ANEMIA NCLEX QUESTIONS AND ANSWERS (FINAL
EXAM 2023 NEW VERSION UPDATED 2024 WITH
100% CORRECT DETAILED ANSWERS
mother asks the nurse if her child's iron deficiency anemia is related to the
child's frequent infections. The nurse responds based on the understanding
of which of the following?
a.
Little is known about iron-deficiency anemia and its relationship to infection
in children.
b.
Children with iron deficiency anemia are more susceptible to infection than
are other children.
c.
Children with iron-deficiency anemia are less susceptible to infection than
are other children.
d.
Children with iron-deficient anemia are equally as susceptible to infection
as are other children.
Rationale: If iron deficiency anemia is left untreated, it can make you
more susceptible to illness and infection, as a lack of iron affects the
body's natural defense system (the immune system).
When a client is diagnosed with aplastic anemia, the nurse monitors for
changes in which of the following physiological functions?
a.
Bleeding tendencies
b.
,Intake and output
c.
Peripheral sensation
d.
Bowel function
Aplastic anemia decreases the bone marrow production of RBCs, WBCs,
and Platelets (aka pancytopenia, the decrease in overall CBC's). The
client is at risk for bruising and bleeding tendencies. The patient is also at
risk for infections
A client was admitted with iron deficiency anemia and blood-streaked
emesis. Which question is most appropriate for the nurse to ask in
determining the extent of the client's activity intolerance?
a.
"What activities were you able to do 6 months ago compared with present?"
b.
"How long have you had this problem?"
c.
"Have you been able to keep up with all your usual activities?"
d.
"Are you more tired now than you used to be?"
, Rationale: It is difficult to determine activity intolerance without objectively
comparing activities from one time frame to another. Because iron
deficiency anemia can occur gradually and individual endurance varies, the
nurse can best assess the client’s activity tolerance by asking the client to
compare activities 6 months ago and at the present
A client is beginning a regimen of ferrous sulfate or iron. As you prepare to
administer the medication, it is important for you to advise the client that
select all that apply:
a. Her urine will turn a dark orange
b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
d. Her vision will become slightly blurred
e. She may experience constipation
rationale: Constipation or stools that are black or green also occur. (The
unusual coloring is because of absorbed iron, and is not harmful.) In rare
cases, ferrous sulfate side effects include: Diarrhea.
The usual treatment for iron-deficiency anemia includes:
a. Vitamin B12 injection
b. non-enteric-coated ferrous sulfate
c. Enteric-coated or sustained-release ferrous sulfate
d. Whole blood transfusion
The usual Tx is 325 mg p.m. daily. enteric-coated and sustained rolls
formulas should be avoided, as they are poorly absorbed
A 52-year-old patient has a new diagnosis of pernicious anemia. After
EXAM 2023 NEW VERSION UPDATED 2024 WITH
100% CORRECT DETAILED ANSWERS
mother asks the nurse if her child's iron deficiency anemia is related to the
child's frequent infections. The nurse responds based on the understanding
of which of the following?
a.
Little is known about iron-deficiency anemia and its relationship to infection
in children.
b.
Children with iron deficiency anemia are more susceptible to infection than
are other children.
c.
Children with iron-deficiency anemia are less susceptible to infection than
are other children.
d.
Children with iron-deficient anemia are equally as susceptible to infection
as are other children.
Rationale: If iron deficiency anemia is left untreated, it can make you
more susceptible to illness and infection, as a lack of iron affects the
body's natural defense system (the immune system).
When a client is diagnosed with aplastic anemia, the nurse monitors for
changes in which of the following physiological functions?
a.
Bleeding tendencies
b.
,Intake and output
c.
Peripheral sensation
d.
Bowel function
Aplastic anemia decreases the bone marrow production of RBCs, WBCs,
and Platelets (aka pancytopenia, the decrease in overall CBC's). The
client is at risk for bruising and bleeding tendencies. The patient is also at
risk for infections
A client was admitted with iron deficiency anemia and blood-streaked
emesis. Which question is most appropriate for the nurse to ask in
determining the extent of the client's activity intolerance?
a.
"What activities were you able to do 6 months ago compared with present?"
b.
"How long have you had this problem?"
c.
"Have you been able to keep up with all your usual activities?"
d.
"Are you more tired now than you used to be?"
, Rationale: It is difficult to determine activity intolerance without objectively
comparing activities from one time frame to another. Because iron
deficiency anemia can occur gradually and individual endurance varies, the
nurse can best assess the client’s activity tolerance by asking the client to
compare activities 6 months ago and at the present
A client is beginning a regimen of ferrous sulfate or iron. As you prepare to
administer the medication, it is important for you to advise the client that
select all that apply:
a. Her urine will turn a dark orange
b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
d. Her vision will become slightly blurred
e. She may experience constipation
rationale: Constipation or stools that are black or green also occur. (The
unusual coloring is because of absorbed iron, and is not harmful.) In rare
cases, ferrous sulfate side effects include: Diarrhea.
The usual treatment for iron-deficiency anemia includes:
a. Vitamin B12 injection
b. non-enteric-coated ferrous sulfate
c. Enteric-coated or sustained-release ferrous sulfate
d. Whole blood transfusion
The usual Tx is 325 mg p.m. daily. enteric-coated and sustained rolls
formulas should be avoided, as they are poorly absorbed
A 52-year-old patient has a new diagnosis of pernicious anemia. After
