Lippincott Certification Review Medical-Surgical Nursing

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Chapter 8

Review Questions Question 1. A nurse is providing preoperative education for a patient undergoing gastric bypass surgery. Which type of anemia will this patient be at risk for after surgery? A. Iron deficiency anemia B. Aplastic anemia C. Megaloblastic anemia D. Thalassemia Question 2. A patient has recently been diagnosed with acute lymphocytic leukemia (ALL). The nurse caring for the patient reviews the patient’s complete blood count (CBC) with differential. The nurse could expect to find which of the following lab value abnormalities? Select all that apply. A. Decreased platelets B. Decreased red blood cells (RBCs) C. Increased white blood cells (WBCs) D. A larger than normal proportion of immature WBCs Question 3. A nurse is designing a plan of care for a patient with multiple myeloma. Prioritize the nursing actions below (place an X in the column to pick priority):

Question 5. A 62-year-old woman has recently been diagnosed with chronic myeloid leukemia (CML). A nurse is providing education regarding the disease process and treatment. Which of the following statements by the patient demonstrates an understanding of the treatment options? A. “I will be taking an oral medication to treat my CML.” B. “Long-term IV chemotherapy will be necessary to treat my CML.” C. “There is not currently a treatment for CML.” D. “Radiation treatment is a foundation of CML treatment.” Question 6. A nurse is caring for a patient with a blood type of O Rh− blood. The nurse knows the patient can receive which of the following types of packed RBCs? A. O Rh+ or O Rh− B. AB Rh−, A Rh−, B Rh−, O Rh− C. A Rh−, B Rh−, O Rh− D. O Rh− Question 7. A nurse has an order to give an 85-year old patient two units of packed red blood cells (RBCs). The patient receives the first unit with no issues. After half of the second unit has been infused, the patient begins to experience chest tightness. On assessment, the nurse notes hypertension and venous distension. Which immediate transfusion reaction is the patient most likely experiencing? A. Acute hemolytic B. Transfusion-related acute lung injury (TRALI) C. Transfusion-associated circulatory overload (TACO) D. Bacterial contamination Question 8. An 8-year-old boy with hemophilia A has been admitted to the hospital with a swollen, warm, and stiff right knee. The patient denies any traumatic event that caused this issue. Based on the information provided, which hemophilia-related complication is

Answer

Priority 1 Priority 2 Priority 3

Educate the family regarding safety and care. Implement safety measures to prevent fractures. Assess the patient for pain regularly.

Question 4. A nurse is caring for a patient diagnosed with stage III Hodgkin lymphoma. Which of the following descriptions supports this choice for staging? A. Involvement of lymph node regions on both sides of the diaphragm B. Involvement of a single lymph node region C. Isolated extralymphatic organ involvement with nonregional nodal involvement D. Involvement of two or more lymph node regions on the same side of the diaphragm

most likely? A. Epistaxis B. Hemarthrosis C. Petechiae D. Ecchymosis Copyright © 2025 Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited.