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NR 507 MIDTERM EXAM – ADVANCED
PATHOPHYSIOLOGY EXAMINATION||VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR JUST RELEASED
The nurse practitioner (NP) is counseling a client with iron
deficiency anemia about dietary needs. Which
instruction(s) should the NP include? Select all that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals -
Answer-Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception
counseling to a couple, both of whom are carriers of
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thalassemia. Which of the following actions should the NP
take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with
thalassemia.
Discuss inheritance patterns of thalassemia. - Answer-
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a
follow-up visit after the initiation of treatment for
thalassemia including administration of blood transfusions.
What three (3) assessments should the NP prioritize to
evaluate client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
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Hemoglobin level
Energy level - Answer-Ferritin level
Hemoglobin level
Energy level
Which of the following clients should the nurse practitioner
(NP) recognize as being most at risk for developing
vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy -
Answer-Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) -
Answer-indicates hemoglobin concentration in RBCs
Ferritin - Answer-total iron stores; low levels indicate iron
deficiency
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microlytic anemia - Answer-small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - Answer-blood
transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - Answer-Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - Answer-mediated by IgG
antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - Answer-IgG antibodies attach the TSH
receptor causing an over production of thyroid hormones
leading the hyperthyroidism
NR 507 MIDTERM EXAM – ADVANCED
PATHOPHYSIOLOGY EXAMINATION||VERIFIED
QUESTIONS AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR JUST RELEASED
The nurse practitioner (NP) is counseling a client with iron
deficiency anemia about dietary needs. Which
instruction(s) should the NP include? Select all that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals -
Answer-Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception
counseling to a couple, both of whom are carriers of
,2|Page
thalassemia. Which of the following actions should the NP
take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with
thalassemia.
Discuss inheritance patterns of thalassemia. - Answer-
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a
follow-up visit after the initiation of treatment for
thalassemia including administration of blood transfusions.
What three (3) assessments should the NP prioritize to
evaluate client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
,3|Page
Hemoglobin level
Energy level - Answer-Ferritin level
Hemoglobin level
Energy level
Which of the following clients should the nurse practitioner
(NP) recognize as being most at risk for developing
vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy -
Answer-Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) -
Answer-indicates hemoglobin concentration in RBCs
Ferritin - Answer-total iron stores; low levels indicate iron
deficiency
, 4|Page
microlytic anemia - Answer-small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - Answer-blood
transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - Answer-Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - Answer-mediated by IgG
antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - Answer-IgG antibodies attach the TSH
receptor causing an over production of thyroid hormones
leading the hyperthyroidism
