1. A nurse is caring for a client who is at risk for iron deficiency anemia.
The nurse should instruct the client to increase intake of which of the
following?
A. Citrus fruits
B. Whole grains
C. Leafy green vegetables
D. Red meat
Answer: D. Red meat
Rationale: Red meat is a good source of heme iron, which is more easily
absorbed by the body compared to non-heme iron from plant sources.
2. A nurse is caring for a client with a low platelet count. Which of the
following is a priority intervention?
A. Encourage the client to ambulate to prevent blood clots.
B. Monitor the client for signs of bleeding.
C. Administer anticoagulant medications as prescribed.
D. Increase the client’s fluid intake.
Answer: B. Monitor the client for signs of bleeding.
Rationale: A low platelet count (thrombocytopenia) increases the risk
for bleeding, so it is crucial to monitor for signs of bleeding such as
bruising, petechiae, or hematuria.
,3. A nurse is caring for a client with a hemoglobin level of 9 g/dL. The
nurse should assess for which of the following symptoms?
A. Tachycardia
B. Hypertension
C. Increased respiratory rate
D. Pallor and fatigue
Answer: D. Pallor and fatigue
Rationale: A hemoglobin level of 9 g/dL is low and may result in
decreased oxygen delivery to tissues, causing pallor, fatigue, and other
signs of anemia.
4. A nurse is caring for a client who is receiving anticoagulant therapy.
Which of the following foods should the nurse advise the client to
limit?
A. Leafy green vegetables
B. Whole grains
C. Dairy products
D. Citrus fruits
Answer: A. Leafy green vegetables
Rationale: Leafy green vegetables are high in vitamin K, which can
interfere with the action of anticoagulants such as warfarin. The client
should limit their intake.
, 5. A nurse is reviewing a client’s laboratory results and notices a high
white blood cell count. Which of the following conditions is most likely
responsible?
A. Hypothyroidism
B. Acute infection
C. Hypertension
D. Hyperglycemia
Answer: B. Acute infection
Rationale: An elevated white blood cell count is a common response to
infection, as the body produces more white blood cells to fight off
pathogens.
6. A nurse is reviewing the laboratory results of a client who is
receiving chemotherapy. The nurse notes a low neutrophil count.
Which of the following is the most appropriate nursing intervention?
A. Administer antibiotics as prescribed.
B. Place the client in a private room.
C. Encourage increased dietary intake of protein.
D. Monitor the client for signs of bleeding.
Answer: B. Place the client in a private room.
Rationale: A low neutrophil count (neutropenia) increases the risk of
infection. The client should be placed in a private room to minimize
exposure to pathogens.
The nurse should instruct the client to increase intake of which of the
following?
A. Citrus fruits
B. Whole grains
C. Leafy green vegetables
D. Red meat
Answer: D. Red meat
Rationale: Red meat is a good source of heme iron, which is more easily
absorbed by the body compared to non-heme iron from plant sources.
2. A nurse is caring for a client with a low platelet count. Which of the
following is a priority intervention?
A. Encourage the client to ambulate to prevent blood clots.
B. Monitor the client for signs of bleeding.
C. Administer anticoagulant medications as prescribed.
D. Increase the client’s fluid intake.
Answer: B. Monitor the client for signs of bleeding.
Rationale: A low platelet count (thrombocytopenia) increases the risk
for bleeding, so it is crucial to monitor for signs of bleeding such as
bruising, petechiae, or hematuria.
,3. A nurse is caring for a client with a hemoglobin level of 9 g/dL. The
nurse should assess for which of the following symptoms?
A. Tachycardia
B. Hypertension
C. Increased respiratory rate
D. Pallor and fatigue
Answer: D. Pallor and fatigue
Rationale: A hemoglobin level of 9 g/dL is low and may result in
decreased oxygen delivery to tissues, causing pallor, fatigue, and other
signs of anemia.
4. A nurse is caring for a client who is receiving anticoagulant therapy.
Which of the following foods should the nurse advise the client to
limit?
A. Leafy green vegetables
B. Whole grains
C. Dairy products
D. Citrus fruits
Answer: A. Leafy green vegetables
Rationale: Leafy green vegetables are high in vitamin K, which can
interfere with the action of anticoagulants such as warfarin. The client
should limit their intake.
, 5. A nurse is reviewing a client’s laboratory results and notices a high
white blood cell count. Which of the following conditions is most likely
responsible?
A. Hypothyroidism
B. Acute infection
C. Hypertension
D. Hyperglycemia
Answer: B. Acute infection
Rationale: An elevated white blood cell count is a common response to
infection, as the body produces more white blood cells to fight off
pathogens.
6. A nurse is reviewing the laboratory results of a client who is
receiving chemotherapy. The nurse notes a low neutrophil count.
Which of the following is the most appropriate nursing intervention?
A. Administer antibiotics as prescribed.
B. Place the client in a private room.
C. Encourage increased dietary intake of protein.
D. Monitor the client for signs of bleeding.
Answer: B. Place the client in a private room.
Rationale: A low neutrophil count (neutropenia) increases the risk of
infection. The client should be placed in a private room to minimize
exposure to pathogens.
