PRE-TEST | Disorders of the Hematopoietic and Lymphatic System

In assessing a patient with lymphedema, which of the following physical examination methods is the most important for identifying the signs and symptoms of the disease?

• Palpation

• Auscultation

• Inspection

• Percussion

A disease of the lymphatic system characterized by symptoms of swelling due to the accumulation of fluid in the body's tissues.

• Lymphadenitis

• Lymphedema

• Lymphoma

• Lymphatic filariasis

A 10-year-old child is brought to the clinic with fever, weakness, and bleeding gums. The doctor orders a CBC and peripheral blood smear. The lab results show a large number of immature white blood cells. What is the most likely key finding that suggests acute leukemia?

• High platelet count

• Many mature neutrophils

• Elevated blast cells in the peripheral smear

• High hemoglobin leven

A 15-year-old patient with leukemia has started chemotherapy and is now staying in the hospital. The nurse notices that the patient has a low white blood cell count and fewer platelets. Since chemotherapy weakens the bone marrow, it increases the risk of infection and bleeding. What should be the nurse’s main priority while caring for this patient?

• Encourage the patient to limit fluid intake

• Check the patient's liver enzyme levels regularly

• Protect the patient from infection and bleeding

• Give the patient potassium supplements

A nurse is administering a blood transfusion to a patient when the patient suddenly begins to experience chills, fever, and back pain. The nurse suspects a transfusion reaction. What is the nurse’s priority action when a transfusion reaction is suspected?

• Stop the transfusion immediately

• Notify the healthcare provider

• Slow down the transfusion rate

• Check the patient's blood type again

A patient is admitted with thrombocytopenia and has been ordered a blood product to help increase their platelet count. The nurse prepares the appropriate blood product for transfusion. Which of the following blood products is primarily used to treat a low platelet count?

• Fresh frozen plasma

• RBC

• Cryoprecipitate

• Platelets

A patient comes to the clinic complaining of fatigue, pale skin, and dizziness. The healthcare provider suspects anemia and orders a blood test. Which of the following tests would most likely provide the information needed to evaluate the quantity and quality of red blood cells? (SATA)

• Arterial blood gas

• Blood glucose test

• Peripheral blood smear

• Complete blood count

A 45-year-old patient with a history of chronic kidney disease presents with fatigue and pallor. After a thorough evaluation, the doctor suspects hypoproliferative anemia. Which of the following could be contributing to this condition?

• Check the patient’s blood type again

• Stop the transfusion immediately

• Slow down the transfusion rate

• Notify healthcare provider

A 25-year-old patient with a family history of Sickle Cell Disease undergoes genetic testing. The results show they have a form of Sickle Cell Disease that causes severe anemia. Which type of Sickle Cell Disease is most likely being referred to?

1. Statement 1: A 30-year-old patient with a history of frequent pain crises, fatigue, and a family history of Sickle Cell Disease presents at the clinic. Sickle Cell Disease commonly affects individuals of African descent.

3. Statement 2: Sickle Cell Disease is most commonly seen in individuals of Asian descent, with a higher prevalence in countries such as India and China.

Which of the following statements are correct?

• ONLY Statement 1 is correct

• ONLY Statement 2 is correct

• BOTH statements are correct

• NEITHER statements is correct