NR 507 Midterm Exam Questions with 100%
Verified Correct Answers
Which client should the nurse practitioner (NP) recognize as most at risk of developing
iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure
A 30-year-old client who donates blood every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which laboratory
result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP
should anticipate the client will require what?
a bloos transfusion
,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
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 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.
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
Hemoglobin level
Energy level
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
Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC)
indicates hemoglobin concentration in RBCs
Ferritin
, total iron stores; low levels indicate iron deficiency
microlytic anemia
small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment
blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity
Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity
mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease
IgG antibodies attach the TSH receptor causing an over production of thyroid hormones
leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for
pregnant), radioactive iodine therapy (not for pregnant)
Type 3 hypersensitivity
Verified Correct Answers
Which client should the nurse practitioner (NP) recognize as most at risk of developing
iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure
A 30-year-old client who donates blood every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which laboratory
result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP
should anticipate the client will require what?
a bloos transfusion
,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
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 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.
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
Hemoglobin level
Energy level
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
Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC)
indicates hemoglobin concentration in RBCs
Ferritin
, total iron stores; low levels indicate iron deficiency
microlytic anemia
small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment
blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity
Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity
mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease
IgG antibodies attach the TSH receptor causing an over production of thyroid hormones
leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for
pregnant), radioactive iodine therapy (not for pregnant)
Type 3 hypersensitivity
