• NURS 5433 Final 09/14/2026
exam
Study guide NURS 5432 Family 1 midterm exam
module 1-7 midterm exam questions and
correct verified answers/ NURS 5432 midterm
exam newest prep test bank
All of the following are risk factors for a patient to potential develop secondary polycythemia except:
a. Aplastic anemia
b. COPD
c. Chronic smokers
d. EPO treatment - Correct Answer :a
COPD, chronic smokers, EPO treatment have a higher incidence of secondary polycythemia (creation of
too many RBC). Additionally, long-term residence at higher altitudes are also at greater risk.
P 1
, • NURS 5433 Final 09/14/2026
exam
A 71 year old, male patient of Asian decent comes to the clinic for a work-up before leaving for his
vacation to go hiking in the Rocky Mountains. He has a history of coronary artery disease but has been
successfully managed and does not have any complaints. What is a current concern for this patient?
a. Altitude sickness
b. Higher barometric pressure
c. Lower barometric pressure
d. Risk of MI while hiking - Correct Answer :c
Lower barometric pressure (due to high-altitude stress) causes a reduction in the arterial PO2. Patients
with CAD, CHF, or sickle cell anemia are at greatest risk for complications.
A patient has been diagnosed with iron-deficiency anemia. The nurse practitioner expects which of the
following findings in her recent lab work?
a. Increased MCV, decreased MCHC, decreased TIBC
b. Increased MCV, increased MCHC, decreased TIBC
c. Decreased MCV, decreased MCHC, increased TIBC
d. Decreased MCV, increased MCHC, increased TIBC - Correct Answer :c
Iron-deficiency anemia is considered a microcytic, hypochromic anemia defined by decreased MCV and
decreased MCHC.
A 29-year-old, female patient comes to the clinic with complaints of daily fatigue and external dyspnea.
Upon physical examination, the nurse practitioner notes glossitis, angular cheilitis, and koilonychia. Her
vital signs are 122/80 mmHg, 102 bpm, 16 RR, 99% SPO2, 98.4 temp. All of the following are
important to assess in this patient except?
a. Pregnancy
b. Menstration
c. Diet habits
d. Family history of anemia –
P 2
, • NURS 5433 Final 09/14/2026
exam
Correct Answer :d
The NP can suspect that this patient has iron-deficiency anemia. Pregnancy, heavy periods, poor diet,
GI blood loss, postgastrectomy, and increased physiologic requirements are all risk factors for iron-
deficiency anemia. Family history is not a risk factor for iron deficiency anemia.
A peripheral blood smear shows a variation in shape of red blood cells. What is another term for this?
a. Poikilocytosis
b. Anisocytosis
c. Koilonychia
d. Angular cheilitis –
Correct Answer :a
Poikilocytosis is variation in shape of RBC. Anisocytosis is variation of size of RBC. Koilonychia is
spoon-shaped nails often associated with iron-def anemia. Angular cheilitis is irritated skin or fissures at
corners of the mouth.
A 40 year old female patient is diagnosed with iron-deficiency anemia. The nurse practitioner prescribes
her Ferrous sulfate 325 mg PO TID. When should the nurse practitioner reassess the patients lab
values?
a. 1 week after starting medication
b. 2 weeks after starting medication
c. 3 weeks after starting medication
d. 4 weeks after starting medication –
Correct Answer :b
Check reticulocyte count and CBC approx. 2 weeks after starting supplementation to check for
treatment response. H/H increase, elevated reticulocytes
P 3
, • NURS 5433 Final 09/14/2026
exam
The nurse practitioner would expect the serum ferritin and iron levels in a patient with diagnosed
Thalassemia minor to be:
a. Low
b. High
c. Normal
d. Variable –
Correct Answer :c
Serum ferritin and iron levels are normal in thalassemia minor. Serum ferritin and iron levels are low in
iron-deficiency anemia.
A 39 year old female patient comes to the clinic to discuss her recent lab work. The lab work shows that
the patient has iron-deficiency anemia. The nurse practitioner wants to begin the patient on Ferrous
sulfate 325 mg PO TID. Her past medical history includes asthma and hypothyroidism. Her current
medication includes Albuterol PRN and Levothyroxine 50 mg PO. What recommendations should the
nurse practitioner make to this patient?
a. Take your iron supplement with your morning medications
b. Take your iron supplement 2 hours after taking Levothyroxine
c. Take your iron supplement 1 hour before taking Levothyroxine
d. Take your iron supplement with a large meal –
Correct Answer :b
Iron interacts with tetracycline antibiotics, levothyroxine, and bisphosphonates. To avoid, take iron 2
hours before or after antibiotics.
A 66 year old female patient comes to the clinic with complaints of numbness and tingling in both of her
hands. Upon further evaluation she states that she has been feeling very tired and feels that she is
P 4
exam
Study guide NURS 5432 Family 1 midterm exam
module 1-7 midterm exam questions and
correct verified answers/ NURS 5432 midterm
exam newest prep test bank
All of the following are risk factors for a patient to potential develop secondary polycythemia except:
a. Aplastic anemia
b. COPD
c. Chronic smokers
d. EPO treatment - Correct Answer :a
COPD, chronic smokers, EPO treatment have a higher incidence of secondary polycythemia (creation of
too many RBC). Additionally, long-term residence at higher altitudes are also at greater risk.
P 1
, • NURS 5433 Final 09/14/2026
exam
A 71 year old, male patient of Asian decent comes to the clinic for a work-up before leaving for his
vacation to go hiking in the Rocky Mountains. He has a history of coronary artery disease but has been
successfully managed and does not have any complaints. What is a current concern for this patient?
a. Altitude sickness
b. Higher barometric pressure
c. Lower barometric pressure
d. Risk of MI while hiking - Correct Answer :c
Lower barometric pressure (due to high-altitude stress) causes a reduction in the arterial PO2. Patients
with CAD, CHF, or sickle cell anemia are at greatest risk for complications.
A patient has been diagnosed with iron-deficiency anemia. The nurse practitioner expects which of the
following findings in her recent lab work?
a. Increased MCV, decreased MCHC, decreased TIBC
b. Increased MCV, increased MCHC, decreased TIBC
c. Decreased MCV, decreased MCHC, increased TIBC
d. Decreased MCV, increased MCHC, increased TIBC - Correct Answer :c
Iron-deficiency anemia is considered a microcytic, hypochromic anemia defined by decreased MCV and
decreased MCHC.
A 29-year-old, female patient comes to the clinic with complaints of daily fatigue and external dyspnea.
Upon physical examination, the nurse practitioner notes glossitis, angular cheilitis, and koilonychia. Her
vital signs are 122/80 mmHg, 102 bpm, 16 RR, 99% SPO2, 98.4 temp. All of the following are
important to assess in this patient except?
a. Pregnancy
b. Menstration
c. Diet habits
d. Family history of anemia –
P 2
, • NURS 5433 Final 09/14/2026
exam
Correct Answer :d
The NP can suspect that this patient has iron-deficiency anemia. Pregnancy, heavy periods, poor diet,
GI blood loss, postgastrectomy, and increased physiologic requirements are all risk factors for iron-
deficiency anemia. Family history is not a risk factor for iron deficiency anemia.
A peripheral blood smear shows a variation in shape of red blood cells. What is another term for this?
a. Poikilocytosis
b. Anisocytosis
c. Koilonychia
d. Angular cheilitis –
Correct Answer :a
Poikilocytosis is variation in shape of RBC. Anisocytosis is variation of size of RBC. Koilonychia is
spoon-shaped nails often associated with iron-def anemia. Angular cheilitis is irritated skin or fissures at
corners of the mouth.
A 40 year old female patient is diagnosed with iron-deficiency anemia. The nurse practitioner prescribes
her Ferrous sulfate 325 mg PO TID. When should the nurse practitioner reassess the patients lab
values?
a. 1 week after starting medication
b. 2 weeks after starting medication
c. 3 weeks after starting medication
d. 4 weeks after starting medication –
Correct Answer :b
Check reticulocyte count and CBC approx. 2 weeks after starting supplementation to check for
treatment response. H/H increase, elevated reticulocytes
P 3
, • NURS 5433 Final 09/14/2026
exam
The nurse practitioner would expect the serum ferritin and iron levels in a patient with diagnosed
Thalassemia minor to be:
a. Low
b. High
c. Normal
d. Variable –
Correct Answer :c
Serum ferritin and iron levels are normal in thalassemia minor. Serum ferritin and iron levels are low in
iron-deficiency anemia.
A 39 year old female patient comes to the clinic to discuss her recent lab work. The lab work shows that
the patient has iron-deficiency anemia. The nurse practitioner wants to begin the patient on Ferrous
sulfate 325 mg PO TID. Her past medical history includes asthma and hypothyroidism. Her current
medication includes Albuterol PRN and Levothyroxine 50 mg PO. What recommendations should the
nurse practitioner make to this patient?
a. Take your iron supplement with your morning medications
b. Take your iron supplement 2 hours after taking Levothyroxine
c. Take your iron supplement 1 hour before taking Levothyroxine
d. Take your iron supplement with a large meal –
Correct Answer :b
Iron interacts with tetracycline antibiotics, levothyroxine, and bisphosphonates. To avoid, take iron 2
hours before or after antibiotics.
A 66 year old female patient comes to the clinic with complaints of numbness and tingling in both of her
hands. Upon further evaluation she states that she has been feeling very tired and feels that she is
P 4
