Chapter 46 Patient Assessment- Hematological and Immune Systems

Chapter 46  Patient Assessment- Hematological and Immune Systems

Complete Chapter Questions And Answers
 

Sample Questions

1.
When obtaining a history for a patient who is being admitted for hematological or immune disorders, the nurse first inquires about the chief complaint and history of present illness. The nurse next inquires about which of the following?
A)
Medical history
B)
Surgical history
C)
Last pap smear
D)
Recent CD4 count

2.
When performing a physical examination of a hematological or immunocompromised patient, the critical care nurse focuses on which of the following major areas?
A)
Skin, liver, spleen, lymph nodes
B)
Skin, respiratory, cardiac, spleen
C)
Skin, liver, cardiac, lymph nodes
D)
Respiratory, kidney function, liver, spleen

3.
When examining a patient’s eyes for complaints of visual changes, which of the following indicates hyperviscosity from polycythemia or retinal infarcts?
A)
Sickle cell anemia
B)
Retinal hamartoma
C)
Stage one hypertension
D)
Iron deficiency anemia

4.
A patient’s smear sample in the lab shows spherocytes and elliptocytes. This is due to abnormally shaped red blood cells originating from red blood cell membrane defects. What predisposed factor could cause this to occur?
A)
Hemolytic anemia
B)
Hemophilia B
C)
von Willebrand’s disease
D)
Acute lymphoblastic anemia

5.
A nurse assessing the stat lab results realizes that an increase in the patient’s mean corpuscular volume could possibly be which of the following?
A)
Folate deficiency
B)
Sickle cell
C)
Chronic disease
D)
Endocarditis

Answer Key

1.
A
2.
B
3.
D
4.
B
5.
C