NUR 242 Test Questions with Correct Answers
The nurse receives report on four clients. Which client should be assessed first?
A. Hgb 8.9 g/dL with fatigue
B. Receiving PRBCs for 10 minutes and reporting chills and low-back pain
C. Iron-deficiency anemia with constipation after starting iron
D. Vitamin B12 deficiency with chronic numbness in both feet
Answer: B
Rationale: Chills and low-back pain shortly after blood begins suggest an acute hemolytic
transfusion reaction. Stop the transfusion immediately.
2. [Select All That Apply] A client develops fever, flank pain, hypotension, and chest
tightness during a blood transfusion. Which actions should the nurse take?
A. Stop the transfusion
B. Maintain IV access with new tubing and 0.9% sodium chloride
C. Notify the provider and blood bank
D. Send the blood bag and tubing to the laboratory
E. Restart the blood at a slower rate after symptoms improve
3. [Multiple Choice] Which finding in a client with anemia indicates the greatest threat
to tissue oxygenation?
A. Pale conjunctiva
B. Heart rate 132/min
C. Reports of fatigue
D. Brittle fingernails
4. [Multiple Choice] Which meal selection best supports treatment of iron-deficiency
anemia?
, A. Oatmeal, tea, and bananas
B. Grilled chicken, white rice, and milk
C. Beef, spinach, and orange slices
D. Cottage cheese, crackers, and applesauce
5. [Select All That Apply] Which findings are expected with vitamin B12 deficiency?
A. Paresthesias
B. Gait instability
C. Glossitis
D. Loss of vibration sense
E. Petechiae
6. [Multiple Choice] A client with pernicious anemia asks why injections are prescribed.
Which response is best?
A. "Your kidneys destroy oral vitamin B12."
B. "You lack intrinsic factor needed to absorb vitamin B12."
C. "Vitamin B12 injections prevent iron overload."
D. "Injections are used only until your hemoglobin is normal."
7. [Multiple Choice] Which finding in a client with sickle cell disease requires
immediate follow-up?
A. Pain rated 7/10 in both legs
B. Temperature 101.8°F (38.8°C)
C. Mild jaundice
D. Hemoglobin 8.4 g/dL
8. [Select All That Apply] Which teaching should the nurse include to reduce sickle cell
crises?
The nurse receives report on four clients. Which client should be assessed first?
A. Hgb 8.9 g/dL with fatigue
B. Receiving PRBCs for 10 minutes and reporting chills and low-back pain
C. Iron-deficiency anemia with constipation after starting iron
D. Vitamin B12 deficiency with chronic numbness in both feet
Answer: B
Rationale: Chills and low-back pain shortly after blood begins suggest an acute hemolytic
transfusion reaction. Stop the transfusion immediately.
2. [Select All That Apply] A client develops fever, flank pain, hypotension, and chest
tightness during a blood transfusion. Which actions should the nurse take?
A. Stop the transfusion
B. Maintain IV access with new tubing and 0.9% sodium chloride
C. Notify the provider and blood bank
D. Send the blood bag and tubing to the laboratory
E. Restart the blood at a slower rate after symptoms improve
3. [Multiple Choice] Which finding in a client with anemia indicates the greatest threat
to tissue oxygenation?
A. Pale conjunctiva
B. Heart rate 132/min
C. Reports of fatigue
D. Brittle fingernails
4. [Multiple Choice] Which meal selection best supports treatment of iron-deficiency
anemia?
, A. Oatmeal, tea, and bananas
B. Grilled chicken, white rice, and milk
C. Beef, spinach, and orange slices
D. Cottage cheese, crackers, and applesauce
5. [Select All That Apply] Which findings are expected with vitamin B12 deficiency?
A. Paresthesias
B. Gait instability
C. Glossitis
D. Loss of vibration sense
E. Petechiae
6. [Multiple Choice] A client with pernicious anemia asks why injections are prescribed.
Which response is best?
A. "Your kidneys destroy oral vitamin B12."
B. "You lack intrinsic factor needed to absorb vitamin B12."
C. "Vitamin B12 injections prevent iron overload."
D. "Injections are used only until your hemoglobin is normal."
7. [Multiple Choice] Which finding in a client with sickle cell disease requires
immediate follow-up?
A. Pain rated 7/10 in both legs
B. Temperature 101.8°F (38.8°C)
C. Mild jaundice
D. Hemoglobin 8.4 g/dL
8. [Select All That Apply] Which teaching should the nurse include to reduce sickle cell
crises?
