While checking lab results, the nurse remembers the normal leukocyte count is:
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Selecte d Answer: Correc t Answe r: b. 5,000-10,000/mm 3 b. 5 ,000- 10 , 000 /mm^3 A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The nurse
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A 58-year-old female presents in the clinic presenting with fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit, a high mean corpuscular volume, and normal plasma iron. These assessment findings are consistent with which type of anemia? Selecte d Answer: b. Pernicious anemia Correct b.
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Answer: Pernicious anemia