NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
1. Which client should the nurse practitioner (NP) rec- A 30-year-old client who do-
ognize as most at risk of developing iron deficiency nates blood every 3 months
anemia?
A 25-year-old client who recently became preg-
nant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3
months
A 50-year-old client with congestive heart failure
2. The nurse practitioner (NP) reviews a client's labo- Serum ferritin
ratory results. Which laboratory result best reflects
the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
3. The nurse practitioner (NP) is caring for a client a bloos transfusion
with beta thalassemia major. The NP should antici-
pate the client will require what?
4. The nurse practitioner (NP) is counseling a client Avoid drinking tea or coffee
with iron deficiency anemia about dietary needs. with meals
Which instruction(s) should the NP include? Select Consume lean red meat
all that apply. Consume iron-fortified cereal
Consume vitamin C-rich foods
Avoid drinking tea or coffee with meals with iron-rich meals
Consume lean red meat
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
5. A nurse practitioner (NP) is providing pre-concep- Refer the couple for genetic
tion counseling to a couple, both of whom are car- counseling.
riers of thalassemia. Which of the following actions Explain what it means to be a
should the NP take? Select all that apply. carrier of thalassemia.
Discuss inheritance patterns of
Encourage the couple not to conceive. thalassemia.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of tha-
lassemia.
Discuss ways to prevent naturally conceiving a child
with thalassemia.
Discuss inheritance patterns of thalassemia.
6. The nurse practitioner (NP) assesses the client on Ferritin level
a follow-up visit after the initiation of treatment Hemoglobin level
for thalassemia including administration of blood Energy level
transfusions. What three (3) assessments should
the NP prioritize to evaluate client outcomes? Se-
lect 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level
7. Which of the following clients should the nurse Adult client who had a vertical
practitioner (NP) recognize as being most at risk for sleeve gastrectomy
developing vitamin B-12 deficiency anemia?
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy
8. Mean Corpuscular Hemoglobin Concentration indicates hemoglobin concen-
(MCHC) tration in RBCs
9. Ferritin total iron stores; low levels in-
dicate iron deficiency
10. microlytic anemia small RBC's
-iron deficiency
-thalassemia
11. Thalassemia beta major treatment blood transfusion- will in-
crease iron stores
Chelation therapy-deferasirox
& deferiprone
bone marrow transplant
12. Type 1 hypersensitivity Mediated by IgE antibody
Anaphylaxis, allergic rhinitis,
asthma
13. Type 2 hypersensitivity mediated by IgG antibodies
and macrophages
HITT reaction, transfusion re-
action, Graves Disease
14. Graves disease IgG antibodies attach the TSH
receptor causing an over pro-
duction of thyroid hormones
Study online at https://quizlet.com/_gjb4t9
1. Which client should the nurse practitioner (NP) rec- A 30-year-old client who do-
ognize as most at risk of developing iron deficiency nates blood every 3 months
anemia?
A 25-year-old client who recently became preg-
nant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3
months
A 50-year-old client with congestive heart failure
2. The nurse practitioner (NP) reviews a client's labo- Serum ferritin
ratory results. Which laboratory result best reflects
the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
3. The nurse practitioner (NP) is caring for a client a bloos transfusion
with beta thalassemia major. The NP should antici-
pate the client will require what?
4. The nurse practitioner (NP) is counseling a client Avoid drinking tea or coffee
with iron deficiency anemia about dietary needs. with meals
Which instruction(s) should the NP include? Select Consume lean red meat
all that apply. Consume iron-fortified cereal
Consume vitamin C-rich foods
Avoid drinking tea or coffee with meals with iron-rich meals
Consume lean red meat
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
5. A nurse practitioner (NP) is providing pre-concep- Refer the couple for genetic
tion counseling to a couple, both of whom are car- counseling.
riers of thalassemia. Which of the following actions Explain what it means to be a
should the NP take? Select all that apply. carrier of thalassemia.
Discuss inheritance patterns of
Encourage the couple not to conceive. thalassemia.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of tha-
lassemia.
Discuss ways to prevent naturally conceiving a child
with thalassemia.
Discuss inheritance patterns of thalassemia.
6. The nurse practitioner (NP) assesses the client on Ferritin level
a follow-up visit after the initiation of treatment Hemoglobin level
for thalassemia including administration of blood Energy level
transfusions. What three (3) assessments should
the NP prioritize to evaluate client outcomes? Se-
lect 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level
7. Which of the following clients should the nurse Adult client who had a vertical
practitioner (NP) recognize as being most at risk for sleeve gastrectomy
developing vitamin B-12 deficiency anemia?
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy
8. Mean Corpuscular Hemoglobin Concentration indicates hemoglobin concen-
(MCHC) tration in RBCs
9. Ferritin total iron stores; low levels in-
dicate iron deficiency
10. microlytic anemia small RBC's
-iron deficiency
-thalassemia
11. Thalassemia beta major treatment blood transfusion- will in-
crease iron stores
Chelation therapy-deferasirox
& deferiprone
bone marrow transplant
12. Type 1 hypersensitivity Mediated by IgE antibody
Anaphylaxis, allergic rhinitis,
asthma
13. Type 2 hypersensitivity mediated by IgG antibodies
and macrophages
HITT reaction, transfusion re-
action, Graves Disease
14. Graves disease IgG antibodies attach the TSH
receptor causing an over pro-
duction of thyroid hormones
