NR 507 Midterm Exam Questions and
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 - ANS 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 - ANS Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what? - ANS a bloos transfusion
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,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 - ANS 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. - ANS 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.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - ANS 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 - ANS Adult client who had a vertical
sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - ANS indicates hemoglobin
concentration in RBCs
Ferritin - ANS total iron stores; low levels indicate iron deficiency
microlytic anemia - ANS small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - ANS blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
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 - ANS 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 - ANS Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what? - ANS a bloos transfusion
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,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 - ANS 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. - ANS 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.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - ANS 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 - ANS Adult client who had a vertical
sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - ANS indicates hemoglobin
concentration in RBCs
Ferritin - ANS total iron stores; low levels indicate iron deficiency
microlytic anemia - ANS small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - ANS blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
