Deck 12: White Blood Cell Disorders

Question 1

Which white blood cells are the first responders in defense against antigens?
1)Basophils
2)Macrophages
3)B lymphocytes
4)T lymphocytes

Answer 1

2

Question 2

A client with an infection is brought to an acute care facility. The complete blood count with differential report shows a white blood cell count of 3,000/uL. Which condition has the client developed?
1)Leukopenia
2)Leukocytosis
3)Thrombocytopenia
4)Neutrophilia

Answer 2

1

Question 3

The complete blood count report of a client with enlarged lymph nodes and epistaxis indicates the development of acute lymphocytic leukemia. For which reason does the nurse initiate client teaching about safety and injury prevention?
1)Crowding of platelets by blast cells
2)Invasion of blast cells into the central nervous system
3)Proliferation of blast cells in the center of the bones
4)Cancerous cells proliferate within the spleen and liver

Answer 3

1

Question 4

A school-age child presents to the hospital with lymphocytopenia. Based on this diagnosis, which manifestation does the nurse expect to find?
1)A lymphocyte count greater than 9,000/microliter
2)A lymphocyte count less than 3,000/microliter
3)A lymphocyte count greater than 7,000 microliter
4)A lymphocyte count greater than 5,000/microliter

Question 5

A nurse is analyzing the report of a school-age client with leukemia who is receiving chemotherapy. The platelet count is 20,000/microliter. What would be the best intervention for the nurse to include in the client's plan of care?
1)Monitor the client's vital signs.
2)Check the temperature every 6 hours.
3)Initiate protective isolation precautions.
4)Use a soft toothbrush for oral care.

Question 6

The nurse is teaching the client about a possible cause of the client's hematologic cancer. Which statement by the client indicates a need for additional teaching?
1)"Exposure to intense radiation causes cancer."
2)"Contact with benzene causes cancer."
3)"Damaged deoxyribonucleic acid causes cancer."
4)"I should have stopped smoking years ago."

Question 7

Which clinical sign signifies leukocytosis?
1)A white blood count of 3,000/microliter
2)A white blood count of 52,000/microliter
3)A decrease in signs and symptoms of infection
4)Wounds that show no evidence of healing

Question 8

An older adult client comes to an acute care facility and reports severe back pain. The client's blood report shows immunoglobulin A (IgA) concentration of 2 grams/deciliter and plasma cells of 8% in the bone marrow. The client does not show symptoms of anemia or hypercalcemia. Based on these findings, which diagnosis does the nurse suspect?
1)Multiple myeloma
2)Monoclonal gammopathy
3)Lymphocytic leukemia
4)Hematologic neoplasm

Question 9

A client comes to the emergency department with symptoms of an allergic reaction from an antibiotic. Which blood cells does the nurse monitor for an increase in the complete blood count report?
1)Neutrophils
2)Eosinophils
3)Basophils
4)Lymphocytes

Question 10

A client presents with upper right quadrant abdominal pain and a report of feeling weak and lethargic and states, "There is aching in my bones." The health-care provider suspects a hematologic disorder and prescribes blood work. Which possible physiological manifestation does the nurse associate with the client's bone pain?
1)Anemia caused by bone marrow overload to increase red blood cells (RBCs)
2)Nonfunctional, cancerous white blood cells (WBCs) have proliferated and overwhelmed the bone marrow
3)Weakness and lethargy have caused decreased mobility and pathological bone loss
4)Splenomegaly has developed from the loss of and deterioration of bone cells

Question 11

The nurse is providing care for a client with serious influenza symptoms. Which laboratory result involving white blood cell elevation indicates to the nurse the source of the client's illness is viral?
1)Neutrophils
2)Lymphocytes
3)Eosinophils
4)Basophils

Question 12

A nurse is reviewing the complete blood count of a client who presents with an infection. The report indicates the white blood cell count is 9,000/microliter, neutrophil count is 8,500, leukocyte count is 4,000, eosinophil count is 600/microliter, and basophil is 1%. Which terminology does the nurse associate with this finding?
1)Eosinophilia
2)Neutrophilia
3)Leukocytosis
4)Monocytes

Question 13

An older adult client receives chemotherapy for treating cancer. A complete blood count report after chemotherapy shows red blood cells -3.02 million cells/microliter, white blood cells -3,200 cells/microliter, and platelets -100,000/microliter. What disorder does the nurse recognize in the client?
1)Myelodysplastic syndrome
2)Lymphocytosis
3)Monocytic leukocytosis
4)Leukemoid reaction

Question 14

Which blood component is developed from megakaryocytes?
1)Platelets
2)Red blood cells
3)White blood cells
4)Blood plasma

Question 15

A nurse is formulating a nursing diagnosis for a client with stage IV chronic lymphoid leukemia. Which observed activity does the nurse interrupt immediately?
1)Placing the client in protective isolation
2)Limiting visitors with colds and infections
3)Washing hands before coming into contact
4)Delivering of flowers, plants, or fruit

Question 16

On reviewing the blood reports of a client who presents with a fever, the nurse finds the white blood cell count is 13,000/microliter. Which term does the nurse use when documenting this finding?
1)Leukocytosis
2)Leukopenia
3)Neutrophilia
4)None of the above

Question 17

The nurse is reviewing the complete blood count (CBC) of a client and notices a low white blood cell count. Which part of the body does the nurse identify as the major producer of white blood cells?
1)Tonsils
2)Adenoids
3)Thymus gland
4)Bone marrow

Question 18

The nurse identifies which as the cause of lymphomas?
1)They develop in the precursor cells of the bone marrow.
2)They appear like blast cells.
3)They do not differentiate into mature cells.
4)They arise from abnormal proliferation of T lymphocytes.

Question 19

The nurse is providing care for an older adult client diagnosed with multiple myeloma. The client's laboratory report indicates anemia along with white blood cell (WBC) and red blood cell (RBC) abnormalities. Radiographic studies indicate rounded, punched-out areas in the bones. Which early treatment does the nurse expect?
1)Bisphosphonate therapy
2)Aggressive chemotherapy
3)Radiation to bone lesions
4)Autologous stem cell transplant

Question 20

A client comes to an acute care facility with reports of pain from unilateral, swollen cervical lymph nodes. The client is diagnosed with lymphoma. In which manner is the client's lymphoma classified?
1)Stage I lymphoma
2)Stage II lymphoma
3)Stage III lymphoma
4)Stage IV lymphoma

Question 21

The nurse is reviewing the complete blood count report of a client with a high fever as a result of infection. The report shows a red blood cell count of 4.5 million cells per microliter, white blood cell count of 10,000 cells per microliter, neutrophil count of 2,500 cells per microliter, basophil count of 50 cells per microliter, eosinophil count of 150 cells per microliter, and platelet count of 350,000 per microliter. Based on these findings, what condition should the nurse suspect?
1)Neutrophilia
2)Neutropenia
3)Leukocytosis
4)Eosinophilia

Question 22

Which laboratory classification does the nurse monitor regarding white blood cells?
1)Leukocytes
2)Erythrocytes
3)Thrombocytes
4)Platelets

Question 23

An adult client worked in the radiation department of a hospital for 6 years. The client reports weakness and fatigue. The complete blood count report of the client shows a white blood cell count of 25,600 cells per microliter, red blood cell count of 3.11 million cells per microliter, hemoglobin levels of 8.9 g/dL, and a platelet count of 130,000 per microliter. The white blood cell differential shows 75% blasts, 20% lymphocytes, and 2% segs. Based on these findings, which condition should the nurse suspect?
1)Acute lymphocytic leukemia
2)Chronic lymphocytic leukemia
3)Acute myelogenous leukemia
4)Chronic myelogenous leukemia

Question 24

The nurse is viewing the complete blood count report of a middle-aged client who reports unintended weight loss. The report shows hemoglobin levels at 9.5 g/dL, white blood cell count at 15,000 g/dL, albumin levels at 3.0 g/dL, and lymphocyte count at 500 per mL. Which condition has the client developed?
1)Hodgkin's lymphoma
2)Non-Hodgkin's lymphoma
3)Neutropenia
4)Hematologic neoplasm

Question 25

A toddler is brought to an acute care facility with a fever. The complete blood count report shows a lymphocyte count of 10,000/microliter, eosinophil count of 1%, and neutrophil count of 2%. Which terminology does the nurse apply to the client's condition?
1)Lymphocytosis
2)Eosinophilia
3)Neutropenia
4)Basilcytosis