NUR 304 EXAM 4 STUDY GUIDE 2026
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
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<RECENT VERSION>
1. Iron Ranges: Men and Women - ANSWER ✔ Females: 60-160 mcg/dL;
Males: 80-180 mcg/dL
2. Hemoglobin (Hgb) ranges: men and women - ANSWER ✔ Females: 12-16
g/dL; Males: 14-18 g/dL
3. Sickle Cell Anemia - ANSWER ✔ Inherited disorder that results from a
single mutated gene affecting the shape of RBCs.
4. Sickle Cell Anemia Pathophysiology - ANSWER ✔ Causes Hgb to be
sticky, rigid and forms a 'C' shape, blocking normal blood flow.
5. Sickle Cell Anemia Causes - ANSWER ✔ Recessive disorder requiring both
parents to be carriers; risk factors include African, Mediterranean, or Middle
Eastern ancestry.
,6. Sickle Cell Anemia Symptoms - ANSWER ✔ Extreme pain, lack of
circulation, vaso-occlusive crisis, hand and feet swelling, visual deficits,
acute chest syndrome, generic anemia symptoms.
7. What are the generic anemia symptoms? - ANSWER ✔ Fatigue, SOB, HA,
pallor, dizziness
8. Labs/diagnostics to diagnose sickle cell anemia - ANSWER ✔ Blood
testing, amniotic fluid tests before birth, genetic testing, sickle-cell test:
evaluates the sickling of RBCs in the presence of decreased oxygen tension
9. Sickle Cell Anemia Treatment - ANSWER ✔ Medications for pain
management, IV fluids, blood transfusions, oxygen, stem cell transplant, and
specific medications
10.Sickle cell client education - ANSWER ✔ Avoid triggers: surgery, trauma,
stress, infection, vigorous exercise, dehydration, extreme temps, extreme
altitudes
11.The nurse assesses an older client. What age-related physiologic changes
would the nurse
expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite - ANSWER ✔ ANS: C
, As people age, the many of the endocrine glands decrease hormone
production, including a
decrease in antidiuretic hormone production. This change, in addition to less
body fluid being
present as one ages, can cause dehydration. Older adults usually have cold
intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change;
osteoarthritis causes
primarily by aging.
12.A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and
asks the nurse why
she has to have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
b. "It determines what type of anemia you may have."
c. "It measures the amount of liver glycogen you have."
d. "It determines you have some type of leukemia or other blood
cancer." - ANSWER ✔ ANS: A
A1C measures the average blood glucose level to determine if the client is a
diabetic or how
controlled a diabetic client is.
13.The nurse assesses a client who is scheduled to have a laboratory test to
determine if the
client's adrenal glands are hypoactive. What type of testing would the client
likely have?
a. Catecholamine testing
, b. Suppression testing
c. Bone marrow testing
d. Provocative testing - ANSWER ✔ ANS: D
Provocative testing is done to determine if an endocrine gland is capable of
producing its
normal level of hormone(s), especially when a client is suspected of having a
hypoactive
endocrine gland.
14.A nurse assesses a client who is prescribed a medication that stimulates
beta1 receptors.
Which assessment finding would indicate that the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69 mmHg - ANSWER ✔ ANS: A
Stimulation of beta1 receptor sites in the heart has positive chronotropic and
inotropic actions.
The nurse expects an increase in heart rate and increased cardiac output. The
other vital signs
are within normal limits and do not indicate any response to the medication.
15.A nurse collaborates with assistive personnel (AP) to provide care for a
client who is
prescribed a 24-hour urine specimen collection. Which statement would the
nurse include
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Iron Ranges: Men and Women - ANSWER ✔ Females: 60-160 mcg/dL;
Males: 80-180 mcg/dL
2. Hemoglobin (Hgb) ranges: men and women - ANSWER ✔ Females: 12-16
g/dL; Males: 14-18 g/dL
3. Sickle Cell Anemia - ANSWER ✔ Inherited disorder that results from a
single mutated gene affecting the shape of RBCs.
4. Sickle Cell Anemia Pathophysiology - ANSWER ✔ Causes Hgb to be
sticky, rigid and forms a 'C' shape, blocking normal blood flow.
5. Sickle Cell Anemia Causes - ANSWER ✔ Recessive disorder requiring both
parents to be carriers; risk factors include African, Mediterranean, or Middle
Eastern ancestry.
,6. Sickle Cell Anemia Symptoms - ANSWER ✔ Extreme pain, lack of
circulation, vaso-occlusive crisis, hand and feet swelling, visual deficits,
acute chest syndrome, generic anemia symptoms.
7. What are the generic anemia symptoms? - ANSWER ✔ Fatigue, SOB, HA,
pallor, dizziness
8. Labs/diagnostics to diagnose sickle cell anemia - ANSWER ✔ Blood
testing, amniotic fluid tests before birth, genetic testing, sickle-cell test:
evaluates the sickling of RBCs in the presence of decreased oxygen tension
9. Sickle Cell Anemia Treatment - ANSWER ✔ Medications for pain
management, IV fluids, blood transfusions, oxygen, stem cell transplant, and
specific medications
10.Sickle cell client education - ANSWER ✔ Avoid triggers: surgery, trauma,
stress, infection, vigorous exercise, dehydration, extreme temps, extreme
altitudes
11.The nurse assesses an older client. What age-related physiologic changes
would the nurse
expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite - ANSWER ✔ ANS: C
, As people age, the many of the endocrine glands decrease hormone
production, including a
decrease in antidiuretic hormone production. This change, in addition to less
body fluid being
present as one ages, can cause dehydration. Older adults usually have cold
intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change;
osteoarthritis causes
primarily by aging.
12.A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and
asks the nurse why
she has to have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
b. "It determines what type of anemia you may have."
c. "It measures the amount of liver glycogen you have."
d. "It determines you have some type of leukemia or other blood
cancer." - ANSWER ✔ ANS: A
A1C measures the average blood glucose level to determine if the client is a
diabetic or how
controlled a diabetic client is.
13.The nurse assesses a client who is scheduled to have a laboratory test to
determine if the
client's adrenal glands are hypoactive. What type of testing would the client
likely have?
a. Catecholamine testing
, b. Suppression testing
c. Bone marrow testing
d. Provocative testing - ANSWER ✔ ANS: D
Provocative testing is done to determine if an endocrine gland is capable of
producing its
normal level of hormone(s), especially when a client is suspected of having a
hypoactive
endocrine gland.
14.A nurse assesses a client who is prescribed a medication that stimulates
beta1 receptors.
Which assessment finding would indicate that the medication is effective?
a. Heart rate of 92 beats/min
b. Respiratory rate of 18 breaths/min
c. Oxygenation saturation of 92%
d. Blood pressure of 144/69 mmHg - ANSWER ✔ ANS: A
Stimulation of beta1 receptor sites in the heart has positive chronotropic and
inotropic actions.
The nurse expects an increase in heart rate and increased cardiac output. The
other vital signs
are within normal limits and do not indicate any response to the medication.
15.A nurse collaborates with assistive personnel (AP) to provide care for a
client who is
prescribed a 24-hour urine specimen collection. Which statement would the
nurse include
