NUR 216 EXAM #2FINAL EXAM
(UPDATED 2026) QUESTIONS &
ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2026-2027
1. A patient with anemia is experiencing increased fatigue and occasional palpitations at rest.
The nurse would expect the patient's laboratory findings to include:
Answer: D) Hemoglobin (Hgb) of 8.6 g/dL
Rationale: Fatigue and palpitations occur because severe anemia reduces the oxygen-carrying
capacity of the blood. A hemoglobin of 8.6 g/dL indicates significant anemia. Normal
hemoglobin is approximately 12–16 g/dL in women and 14–18 g/dL in men.
2. Best dietary choice for iron-deficiency anemia
Answer: B) Omelet and whole wheat toast
Rationale: Eggs and whole grains provide iron, while whole wheat products contain additional
iron and nutrients. Patients with iron-deficiency anemia should consume iron-rich foods such as
lean meats, eggs, beans, leafy greens, and fortified cereals.
3. Methotrexate causes megaloblastic anemia. Increase intake of:
Answer: C) Folic acid
Rationale: Methotrexate inhibits folic acid metabolism, leading to megaloblastic anemia.
Supplemental folic acid reduces toxicity and supports normal red blood cell production.
4. Pernicious anemia teaching
Answer: "I would rather use the nasal spray than have to get injections of vitamin B12."
, Rationale: Pernicious anemia results from a lack of intrinsic factor, preventing vitamin B12
absorption. After vitamin B12 levels are restored with injections, some patients may safely
switch to prescribed intranasal vitamin B12 maintenance therapy.
5. Severe hemolytic anemia nursing action
Answer: Alternate periods of rest and activity
Rationale: Anemia decreases oxygen delivery to tissues, causing fatigue. Alternating activity
with rest conserves energy while maintaining function.
6. Oral ferrous sulfate teaching
Answer: "I will call the doctor if my stools start to turn black."
Rationale: Black or dark green stools are an expected side effect of iron therapy. The patient
does not need to report this unless accompanied by signs of gastrointestinal bleeding.
7. Idiopathic aplastic anemia collaborative problem
Answer: Potential complication: Infection
Rationale: Aplastic anemia causes pancytopenia. Low white blood cell counts place the patient
at very high risk for infection.
8. Sickle cell crisis priority
Answer: Evaluate the effectiveness of opioid analgesics
Rationale: Pain from vaso-occlusion is the hallmark of sickle cell crisis. Adequate pain control is
the highest nursing priority.
9. Preventing sickle cell crisis
Answer: "My risk for a crisis can be lowered by having an annual influenza vaccination."
Rationale: Infection is a major trigger for sickle cell crises. Vaccinations reduce infection risk and
therefore reduce crisis frequency.
(UPDATED 2026) QUESTIONS &
ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2026-2027
1. A patient with anemia is experiencing increased fatigue and occasional palpitations at rest.
The nurse would expect the patient's laboratory findings to include:
Answer: D) Hemoglobin (Hgb) of 8.6 g/dL
Rationale: Fatigue and palpitations occur because severe anemia reduces the oxygen-carrying
capacity of the blood. A hemoglobin of 8.6 g/dL indicates significant anemia. Normal
hemoglobin is approximately 12–16 g/dL in women and 14–18 g/dL in men.
2. Best dietary choice for iron-deficiency anemia
Answer: B) Omelet and whole wheat toast
Rationale: Eggs and whole grains provide iron, while whole wheat products contain additional
iron and nutrients. Patients with iron-deficiency anemia should consume iron-rich foods such as
lean meats, eggs, beans, leafy greens, and fortified cereals.
3. Methotrexate causes megaloblastic anemia. Increase intake of:
Answer: C) Folic acid
Rationale: Methotrexate inhibits folic acid metabolism, leading to megaloblastic anemia.
Supplemental folic acid reduces toxicity and supports normal red blood cell production.
4. Pernicious anemia teaching
Answer: "I would rather use the nasal spray than have to get injections of vitamin B12."
, Rationale: Pernicious anemia results from a lack of intrinsic factor, preventing vitamin B12
absorption. After vitamin B12 levels are restored with injections, some patients may safely
switch to prescribed intranasal vitamin B12 maintenance therapy.
5. Severe hemolytic anemia nursing action
Answer: Alternate periods of rest and activity
Rationale: Anemia decreases oxygen delivery to tissues, causing fatigue. Alternating activity
with rest conserves energy while maintaining function.
6. Oral ferrous sulfate teaching
Answer: "I will call the doctor if my stools start to turn black."
Rationale: Black or dark green stools are an expected side effect of iron therapy. The patient
does not need to report this unless accompanied by signs of gastrointestinal bleeding.
7. Idiopathic aplastic anemia collaborative problem
Answer: Potential complication: Infection
Rationale: Aplastic anemia causes pancytopenia. Low white blood cell counts place the patient
at very high risk for infection.
8. Sickle cell crisis priority
Answer: Evaluate the effectiveness of opioid analgesics
Rationale: Pain from vaso-occlusion is the hallmark of sickle cell crisis. Adequate pain control is
the highest nursing priority.
9. Preventing sickle cell crisis
Answer: "My risk for a crisis can be lowered by having an annual influenza vaccination."
Rationale: Infection is a major trigger for sickle cell crises. Vaccinations reduce infection risk and
therefore reduce crisis frequency.
