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Worksheets 1
NRSG 308 – ADULT HEALTH I:
ADDITIONAL WORKSHEETS
TO ACCOMPANY LIBRARY VIDEOS
Rationale: Additional worksheets provided to help the student understand the concepts
associated with the different disease processes. Worksheets are for student edification only and
are NOT to be turned in for points. Worksheets DO NOT count towards any paperwork grade.
However, EXAM QUESTIONS will be taken from the worksheets.
Worksheets 2
NRSG 308 – ADULT HEALTH I
Blood Count Quiz
Understanding the Complete Blood Count
(Red Blood Cells, White Blood Cells, and Platelets)
Platelets
1. What does hematology mean?
a. Study of WBC’s
b. Study of CBC’s
c. Study of the blood
d. Study of Platelets
2. True or False. Blood has both fluid and solid components in it.
a. True
b. False
3. The fluid portion of blood is called what?
a. Fluid
b. Blood
c. Platelets
d. Plasma
4. The solid portion of blood is composed of what 3 things?
1.__________________ 2. ___________________ 3.__________________
5. What does CBC stand for?
________________________________
6. What is the role and significance of the platelets?
7. What cells are platelets formed from?
a. Stem Cells
b. Bone Cells
c. CSF Fluid
d. RBC’s
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8. What is another name for platelets?
___________________________________
9. What is the life span of platelets?
a. 4-11 days
b. 3-5 days
c. 15-20 days
d. 1-2 days
10. What organ is most significant in platelet formation?
a. Brain
b. Heart
c. Liver
d. Kidney
11. What is the platelet count?
________________________________________
12. Stored blood contains no platelets because they are so fragile and they must be transfused
separately.
a. True
b. False
13. What is the normal platelet count?
a. 100-400 x103 platelets/uL
b. 150-400 x103 platelets/uL
c. 200-500 x103 platelets/uL
d. 50-150 x103 platelets/uL
14. All of the following are causes of variations to the platelet count except:
a. Age
b. Relation to menstrual cycle
c. Altitude
d. Season
e. Exercise
f. Stress
15. A decrease in platelet count is called?
___________________________________
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16. What is the main complication to thrombocytopenia?
a. Decrease bleeding with the inability to form an adequate clot
b. Increased bleeding with the ability to form an adequate clot.
c. Increased bleeding with the inability to form an adequate clot.
d. Decreased bleeding
17. All of the following are possible causes of increased platelet counts except:
a. Exercise
b. Stress
c. Hemorrhage
d. Recent splenectomy
e. Menstrual cycle
18. A Patient taking a platelet aggregation inhibitor following an angiogram such as
Integrilin, Reopro, or Plavix require frequent monitoring of potential bleeding sites.
a. True
b. False
19. When drawing a specimen for a platelet count you should keep the sample at?
a. Room temperature
b. In the Refrigerator
20. When a nurse sees the following: a 50% drop in platelets, & platelet count below
100,00/uL and has no underlying cause she should suspect what?
a. Thrombocytopenia
b. Heparin induced thrombocytopenia
c. Cancer of the blood
White Blood Count
21. White Blood Cells are often referred to as?
a. WBC
b. RBC
c. CBC
d. Plts
22. Another name for WBC is?
a. Agranulocytes
b. Granulocytes
c. Leukocytes
d. Eosinophils
23. As White blood cells mature they become smaller.
a. True
b. False
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24. What are the two groups of WBC’s?
________________________&___________________________
25. 50-75% of WBC are what type of WBC’s?
a. Basophils
b. Granulocytes
c. Eosinophils
d. Neutophils
26. Granulocytes are produced in the bone marrow.
a. True
b. False
27. What are the three types of Granulocytes?
1.____________________ 2. _____________________ 3. _____________________
28. What are the two types of Agranulocytes?
1.____________________ 2. _____________________
29. The RBC count is smaller than the WBC count.
a. True
b. False
30. What is the normal WBC?
a. 2-8x109 WBCs.L
b. 4-10x109 WBCs.L
a. 10-20x109 WBCs.L
b. 4-5x109 WBCs.L
31. What percent of available WBCs are circulating in the blood?
a. 1-2%
b. 5-7%
c. 2-3%
d. 3-4%
32. 90% of WBCs are found in the following places except.
a. Bone marrow
b. Capillary linings
c. Lungs
d. Liver
e. Spleen
f. Plasma
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33. An increase in the number of circulating WBCs is called?
34. What is the most common cause of Leukocytosis?
a. Stress
b. Acute infection
c. Cancer
d. Blood disorder
35. All of the following are causes of physiologic leukocytosis except.
a. Physical exercise
b. Labor
c. Pain
d. Cold
e. Menstruation
f. Emotional stress
g. Plane flights
36. What is the difference between ordering a normal WBC and a WBC with differential?
________________________________________________________________________
37. When the WBC is increases the most common cause is?
a. Leukocytosis
b. RBC’s
c. Neutrophils
38. Neutrophil count is increased with the following except.
a. Acute infections
b. Stress
c. Medications
d. Tissue necrosis
e. Hemolysis
f. Myeloproliferative disease
g. Chronic Infection
39. Neutrophil count is decreased in the following except.
a. Acute viral infections
b. Any prolonged infection
c. Malnutrition
d. Splenomegaly
e. Bone marrow dysfunction
f. Certain medications
g. Acute infection
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40. We don’t completely understand the role of the eosinophil.
a. True
b. False
41. In the hospital setting when the eosinophil increases we often suspect?
a. Stress
b. Acute Infection
c. Drug reaction
d. Malnutrition
42. 20-40% of the WBCs are Lymphocytes.
a. True
b. False
43. Immature neutophils are also known as bands.
a. True
b. False
44. If there is an acute infection we expect to see what increased?
a. RBC’s
b. Bands
c. Plts
Red Blood Cells
45. RBC become smaller as they mature.
a. True
b. False
46. How long does is take to make a mature RBC?
a. 1 day
b. 3 days
c. 2 days
d. 5 days
47. How long does a mature RBC live?
a. 100 days
b. 50 days
c. 120 days
d. 200 days
48. What is a normal RBC?
a. 3.0-7.4 x 1012 RBCa/L
b. 4.0-15.4 x 1012 RBCa/L
c. 4.0-5.0 x 1012 RBCa/L
d. 4.0-5.4 x 1012 RBCa/L
Worksheets 8
49. If a person does not have enough RBCs they are called:
________________________________________________
50. Smokers have a higher RBC count.
a. True
b. False
51. Hemoglobin is also part of the CBC.
a. True
b. False
52. What is a normal Hemoglobin level?
a. 12-17 gm/dL
b. 10-15 gm/dL
c. 2-7 gm/dL
d. 20-30 gm/dL
53. What is the main function of Hemoglobin?
____________________________________________________________
54. Sickel Cell is a hemoglobin disorder.
a. True
b. False
55. Hemoglobin is the main component of the RBC.
a. True
b. False
56. The most common cause of hemoglobin increase is?
a. Stress
b. Acute Illness
c. Dehydration
d. Blood Loss
57. Hematocrit is the % of RBC per volume of whole blood.
a. True
b. False
58. H&H levels vary based on age and sex of a person.
a. True
b. False
Worksheets 9
NRSG 308 ADULT HEALTH I
Hip Fracture Video Worksheet
1. Hip fractures have ______________ over the past 30 years.
2. What percent of hip fractures occur during a fall?
a. 90%
b. 70%
c. 60%
d. 50%
3. What is the first step in caring for a patient with a hip-fracture and what are the three things it
should include?
The first step is ____________________.
The three things it should include are:
1. _____________________ 2. __________________
3.__________________________
4. What should the effected leg show upon a physical exam?
a. Shortening and external rotation
b. Lengthening and internal rotation
c. Shortening and external rotation
d. Lengthening and external rotation
5. What should be checked to assess circulation in the effected leg?
a. Popliteal pulses
b. Femoral pulses
c. Pedal pulses
d. Radial pulses
6. If the fracture is pinned or plated, hip positioning is not critical but weight bearing usually
requires limits.
a. True
b. False
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7. If the treatment for the fracture is a partial or full hip replaced, then hip positioning is critical.,
but the hip is usually capable of bearing weight.
a. True
b. False
8. What are the positioning precautions for a partial hip replacement?
a. No internal rotation, No hip abduction
b. No hip flexion over 90 degrees. No internal rotation during hip flexion. No
hip abduction (crossing legs)
c. No hip flexion over 60 degrees. No internal rotation during hip
flexion. No hip abduction
d. Hip flexion under 90 is ok, no other restrictions
9. What are some common equipment needed to care for a patient with a hip replacement circle
all that apply?
a.
b.
c.
d.
Elevated Chairs
toilet seats
Abduction pillow
Hospital bed
10. What is the most systemic way to go about a post op assessment?
List below:
1.
2.
3.
4.
5.
6.
7.
11. When is the best time to start a patient controlled Analgesia Machine (PCA)?
a. Unit
b. ER
c. OR
d. Recovery room
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12. When does discharge planning begin?
a.
b.
c.
d.
Time for discharge
At admission.
When 1st arrived on the Unit
In the Pre-op room
13. Discharge planning is continued through what percent of the hospital stay?
a. 50%
b. 45%
c. 70%
d. 100%
14. What percentage of patients with hip fractures regain their independence?
a.
b.
c.
d.
> 60%
< 50%
> 20%
< 40%
Worksheets 12
NRSG 308 ADULTH HEALTH I
Knee Replacement Video Worksheet
1. What is a top priority a nurse should focus on after the surgery?
2. On admission to the patient unit,the nurse should expect that the patient will require?
3. What are post-op day 1 Goals?
4. Where should a pillow not be placed on a knee replacement patient?
5. What are the post-op goals for day 2
6. What would be the ideal day for the foley catheter to come out?
7. What are two indicators that it would be ok to remove the patients IV?
8. What needs to be assessed during a dressing change?
Worksheets 13
9. What are the patient goals for day 3?
10. What is the range on the CPM that you want to achieve by discharge?
11. What are the goals of Day 4?
12. When should the physician be notified about the wound?