NR 507 MIDTERM EXAM
NR 507 MIDTERM EXAM QUESTIONS AND ANSWERS GRADED A+
Which client should the nurse practitioner (NP) recognize 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 - correct answer A
30-year-old client who donates blood every 3 months
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
,NR 507 MIDTERM EXAM
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - correct 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? - correct
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 - correct 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
,NR 507 MIDTERM EXAM
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. - correct 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 - correct answer Ferritin level
Hemoglobin level
, NR 507 MIDTERM EXAM
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 - correct answer
Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - correct
answer indicates hemoglobin concentration in RBCs
Ferritin - correct answer total iron stores; low levels indicate iron
deficiency
microlytic anemia - correct answer small RBC's
-iron deficiency
-thalassemia
NR 507 MIDTERM EXAM QUESTIONS AND ANSWERS GRADED A+
Which client should the nurse practitioner (NP) recognize 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 - correct answer A
30-year-old client who donates blood every 3 months
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
,NR 507 MIDTERM EXAM
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - correct 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? - correct
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 - correct 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
,NR 507 MIDTERM EXAM
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. - correct 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 - correct answer Ferritin level
Hemoglobin level
, NR 507 MIDTERM EXAM
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 - correct answer
Adult client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - correct
answer indicates hemoglobin concentration in RBCs
Ferritin - correct answer total iron stores; low levels indicate iron
deficiency
microlytic anemia - correct answer small RBC's
-iron deficiency
-thalassemia
