The nurse examines the lymph nodes of a patient during a physical assessment. Which assessment finding would be of most concern to the nurse?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a patient with an infected foot
Question 2When assessing a newly admitted patient, the nurse notes pallor of the skin and nail beds. The nurse should ensure that which laboratory test has been ordered?
a. Platelet count
b. Neutrophil count
c. White blood cell count
d. Hemoglobin (Hgb) level
Question 3The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds. The nurse should notify the health care provider in anticipation of adjusting which medication?
a. Aspirin
b. Heparin
c. Warfarin
d. Erythropoietin
Question 4A patient's complete blood count (CBC) shows a hemoglobin of 19 g/dL and a hematocrit of 54. Which question should the nurse ask to determine possible causes of this finding?
a. Have you had a recent weight loss?
b. Do you have any history of lung disease?
c. Have you noticed any dark or bloody stools?
d. What is your dietary intake of meats and protein?
Question 5The nurse assesses a patient with pernicious anemia. Which assessment finding would the nurse expect?
a. Yellow-tinged sclerae
b. Shiny, smooth tongue
c. Numbness of the extremities
d. Gum bleeding and tenderness
Question 6A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest. Which action would be important for the nurse to take after the procedure?
a. Elevate the head of the bed to 45 degrees.
b. Apply a sterile 2-inch gauze dressing to the site.
c. Use a half-inch sterile gauze to pack the wound.
d. Have the patient lie on the left side for 1 hour.
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