NR 507 MIDTERM
QUESTIONS, ANSWERS & RATIONALES
|100% PASS GUARANTEED | GRADED
A+
1. Which client should the nurse practitioner (NP) rec- ognize as most at risk of
developing iron deficiency anemia? A 25-year-old client who recently became preg-
nant
Answer Choises:
A. A 25-year-old client who recently became pregnant
B. A 40-year-old client with a history of peptic ulcers
C. A 30-year-old client who donates blood every 3 months
D. A 50-year-old client with congestive heart failure
Correct Answer: C
Rationales for all answer choices:
A. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
B. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
C. This choice is supported by the source as the strongest iron-deficiency risk because
repeated blood donation removes iron-containing red blood cells.
,D. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
2. The nurse practitioner (NP) reviews a client's labo- ratory results. Which
laboratory result best reflects the client's level of iron stores?
Answer Choices:
A. Transferrin saturation
B. Hemoglobin
C. Serum iron
D. Serum ferritin
Correct Answer: D
Rationales for all answer choices:
A. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
B. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
C. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
D. Serum ferritin best reflects stored iron.
3.
Answer Choices:
A. A blood transfusion
Correct Answer: A
Rationales for all answer choices:
A. Beta thalassemia major commonly requires regular red-blood-cell transfusions.
,4. 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.
Answer Choices:
A. Avoid drinking tea or coffee with meals
B. Consume lean red meat
C. Consume iron-fortified cereal
D. Consume vitamin C-rich foods with iron-rich meals
E. Increase intake of calcium-rich foods
Correct Answer: A,B,C,D
Rationales for all answer choices:
A. This dietary measure supports iron intake or absorption.
B. This dietary measure supports iron intake or absorption.
C. This dietary measure supports iron intake or absorption.
D. This dietary measure supports iron intake or absorption.
E. This is not a primary intervention for improving iron status.
5. A nurse practitioner (NP) is providing pre-concep- tion counseling to a couple, both
of whom are car- riers of thalassemia. Which of the following actions should the NP
take? Select all that apply.
Answer Choices:
A. Encourage the couple not to conceive
B. Refer the couple for genetic counseling
C. Explain what it means to be a carrier of thalassemia
D. Discuss ways to prevent naturally conceiving a child with thalassemia
E. Discuss inheritance patterns of thalassemia
Correct Answer: B,C,D,E
Rationales for all answer choices:
, A. The source does not support this as the preferred counseling approach.
B. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
C. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
D. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
E. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
6. 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? Se- lect 3.
Answer Choices:
A. Dietary intake
B. Developmental milestones
C. Ferritin level
D. Hemoglobin level
E. Energy level
Correct Answer: C,D,E
Rationales for all answer choices:
A. This is not one of the three priority outcome measures keyed in the source.
B. This is not one of the three priority outcome measures keyed in the source.
C. This measure directly helps assess response to transfusion therapy and/or iron status.
D. This measure directly helps assess response to transfusion therapy and/or iron status.
E. This measure directly helps assess response to transfusion therapy and/or iron status.
QUESTIONS, ANSWERS & RATIONALES
|100% PASS GUARANTEED | GRADED
A+
1. Which client should the nurse practitioner (NP) rec- ognize as most at risk of
developing iron deficiency anemia? A 25-year-old client who recently became preg-
nant
Answer Choises:
A. A 25-year-old client who recently became pregnant
B. A 40-year-old client with a history of peptic ulcers
C. A 30-year-old client who donates blood every 3 months
D. A 50-year-old client with congestive heart failure
Correct Answer: C
Rationales for all answer choices:
A. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
B. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
C. This choice is supported by the source as the strongest iron-deficiency risk because
repeated blood donation removes iron-containing red blood cells.
,D. This is a risk factor, but the source identifies repeated blood donation as the strongest
choice.
2. The nurse practitioner (NP) reviews a client's labo- ratory results. Which
laboratory result best reflects the client's level of iron stores?
Answer Choices:
A. Transferrin saturation
B. Hemoglobin
C. Serum iron
D. Serum ferritin
Correct Answer: D
Rationales for all answer choices:
A. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
B. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
C. This reflects circulating iron or blood-cell status rather than iron stores as directly as
ferritin.
D. Serum ferritin best reflects stored iron.
3.
Answer Choices:
A. A blood transfusion
Correct Answer: A
Rationales for all answer choices:
A. Beta thalassemia major commonly requires regular red-blood-cell transfusions.
,4. 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.
Answer Choices:
A. Avoid drinking tea or coffee with meals
B. Consume lean red meat
C. Consume iron-fortified cereal
D. Consume vitamin C-rich foods with iron-rich meals
E. Increase intake of calcium-rich foods
Correct Answer: A,B,C,D
Rationales for all answer choices:
A. This dietary measure supports iron intake or absorption.
B. This dietary measure supports iron intake or absorption.
C. This dietary measure supports iron intake or absorption.
D. This dietary measure supports iron intake or absorption.
E. This is not a primary intervention for improving iron status.
5. A nurse practitioner (NP) is providing pre-concep- tion counseling to a couple, both
of whom are car- riers of thalassemia. Which of the following actions should the NP
take? Select all that apply.
Answer Choices:
A. Encourage the couple not to conceive
B. Refer the couple for genetic counseling
C. Explain what it means to be a carrier of thalassemia
D. Discuss ways to prevent naturally conceiving a child with thalassemia
E. Discuss inheritance patterns of thalassemia
Correct Answer: B,C,D,E
Rationales for all answer choices:
, A. The source does not support this as the preferred counseling approach.
B. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
C. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
D. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
E. This is an appropriate component of genetic counseling/reproductive risk education for
carrier couples.
6. 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? Se- lect 3.
Answer Choices:
A. Dietary intake
B. Developmental milestones
C. Ferritin level
D. Hemoglobin level
E. Energy level
Correct Answer: C,D,E
Rationales for all answer choices:
A. This is not one of the three priority outcome measures keyed in the source.
B. This is not one of the three priority outcome measures keyed in the source.
C. This measure directly helps assess response to transfusion therapy and/or iron status.
D. This measure directly helps assess response to transfusion therapy and/or iron status.
E. This measure directly helps assess response to transfusion therapy and/or iron status.
