1. A nurse is caring for a client with an elevated red blood cell count.
The nurse should assess for which of the following complications?
A. Stroke
B. Heart failure
C. Thrombosis
D. Renal failure
Answer: C. Thrombosis
Rationale: An elevated red blood cell count can cause blood to thicken,
increasing the risk for thrombosis (blood clots), which can lead to
complications such as stroke or deep vein thrombosis.
2. A nurse is educating a client about iron supplements. Which of the
following instructions should the nurse include?
A. “Take your iron supplements with milk to increase absorption.”
B. “Take your iron supplements with vitamin C to increase absorption.”
C. “Take your iron supplements in the morning to avoid upset
stomach.”
D. “It is best to take iron supplements on an empty stomach to prevent
constipation.”
Answer: B. “Take your iron supplements with vitamin C to increase
absorption.”
,Rationale: Vitamin C enhances the absorption of iron, making it more
effective. Iron supplements should ideally be taken on an empty
stomach for best absorption, but they can be taken with food if
gastrointestinal upset occurs.
3. A nurse is preparing to administer a blood transfusion to a client
with a hemoglobin level of 6 g/dL. Which of the following is the most
important action?
A. Administer a diuretic prior to transfusion.
B. Check the client’s vital signs every 15 minutes.
C. Confirm the blood type and crossmatch.
D. Infuse the blood over 4 hours.
Answer: C. Confirm the blood type and crossmatch.
Rationale: Confirming the blood type and crossmatch is the most
critical step in ensuring the transfusion is safe and compatible with the
client’s blood.
4. 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.
5. A nurse is caring for a client with hemophilia. Which of the
following actions is most important?
A. Administering vitamin K as prescribed.
B. Encouraging the client to increase fluid intake.
C. Monitoring the client for signs of bleeding.
D. Restricting activity to prevent injury.
Answer: C. Monitoring the client for signs of bleeding.
Rationale: Hemophilia is a bleeding disorder, so the most important
intervention is monitoring for signs of bleeding, such as joint swelling
or unusual bruising.
6. A nurse is assessing a client with suspected leukemia. Which of the
following findings would be most indicative of leukemia?
A. Cyanosis
B. Jaundice
C. Unexplained bruising
D. Muscle wasting
Answer: C. Unexplained bruising
The nurse should assess for which of the following complications?
A. Stroke
B. Heart failure
C. Thrombosis
D. Renal failure
Answer: C. Thrombosis
Rationale: An elevated red blood cell count can cause blood to thicken,
increasing the risk for thrombosis (blood clots), which can lead to
complications such as stroke or deep vein thrombosis.
2. A nurse is educating a client about iron supplements. Which of the
following instructions should the nurse include?
A. “Take your iron supplements with milk to increase absorption.”
B. “Take your iron supplements with vitamin C to increase absorption.”
C. “Take your iron supplements in the morning to avoid upset
stomach.”
D. “It is best to take iron supplements on an empty stomach to prevent
constipation.”
Answer: B. “Take your iron supplements with vitamin C to increase
absorption.”
,Rationale: Vitamin C enhances the absorption of iron, making it more
effective. Iron supplements should ideally be taken on an empty
stomach for best absorption, but they can be taken with food if
gastrointestinal upset occurs.
3. A nurse is preparing to administer a blood transfusion to a client
with a hemoglobin level of 6 g/dL. Which of the following is the most
important action?
A. Administer a diuretic prior to transfusion.
B. Check the client’s vital signs every 15 minutes.
C. Confirm the blood type and crossmatch.
D. Infuse the blood over 4 hours.
Answer: C. Confirm the blood type and crossmatch.
Rationale: Confirming the blood type and crossmatch is the most
critical step in ensuring the transfusion is safe and compatible with the
client’s blood.
4. 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.
5. A nurse is caring for a client with hemophilia. Which of the
following actions is most important?
A. Administering vitamin K as prescribed.
B. Encouraging the client to increase fluid intake.
C. Monitoring the client for signs of bleeding.
D. Restricting activity to prevent injury.
Answer: C. Monitoring the client for signs of bleeding.
Rationale: Hemophilia is a bleeding disorder, so the most important
intervention is monitoring for signs of bleeding, such as joint swelling
or unusual bruising.
6. A nurse is assessing a client with suspected leukemia. Which of the
following findings would be most indicative of leukemia?
A. Cyanosis
B. Jaundice
C. Unexplained bruising
D. Muscle wasting
Answer: C. Unexplained bruising
