Exam
(2026-2027)
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, Which client should the nurse practitioner (NP) recognize A 30-year-old client who donates blood every 3 months
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
The nurse practitioner (NP) reviews a client's laboratory Serum ferritin
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
The nurse practitioner (NP) is caring for a client with beta a bloos transfusion
thalassemia major. The NP should anticipate the client
will require what?
The nurse practitioner (NP) is counseling a client with Avoid drinking tea or coffee with meals
iron deficiency anemia about dietary needs. Which Consume lean red meat
instruction(s) should the NP include? Select all that Consume iron-fortified cereal
apply. Consume vitamin C-rich foods with iron-rich meals
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
A nurse practitioner (NP) is providing pre-conception Refer the couple for genetic counseling.
counseling to a couple, both of whom are carriers of Explain what it means to be a carrier of thalassemia.
thalassemia. Which of the following actions should the Discuss inheritance patterns of thalassemia.
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.
The nurse practitioner (NP) assesses the client on a Ferritin level
follow-up visit after the initiation of treatment for Hemoglobin level
thalassemia including administration of blood Energy level
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
Which of the following clients should the nurse Adult client who had a vertical sleeve gastrectomy
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
Mean Corpuscular Hemoglobin Concentration (MCHC) indicates hemoglobin concentration in RBCs
Ferritin total iron stores; low levels indicate iron deficiency