Question 3
Blood Coagulation and Anemia. The nurse is caring for a patient whose diabetic nephropathy has resulted in anemia. What is the cause of this patient’s anemia?
- A. Inadequate oxygenation of tissue
- B. Low erythropoietin levels
- C. Lack of B12 and folic acid intake
- D. Low serum iron levels
Question 4
1 g = __________ mcg
- 1,000,000
Question 5
The nurse is using the metric system for dosage calculation. Which unit would the nurse use as the basic unit for measuring mass or weight?
- A. Minims
- B. Gram
- C. Liter
- D. Kilogram
Question 6
The nurse is caring for a patient diagnosed with a megaloblastic anemia and administers what drug?
- A. Hydroxyurea
- B. Epoetin alfa
- C. Ferrous sulfate
- D. Folic acid
Question 6 (Calculation)
The patient has taken a total of 12,000 mg of Amoxicillin as ordered by the physician. The patient was prescribed 1 capsule every 6 hours for 6 days. What was the strength of each Amoxicillin capsule?
- 500 mg
Question 8
A 3-year-old boy has been diagnosed with hemophilia. The nurse is planning his discharge teaching for the child’s parents and includes what teaching point?
- A. The necessity of weekly transfusions of packed red blood cells
- B. The rationale for using aspirin rather than acetaminophen for mild pain
- C. The necessity of daily vitamin K injections
- D. Strategies for preventing trauma or injury
Question 9
The nurse admits a child to the pediatric unit who has an abnormally high serum iron level after eating a family member’s supplements. What is the nurse’s intervention?
- A. Monitor the client for changes in bowel function.
- B. Administer hydroxyurea as prescribed.
- C. Obtain a blood sample for type and cross-match.
- D. Administer deferoxamine as prescribed.
Question 9 (Metric)
1 c. (cup) = ______ oz. (ounces) = ______ mL (milliliters)
- 8 oz. = 240 mL
Question 11
Order reads: infuse 1,000 mL NS over 8 hours. The drip factor is 20 gtt/mL. Calculate the drops per minute.
- 42 gtts/min
Question 12
The nurse is sending a patient home who will remain on anticoagulant therapy. What should the nurse teach the patient about taking this drug? Select all that apply.
- A. “Treat minor side effects with over-the-counter (OTC) medications.”
- B. “Warning signs of bleeding include fatigue, pallor, and increased heart rate.”
- C. “Wear or carry a MedicalAlert notification.”
- D. “Brush your teeth gently with soft bristle brush.”
Question 13
What genetic carrier screening would be appropriate for an African American couple planning to begin a family?
- A. Vitamin B12 deficiency
- B. Renal failure
- C. Iron deficiency anemia
- D. Sickle cell anemia
Question 14
The nurse assesses blood in the urine of the 73-year-old patient receiving warfarin this morning. What actions will the nurse take? Select all that apply.
- A. Assess international normalized ratio (INR).
- B. Assess partial thromboplastin time (PTT)
- C. Expect to administer vitamin K.
- D. Assess prothrombin time (PT). Blood Coagulation and Anemia
Question 15
A nurse is using the metric system for dosage calculation. Which unit would the nurse use as the basic unit for measuring liquids?
- A. Kilogram
- B. Gram
- C. Minims
- D. Liter
Question 16
An older adult patient, diagnosed with pernicious anemia asks the nurse what causes this disorder. The nurse’s best response is that there is a lack of intrinsic factor secreted needed for absorption of vitamin B12 where?
- A. Small bowel
- B. Large bowel
- C. Lower esophagus Blood Coagulation and Anemia
- D. Stomach
Question 17
The provider has written an order to administer 2 T. (tablespoons) of medication. The label is supplied in milliliters. How many milliliters should be given?
- A. 50 mL
- B. 10 mL
- C. 60 mL
- D. 30 mL
Question 18
By what route will the nurse administer the antihemophilic agent to the client with hemophilia following a car accident?
- A. IV
- B. Oral
- C. Sublingual
- D. Topical
Question 19
A 22-year-old patient who has severe dysmenorrhea has been prescribed ferrous gluconate to treat iron deficiency anemia. What dietary guidelines should the nurse provide to the client?
- A. “Avoid eating aged cheeses until you’re no longer taking iron supplements.”
- B. “Don’t drink milk, coffee, or tea at the same time as your iron supplement.”
- C. “Avoid cured meats, and shellfish, while you’re taking iron supplements.”
- D. “Try to limit your intake of gluten so that your body absorbs the iron better.”
Question 22
The nurse evaluates that additional patient teaching is needed regarding anticoagulants when the patient states what intention?
- A. “I plan to report to the lab for my follow-up blood work.”
- B. “I’ll use acetaminophen if I get arthritis pain.”
- C. “I’ll start wearing a MedicalAlert bracelet.”
- D. “I’ll use disposable razors to shave and use each razor only once.”
Question 23
The nurse admits a 32-year-old woman who takes oral contraceptives; she is expected to need aminocaproic acid postoperatively. The nurse recognizes this client is at risk for what?
- A. Pregnancy
- B. Bleeding
- C. Hypercoagulation
- D. Infertility
Question 24
Ordered: Cephalexin 500 mg PO x3 times a day for 10 days. On hand: Cephalexin 500 mg capsules. How many capsules should be dispensed to the patient?
- A. 40 capsules
- B. 10 capsules
- C. 20 capsules
- D. 30 capsules
Question 25
The nurse notes the blood pressure and red blood cell (RBC) count of a patient receiving heparin is low. Which should the nurse suspect has occurred?
- A. Dehydration.
- B. Internal bleeding.
- C. Clot formation.
- D. Decreased activated partial thromboplastin time (aPTT). Blood Coagulation and Anemia
Question 26
Ordered: Novolin R 8 units and Novolin N 45 units. Calculate the total amount of insulin to give to the patient.
- 53 units
Question 27
1 teaspoon = ________ mL
- 5 mL
Question 28
A patient has come back from surgery earlier in the day and the surgeon has ordered a clear liquid diet. Calculate the total fluid intake in mL of this liquid dinner. Apple juice: 3 fluid ounces; Chicken broth: 7 fluid ounces; J-E-L-L-O: 6 fluid ounces.
- 480 mL
Question 29
A 50-year-old client with pernicious anemia asks why they can’t just take a vitamin B12 pill instead of getting an injection. What is the nurse’s best response to her question?
- A. “Pernicious anemia alters mucous membrane lining of the bowel and impairs absorption.”
- B. “With severe deficiencies like yours, oral vitamin B12 does not work fast enough.”
- C. “Pernicious anemia is caused by the body’s inability to absorb vitamin B12.”
- D. “Oral ingestion of vitamin B12 irritates the GI tract and bleeding could occur.”
Question 30
The nurse discovers a patient who is receiving warfarin is bleeding. What drug should the nurse prepare to counteract this drug? Blood Coagulation and Anemia
- A Protamine sulfate
- B Vitamin K
- C Calcium gluconate
- D Vitamin E
Question 32
A patient weighs 50 kg. How many pounds is this?
- 110 lbs
- 100 lbs
- 19.5 lbs
- 88 lbs
Question 33
What anemia does the nurse classify as a type of hemolytic anemia?
- A Sickle cell anemia
- B Iron deficiency anemia
- C Pernicious anemia
- D Megaloblastic anemia
Question 34
A patient with cirrhosis of the liver asks the nurse why they are at risk for bleeding. Which response should the nurse provide to the client?
- A “The liver is breaking down your clotting factors too quickly.”
- B “The liver is injured and cannot make clotting factors.”
- C “The liver thickens your blood so it is less likely to clot.”
- D “The liver is injured and unable to manufacture platelets.”
Question 35
The order reads: Infuse 40 mEq KCl in 100 mL NS over 3/4 of an hour. Calculate the flow rate in mL/hr. Round to the nearest whole number.
- 133 mL/hr
Question 36
Find the flow rate for manual regulation: Order: 220 mL D5LR to infuse over 4 hours using tubing calibrated to 60 gtt/mL.
- 55 gtt/min
Question 37
Indications for the nurse to administer heparin include what? Select all that apply.
- A Treatment of hemophilia
- B Prevention and treatment of venous thrombosis
- C Prevention and treatment of pulmonary emboli
- D Treatment of atrial fibrillation with embolization
Question 38
1.3 g = ______ mg
- 1.3 mg
- 13 mg
- 130 mg
- 1,300 mg
Question 39
The provider orders a maintenance dose of oral aminophylline, 3 mg/kg every 6 hours. The patient weighs 50 kg. The nurse will be administering ______ mg in a 24 hour-period?
- 150 mg
- 300 mg
- 450 mg
- 600 mg
