PNH301 PREPARATION TEST 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
● When obtaining assessment data from a client with a microcytic,
hypochromic anemia, what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia. Answer: b. dietary intake of iron
● Nursing interventions for a client w/ severe anemia r/t PUD include
which of the following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections. Answer: a + c
- high iron diet
- monitor stools for blood
,● Which nursing management actions apply for a client in sickle cell
crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content. Answer: a, b, c,
d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
● The healthcare provider prescribes levothyroxine (synthroid) for a
client w/ myxedema. After teaching regarding this drug, the nurse
determines that further instruction is needed when the client says which
of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right
away". Answer: b. levothyroxine is lifelong treatment
, ● Which of the following are important nursing intervention(s) when
caring for a patient w/ Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection. Answer: b + e
- monitor blood glucose
- protect client from infection
● How does the nurse instruct the client who is taking corticosteroids to
control adverse effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension. Answer:
a. increase calcium intake
● What does the nurse teach the client regarding the best time to take
corticosteroids for replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
QUESTIONS AND CORRECT ANSWERS
GRADED A+
● When obtaining assessment data from a client with a microcytic,
hypochromic anemia, what would the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia. Answer: b. dietary intake of iron
● Nursing interventions for a client w/ severe anemia r/t PUD include
which of the following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections. Answer: a + c
- high iron diet
- monitor stools for blood
,● Which nursing management actions apply for a client in sickle cell
crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content. Answer: a, b, c,
d
-monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
● The healthcare provider prescribes levothyroxine (synthroid) for a
client w/ myxedema. After teaching regarding this drug, the nurse
determines that further instruction is needed when the client says which
of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right
away". Answer: b. levothyroxine is lifelong treatment
, ● Which of the following are important nursing intervention(s) when
caring for a patient w/ Cushing's syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection. Answer: b + e
- monitor blood glucose
- protect client from infection
● How does the nurse instruct the client who is taking corticosteroids to
control adverse effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension. Answer:
a. increase calcium intake
● What does the nurse teach the client regarding the best time to take
corticosteroids for replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
