Anemia NCLEX Style Questions and
Answers Graded A+
A nurse is caring for a 2-year-old child with iron deficiency anemia (IDA). Which
of the following factors can contribute to the development of IDA in this age
group? (Select all that apply)
a) Increased intake of cow's milk
b) Rapid growth and increased blood volume
c) Delayed introduction of solid foods
d) Insufficient intake of iron-rich foods
e) High intake of fruit juices - Correct answer-Rationale: Increased cow's milk
intake can reduce iron absorption and irritate the intestines. Rapid growth increases
the need for iron to support expanding blood volume. Delayed introduction of iron-
rich solid foods and insufficient intake of iron-rich foods can also contribute to
IDA. High intake of fruit juices, while not a direct cause, can replace the intake of
more nutrient-dense foods.
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, Correct Answers: a) Increased intake of cow's milk, b) Rapid growth and increased
blood volume, c) Delayed introduction of solid foods, d) Insufficient intake of iron-
rich foods
A 10-year-old girl with heavy menstrual periods is diagnosed with iron deficiency
anemia. Which of the following clinical manifestations would the nurse expect to
find?
a) Extreme pallor, tachycardia, and lethargy
b) Jaundice, dark urine, and splenomegaly
c) Bruising, petechiae, and increased bleeding time
d) Bone pain, hepatomegaly, and fatigue - Correct answer-Rationale: In iron
deficiency anemia, clinical signs include extreme pallor, lethargy, and tachycardia
as the body compensates for the reduced oxygen-carrying capacity of red blood
cells. Jaundice, bruising, and hepatomegaly are more commonly associated with
other hematologic conditions.
Correct Answer: a) Extreme pallor, tachycardia, and lethargy
A child with sickle cell disease (SCD) is admitted with severe abdominal pain,
pallor, and fatigue. Which of the following factors may have triggered this vaso-
occlusive crisis? (Select all that apply)
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Answers Graded A+
A nurse is caring for a 2-year-old child with iron deficiency anemia (IDA). Which
of the following factors can contribute to the development of IDA in this age
group? (Select all that apply)
a) Increased intake of cow's milk
b) Rapid growth and increased blood volume
c) Delayed introduction of solid foods
d) Insufficient intake of iron-rich foods
e) High intake of fruit juices - Correct answer-Rationale: Increased cow's milk
intake can reduce iron absorption and irritate the intestines. Rapid growth increases
the need for iron to support expanding blood volume. Delayed introduction of iron-
rich solid foods and insufficient intake of iron-rich foods can also contribute to
IDA. High intake of fruit juices, while not a direct cause, can replace the intake of
more nutrient-dense foods.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, Correct Answers: a) Increased intake of cow's milk, b) Rapid growth and increased
blood volume, c) Delayed introduction of solid foods, d) Insufficient intake of iron-
rich foods
A 10-year-old girl with heavy menstrual periods is diagnosed with iron deficiency
anemia. Which of the following clinical manifestations would the nurse expect to
find?
a) Extreme pallor, tachycardia, and lethargy
b) Jaundice, dark urine, and splenomegaly
c) Bruising, petechiae, and increased bleeding time
d) Bone pain, hepatomegaly, and fatigue - Correct answer-Rationale: In iron
deficiency anemia, clinical signs include extreme pallor, lethargy, and tachycardia
as the body compensates for the reduced oxygen-carrying capacity of red blood
cells. Jaundice, bruising, and hepatomegaly are more commonly associated with
other hematologic conditions.
Correct Answer: a) Extreme pallor, tachycardia, and lethargy
A child with sickle cell disease (SCD) is admitted with severe abdominal pain,
pallor, and fatigue. Which of the following factors may have triggered this vaso-
occlusive crisis? (Select all that apply)
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