NSG 323 Final Exam Questions and All
Correct Answers 2025-2026 Updated.
Iron Deficiency Anemia (IDA) S/S - Answer Lethargic, pale, weird food cravings (pica), and
enlarged tongue
Pernicious Anemia - Answer #1 cause of B12 deficiency. Red beefy tongue
Sickle Cell Anemia (SCA) - Answer Pain management, and DBT prophylaxis
Oral Ferrous Sulfate - Answer For IDA. Take an hour before meals. Take with vitamin C or
orange juice to enhance absorption. Constipation is common
Oral Ferrous Sulfate - Answer Can stain teeth in liquid form so dilute and use a straw. Causes
stools to become black.
B12 Injection - Answer IM. Used because most patients with B12 deficiency have a hard time
absorbing it through the GI tract and cannot take oral supplements. Can also come in a nasal
admin route.
B12 Oral - Answer Only used if patient has no problem with absorbing B12 through the GI
tract. High dose oral or sublingual cobalamin.
SCD Pain Management - Answer TOP PRIORITY. Large doses of continuous morphine or
hydromorphone. Additional doses for breakthrough pain.
Also DVT (deep vein thrombosis) prophylaxis
Hydroxyurea - Answer Only medication that is clinically beneficial for sickle cell. Increases
the production of hemoglobin and alters the adhesions of sickle cells to the endothelium.
Results in less sickle cells and less painful crises.
Blood Transfusion - Answer Verify order, patients identity, blood type, and consent.
Two licensed personnel at bedside for verification.
Start infusion slowly.
Monitor patient closely for first 15 minutes.
VS per facility protocol.
Complete transfusion in less than 4 hours.
, Blood Transfusion Reaction - Answer (1) Stop the transfusion.
(2) Maintain IV site with NS.
(3) Notify blood bank and HCP.
(4) Verify tags and numbers.
(5) Send blood and tubing to the lab.
(6) Obtain labs and urine specimens (hematuria).
(7) Document.
Asthma - Answer Chronic inflammatory disorder of the airways.
Chronic inflammation leads to episodes of wheezing, breathlessness, and cough.
Usually reversible either spontaneous or with treatment (Albuterol).
Asthma Clinical Manifestations - Answer Wheezing, cough, dyspnea, prolonged expiration,
chest tightness, speaking 1-2 words, tachypnea, tachycardia, anxiety, and SILENT CHEST**.
Silent Chest - Answer Life-threatening asthma. Too dyspneic to speak, prespring profusely,
drowsy/confused, and requires hospital care, often admitted to ICU.
Central Cyanosis - Answer Generalized bluish discoloration of the body and visible mucous
membranes, occurs due to inadequate oxygenation secondary to conditions that lead to an
increase in deoxygenated hemoglobin or presence of abnormal hemoglobin.
Peripheral Cyanosis - Answer Bluish discoloration of distal extremities (Hands, fingertips,
toes) and can sometimes involve circumoral and periorbital areas. Mucous membranes are
generally not involved. Rarely life-threatening, essential to determine underlying cause and
timely management to prevent potential complications.
Differential Cyanosis - Answer Asymmetrical bluish discoloration between the upper and
lower extremities. Usually indicates serious underlying cardiopulmonary conditions.
Short Acting B2-Adrenergic Agonists (Asthma) - Answer Ie. Albuterol
Prevent release of inflammatory mediators from mast cells. Not for long-term use.
Relieves acute bronchospasm, works in minutes.
Side Effects: Tachycardia, dysrhythmias.
"Rescue inhaler" Nebulizer, MDI, and PO meds.
Check blood glucose
Correct Answers 2025-2026 Updated.
Iron Deficiency Anemia (IDA) S/S - Answer Lethargic, pale, weird food cravings (pica), and
enlarged tongue
Pernicious Anemia - Answer #1 cause of B12 deficiency. Red beefy tongue
Sickle Cell Anemia (SCA) - Answer Pain management, and DBT prophylaxis
Oral Ferrous Sulfate - Answer For IDA. Take an hour before meals. Take with vitamin C or
orange juice to enhance absorption. Constipation is common
Oral Ferrous Sulfate - Answer Can stain teeth in liquid form so dilute and use a straw. Causes
stools to become black.
B12 Injection - Answer IM. Used because most patients with B12 deficiency have a hard time
absorbing it through the GI tract and cannot take oral supplements. Can also come in a nasal
admin route.
B12 Oral - Answer Only used if patient has no problem with absorbing B12 through the GI
tract. High dose oral or sublingual cobalamin.
SCD Pain Management - Answer TOP PRIORITY. Large doses of continuous morphine or
hydromorphone. Additional doses for breakthrough pain.
Also DVT (deep vein thrombosis) prophylaxis
Hydroxyurea - Answer Only medication that is clinically beneficial for sickle cell. Increases
the production of hemoglobin and alters the adhesions of sickle cells to the endothelium.
Results in less sickle cells and less painful crises.
Blood Transfusion - Answer Verify order, patients identity, blood type, and consent.
Two licensed personnel at bedside for verification.
Start infusion slowly.
Monitor patient closely for first 15 minutes.
VS per facility protocol.
Complete transfusion in less than 4 hours.
, Blood Transfusion Reaction - Answer (1) Stop the transfusion.
(2) Maintain IV site with NS.
(3) Notify blood bank and HCP.
(4) Verify tags and numbers.
(5) Send blood and tubing to the lab.
(6) Obtain labs and urine specimens (hematuria).
(7) Document.
Asthma - Answer Chronic inflammatory disorder of the airways.
Chronic inflammation leads to episodes of wheezing, breathlessness, and cough.
Usually reversible either spontaneous or with treatment (Albuterol).
Asthma Clinical Manifestations - Answer Wheezing, cough, dyspnea, prolonged expiration,
chest tightness, speaking 1-2 words, tachypnea, tachycardia, anxiety, and SILENT CHEST**.
Silent Chest - Answer Life-threatening asthma. Too dyspneic to speak, prespring profusely,
drowsy/confused, and requires hospital care, often admitted to ICU.
Central Cyanosis - Answer Generalized bluish discoloration of the body and visible mucous
membranes, occurs due to inadequate oxygenation secondary to conditions that lead to an
increase in deoxygenated hemoglobin or presence of abnormal hemoglobin.
Peripheral Cyanosis - Answer Bluish discoloration of distal extremities (Hands, fingertips,
toes) and can sometimes involve circumoral and periorbital areas. Mucous membranes are
generally not involved. Rarely life-threatening, essential to determine underlying cause and
timely management to prevent potential complications.
Differential Cyanosis - Answer Asymmetrical bluish discoloration between the upper and
lower extremities. Usually indicates serious underlying cardiopulmonary conditions.
Short Acting B2-Adrenergic Agonists (Asthma) - Answer Ie. Albuterol
Prevent release of inflammatory mediators from mast cells. Not for long-term use.
Relieves acute bronchospasm, works in minutes.
Side Effects: Tachycardia, dysrhythmias.
"Rescue inhaler" Nebulizer, MDI, and PO meds.
Check blood glucose
