NR 507 MIDTERM FINAL PAPER
QUESTIONS AND CORRECT ANSWERS FULL
REVIEW GUIDE
●● 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
Answer: Serum ferritin
●● The nurse practitioner (NP) is caring for a client with beta
thalassemia major. The NP should anticipate the client will require what?
Answer: 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
Answer: 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.
Answer: 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
Answer: 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
Answer: Adult client who had a vertical sleeve gastrectomy
, ●● Mean Corpuscular Hemoglobin Concentration (MCHC)
Answer: indicates hemoglobin concentration in RBCs
●● Ferritin
Answer: total iron stores; low levels indicate iron deficiency
●● microlytic anemia
Answer: small RBC's
-iron deficiency
-thalassemia
●● Thalassemia beta major treatment
Answer: blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
●● Type 1 hypersensitivity
Answer: Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
●● Type 2 hypersensitivity
QUESTIONS AND CORRECT ANSWERS FULL
REVIEW GUIDE
●● 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
Answer: Serum ferritin
●● The nurse practitioner (NP) is caring for a client with beta
thalassemia major. The NP should anticipate the client will require what?
Answer: 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
Answer: 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.
Answer: 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
Answer: 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
Answer: Adult client who had a vertical sleeve gastrectomy
, ●● Mean Corpuscular Hemoglobin Concentration (MCHC)
Answer: indicates hemoglobin concentration in RBCs
●● Ferritin
Answer: total iron stores; low levels indicate iron deficiency
●● microlytic anemia
Answer: small RBC's
-iron deficiency
-thalassemia
●● Thalassemia beta major treatment
Answer: blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
●● Type 1 hypersensitivity
Answer: Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
●● Type 2 hypersensitivity
