blood and lymph nclex style questions

Question 1

A "shift to the left" on the WBC differential indicates an increase in the number of
neutrophils
eosinophils
bands
monocytes

Answer 1

bands

Question 2

The “universal recipient” with regard to blood type is type:

O
AB
A
B

Answer 2

AB

Question 3

The preferred diagnostic test for evaluating deep lymph nodes is:
CT
MRI
Peripheral smear
Lymphangiography

Answer 3

CT

Question 4

Your elderly patient has been diagnosed with pernicious anemia. You remember that this type of anemia results from:
Blood loss or hemorrhage

The absence of a glycoprotein intrinsic factor secreted by the gastric mucosa

Exposure to viral invasion, medications, chemicals, radiation, or chemotherapy in which the hemopoietic tissue is replaced by fatty marrow, causing a defect in RBC production

An abnormal crescent-shaped red blood cell containing a defective hemoglobin molecule

Answer 4

The absence of a glycoprotein intrinsic factor secreted by the gastric mucosa.

Question 5

You are admitting a patient who has polycythemia to your unit. Which of the following patients best fits the profile of a patient with this disorder?

A thin older white woman with a pale complexion

B. An older male with pallor and activity intolerance

C. A middle-aged woman with hypotension and syncope

D. A middle-aged male with elevated blood pressure and an erythematous appearance

Answer 5

A middle aged male with elevated blood pressure and an erythematous appearance

Question 6

The most severe risk for a patient with agranulocytosis is that of:

A. Infection

B. Pain

C. Malnutrition

D. spreading their germs to other patients

Answer 6

Infection

Question 7

Your patient with leukemia is susceptible to hemorrhage. Which blood dyscrasia makes him susceptible to this?
Anemia
B. Thrombocytopenia
C. Leukopenia
D. Infiltration of WBCs into patient organs

Answer 7

Thrombocytopenia

Question 8

You are caring for a patient with hemophilia. Which of the following nursing diagnoses would you expect to see on his nursing care plan? Select all that apply.
A.Ineffective tissue perfusion

B.Fluid volume excess

C.Fluid volume deficit

D.Anxiety

E.Pain

Answer 8

Fluid volume deficit
Anxiety
Pain

Question 9

Which of the following is the main diagnostic feature of Hodgkin’s disease?

A. Reticulum cell sarcoma
B. Reed-Sternberg cells
C. Bence Jones protein
D. Philadelphia chromosome

Answer 9

Reed-Sternberg cells

Question 10

A grave disease process in which the patient experiences both bleeding and intravascular clotting at the same time is known as:

A. von Willebrand’s disease
B. Multiple myeloma
C. Lymphedema
D. Disseminated intravascular coagulation (DIC)

Answer 10

DIC