Advanced Practice Nursing in the Care of Older Adults, 2e
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Chapter 15 Hematological and Immune
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Multiple Choice
1. Hematological and immune systems disorders are sometimes complicated because the
manifestations may appear in different organ systems. A complete detailed history, diagnostic
testing, and which of the following must be performed for diagnosis?
1. Cognitive assessment
2. Ethnicity assessment
3. Patient education
4. Physical examination
2. To complete hematological assessment, a diagnostic should be performed. Which of the
following should be tested to assess for blood loss or blood cell destruction?
1. Hemoglobin electrophoresis
2. Reticulocyte count
3. Vitamin B12 and folate levels
4. Ferritin
3. Ellen is a 57-year-old woman diagnosed with iron-deficiency anemia (IDA). Her physician
orders further diagnostic tests to rule out which of the following?
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1. HIV
2. Malignancy
3. Gastritis
4. Stroke
4. Which of the following conditions has the presentation of increased platelet destruction by the
immune system?
1. ITP
2. CLL
3. ALL
4. AML
5. Jonathan was brought in to urgent care by his mother for symptoms of pain, frequent
nosebleeds, weakness, and shortness of breath. Complete blood count (CBC) with differential
and platelet count and a comprehensive chemistry panel were done. From which of the following
conditions may Jonathan be suffering?
1. ITP
2. CLL
3. ALL
4. AML
6. The treatment of acute lymphoblastic leukemia (ALL) consists of the control of bone marrow
and systemic disease. Which of the following therapies eliminates any leukemic cells that may
remain?
1. Consolidation therapy
2. Maintenance therapy
3. Induction remission
4. Central nervous system (CNS) prophylaxis
7. Acute myeloid leukemia (AML) is a rare and diverse group of diseases. Which of the
following statements is true regarding AML?
1. AML has no CNS involvement.
2. Laboratory evaluation includes urinalysis.
3. Initial work-up is to assess and characterize the disease based on prior exposure.
4. Comorbidities do not apply in the diagnosis of AML.
8. Which of the following medical providers is responsible for the early components of
diagnostic work-up?
1. Primary care provider (PCP)
2. Anesthesiologist
3. Surgeon
4. Pulmonologist
Multiple Response
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9. IDA is multifactorial and is common in men 65 years and older. Patients
present symptoms of nonspecific fatigue and/or weakness, dizziness, and shortness of breath.
Which of the following are the contributing factors for IDA in older adults? Select all that apply.
1. Inadequate diet
2. Peptic ulcer disease
3. Malabsorption syndromes
4. Podiatric surgery
5. Weight gain
10. Tanya came in for an office visit due to recurrent epistaxis. She also has a diagnosis of
systemic lupus erythematosus. CBC with peripheral blood smear was performed and confirmed
that she has idiopathic thrombocytopenic purpura (ITP). Which of the following is true relating
to the condition of ITP? Select all that apply.
1. ITP affects women more than men.
2. ITP is more common in children.
3. ITP etiology is known.
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