Hematological Disorders

9/24/22, 7:22 AM CLO2 - WW1: Formative test on Hematological Disorders: NUR C303-301N CARE OF CLIENTS W/ PROB IN OXYGENATION, F…
This attempt took 19 minutes.
Question 1 1
/ 1 pts
A senior high school student suspected of having Sickle Cell disease is

seen in the JRU clinic, and laboratory studies are performed. A nurse
checks the lab results knowing that which of the following would be
increased in this disease?

Leukocytes level

Hematocrit level

Reticulocyte count
Reticulocytes are slightly immature red blood cells. A reticulocyte

count is a blood test that measures the amount of these cells in the
blood. In the presence of some anemias, the body increases
production of red blood cells (RBCs), and sends these cells into the
bloodstream before they are mature.
Hemoglobin electrophoresis , is a test identifies and measures

different types of hemoglobin in red blood cells, including the
abnormal hemoglobin that causes sickle cell anemia.

Platelet count
Question 2 1
/ 1 pts
The physician ordered several laboratory tests to help diagnose a

bleeding disorders. Which of the following tests, if abnormal, would the
nurse interpret as most likely to indicate hemophilia?
https://jru.instructure.com/courses/39511/quizzes/499704 2/10

Prothrombin time (PTT)
Prothrombin time (PTT) test: Healthcare providers use this test

to see how quickly your blood clots.
Healthcare providers typically treat hemophilia A with factor
replacement therapy.
Healthcare providers will inject concentrated factor VIII into your
bloodstream.
Factor VIII replaces the missing blood protein, or factor, that
helps blood to clot, so you’re less likely to have excessive
bleeding and/or be able to control bleeding when it happens.

Clot Retraction Test

Bleeding time

Torniquet Test
Question 3 1
/ 1 pts
A child with Thalassemia was given Deferoxamine (Desferal); which of the

following should alert the nurse to notify the physician?

Red urine

Hypertension

Decreased hearing
Deferoxamine is ototoxic. Thus, any hearing problem should be

immediately addressed to the physician.

Vomiting
Question 4 1
/ 1 pts
The long-term complications seen in Thalassemia major are associated to

which of the following?

Anemia

Splenomegaly

Growth retardation

hemochromatosis
Long-term complications arise from hemochromatosis, excessive

iron deposits precipitating in the tissues and causing destruction.
Question 5 1
/ 1 pts
A 3rd year nursing student of JRU has a hemoglobin concentration of

10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the
following nutritional advice is appropriate?

The student should add meat to her diet; a vegetarian diet is not advised

A cup of coffee or milk tea should be added to every meal
The student should use iron cookware to prepare foods, and cook dark-
green, leafy vegetables and legumes, which are high in iron
Normal hemoglobin values range from 11.5-15.0. This vegetarian

patient is mildly anemic. When food is prepared in iron cookware
its iron content is increased.

The diet is providing adequate sources of iron and requires no changes
Question 6 1
/ 1 pts
Halfway through the administration of blood, the female client complains

of lumbar pain. After stopping the infusion Nurse Hazel should:

Obtain vital signs

Notify the blood bank

Increase the flow of normal saline
The blood must be stopped at once, and then normal saline

should be infused to keep the line patent and maintain blood
volume.

Assess the pain further
Question 7 1
/ 1 pts
A nurse on duty in MCMC expects an adult patient with sickle cell anemia
to have a hemoglobin value of:

between 4-7 g/dl

between 7 and 10 g/dl
A patient with sickle cell anemia has a hemoglobin level of between 7

and 10 g/dl.

between 1-2 g/dl

between 2-6 g/dl
Question 8 1
/ 1 pts
On assessment, the nurse notes that the patient’s face and skull bones
are enlarged. She knows this is a compensatory response to:

Jaundice

Dehydration

Pain

Anemia
The bones are enlarged as compensatory response to offset anemia.
Incorrect
Question 9 0
/ 1 pts
On the basis of the knowledge of the inheritance of the gene, the nurse
expects the patient who is pregnant (baby girl) and husband is hemophilic
would be:

Daughter will be a carrier

Daughter will have Hemophilia

Daughter will be a Silent Carrier
The sickle cell gene is inherited to a lesser extent from the

Mediterranean descent.

Daughter will be a Alpha-Thalassemia Trait
Question 10 1
/ 1 pts
Sickle-shaped erythrocytes cause:

decreased organ perfusion

All of the above
All of the options are correct.

Sickle-shaped erythrocytes cause cellular blockage in small
vessels.
Sickle-shaped erythrocytes cause decreased organ perfusion.
Sickle-shaped erythrocytes cause tissue ischemia and infarction.

Cellular blockage in small vessels

tissue ischemia and infarction
Question 11 1
/ 1 pts
It is a serious disorder in which the proteins that control blood clotting

become overactive?

Sickle Cell Anemia

Disseminated Intravascular Coagulation
DIC, is a serious disorder in which the proteins that control blood

clotting become overactive, these proteins become abnormally active
throughout the body these clots can clog the vessels and cut off the
normal blood supply to organs ( liver, brain, or kidneys) which can
damage and cause major injury to these organs

Thallasemia

Aplastic Anemia
Incorrect Question 12 0
/ 1 pts
All are the risk factors of Iron Deficiency Anemia except:

Breastfeeding mother
This is one of the risk factor of IDA.

heavy menstrual period

Patient diagnosed to have GERD

Undergone major surgery
Question 13 1
/ 1 pts
A pregnant woman ask the nursing student of JRU assigned in Cardinal

Santos Medical Center, what are the sources of Vit B 12 rich food and
high in folate food she will include in her diet? the student nurse will teach
her the following except:

red meat

Plant-based foods
Vitamin B12 rich food is found in meat, fish, eggs, dairy products and
specially fortified foods.
Plant-based foods do not naturally contain B12, so people who follow

a vegetarian diet or vegan diet need to make sure they get enough
each day to avoid a deficiency. A lack of vitamin B12 can lead to
serious health consequences, such as pernicious anemia

eggs

fish
Question 14 2
/ 2 pts
What are the causes of Aplastic anemia. Select all that apply:

Vegetarians

Certain medications
Acquired aplastic anemia is more common in adults. Researchers

believe something triggers problems in the immune system. The
possibilities include:
Viruses like HIV or Epstein-Barr

Certain medications
Toxic chemicals
Radiation or chemotherapy treatment for cancer

Radiation Therapy
Acquired aplastic anemia is more common in adults. Researchers

believe something triggers problems in the immune system. The
possibilities include:
Viruses like HIV or Epstein-Barr

Certain medications
Toxic chemicals
Radiation or chemotherapy treatment for cancer

Post Gastrectomy

Blood transfusion
Quiz Score:
13 out of 15

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9/24/22, 7:22 AM CLO2 - WW1: Formative test on Hematological Disorders: NUR C303-301N CARE OF CLIENTS W/ PROB IN OXYGENATION, F…

This attempt took 19 minutes.

A senior high school student suspected of having Sickle Cell disease is

Reticulocytes are slightly immature red blood cells. A reticulocyte

Hemoglobin electrophoresis , is a test identifies and measures

The physician ordered several laboratory tests to help diagnose a

Prothrombin time (PTT) test: Healthcare providers use this test

A child with Thalassemia was given Deferoxamine (Desferal); which of the

Deferoxamine is ototoxic. Thus, any hearing problem should be

The long-term complications seen in Thalassemia major are associated to

Long-term complications arise from hemochromatosis, excessive

A 3rd year nursing student of JRU has a hemoglobin concentration of

Normal hemoglobin values range from 11.5-15.0. This vegetarian

Halfway through the administration of blood, the female client complains

The blood must be stopped at once, and then normal saline

A patient with sickle cell anemia has a hemoglobin level of between 7

The bones are enlarged as compensatory response to offset anemia.

The sickle cell gene is inherited to a lesser extent from the

Sickle-shaped erythrocytes cause:

All of the options are correct.

It is a serious disorder in which the proteins that control blood clotting

DIC, is a serious disorder in which the proteins that control blood

All are the risk factors of Iron Deficiency Anemia except:

This is one of the risk factor of IDA.

A pregnant woman ask the nursing student of JRU assigned in Cardinal

Plant-based foods do not naturally contain B12, so people who follow

Acquired aplastic anemia is more common in adults. Researchers

Viruses like HIV or Epstein-Barr

Acquired aplastic anemia is more common in adults. Researchers

Viruses like HIV or Epstein-Barr

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