NP 235 EVALUATION EXAM 2025/2026 QUESTIONS
WITH SOLUTIONS RATED A+
✔✔Pernicious Anemia? - ✔✔lack of intrinsic factor necessary for vit b12 absorption
a decreased secretion of intrinsic factor from the stomach, which is why you need a b12
injection.
lack of mature erythrocytes caused by inability to absorb vitamin B12 into the
bloodstream
There is less antibody response to foreign proteins, a decreased secretion of intrinsic
factor from the stomach, and decreased absorption of vitamin B12, leading to pernicious
anemia from B12 deficiency.
✔✔What is sickle cell anemia - ✔✔sickle cell crisis occurs when sickle-shaped red
blood cells block blood vessels
defective form of hemoglobin that forces red blood cells to assume an abnormal
crescent (sickle) shape. These irregular blood cells die prematurely, resulting in a
chronic shortage of red blood cells.
✔✔Why do you add humidification to oxygen? - ✔✔so the nares and the mucus
membranes do not dry out.
✔✔What are foods high in Iron? - ✔✔Red meat, pork and poultry.
Seafood.
eggs
nuts
Beans.
Dark green leafy vegetables, such as spinach.
Dried fruit, such as raisins and apricots.
Iron-fortified cereals, breads and pastas.
Peas.
✔✔What is Syndrome of Inappropriate Antidiuretic Hormone? - ✔✔Excessive amounts
of Antidiuretic Hormone are produced, resulting in fluid retention. Numerous factors can
cause SIADH, including malignancies and tumors pressing on the pituitary
Give hypertonic solutions
s/s confusion, seizures, and loss of consciousness accompanied by weight gain and
edema.Hyponatremia from fluid excess, with serum sodium less than 120 mEq/L,
occurs frequently. This causes muscle cramps and weakness. Urine output is
diminished.
, ✔✔What is the function of the Endocrine gland? - ✔✔works through the negative feed
back
produce the hormones or chemical messages that are passed through the blood stream
to their target organs. Any dysfunction of a gland will affect one or more of the
hormones, as well as their target organs.secrete hormones directly into the bloodstream
✔✔. What does iodized salt do for a patient with a goiter? - ✔✔it prevents the continued
growth of a goiter.
an overgrowth of the thyroid may be prevented by sufficient intake of iodine. Iodine is
available in foods grown near the ocean and in seafood
✔✔What does Nitroglycerin do? - ✔✔vasodialator to increase the blood flow to the
heart.
used in combination with drugs to lower cholesterol and prevent platelet aggregation.
administered sublingually is the most common drug for treatment of angina. An aerosol
spray and a buccal form of the drug are also available.
✔✔What are some signs and symptoms of Congestive Heart Failure? - ✔✔hypoxia of
the tissues throughout the body, which causes fatigue and dyspnea on exertion.
Edema
Chest pain
altered tissue profusion
weight greater than 3lbs. check for swelling
✔✔What does antidysrhythmics do? - ✔✔slows the sodium channels and it prolongs
depolorization
maximizes the cardiac output
prevent and treat abnormal heartbeats (arrhythmias). Problems with your heart's rhythm
are caused by a disruption in the heart's electrical system. A drug called atropine may
be prescribed if your heart beats too slowly (bradycardia).
✔✔How would you give Ferrous sulfate to a patient? Why? - ✔✔give through a straw
becuse it stains the teeth and dilute it becuase it tastes teribble.
increases the iron content within the blood. Do not give with milk as it reduces
absorption. Do not crush enteric-coated tablet. Teach the client about side effects
WITH SOLUTIONS RATED A+
✔✔Pernicious Anemia? - ✔✔lack of intrinsic factor necessary for vit b12 absorption
a decreased secretion of intrinsic factor from the stomach, which is why you need a b12
injection.
lack of mature erythrocytes caused by inability to absorb vitamin B12 into the
bloodstream
There is less antibody response to foreign proteins, a decreased secretion of intrinsic
factor from the stomach, and decreased absorption of vitamin B12, leading to pernicious
anemia from B12 deficiency.
✔✔What is sickle cell anemia - ✔✔sickle cell crisis occurs when sickle-shaped red
blood cells block blood vessels
defective form of hemoglobin that forces red blood cells to assume an abnormal
crescent (sickle) shape. These irregular blood cells die prematurely, resulting in a
chronic shortage of red blood cells.
✔✔Why do you add humidification to oxygen? - ✔✔so the nares and the mucus
membranes do not dry out.
✔✔What are foods high in Iron? - ✔✔Red meat, pork and poultry.
Seafood.
eggs
nuts
Beans.
Dark green leafy vegetables, such as spinach.
Dried fruit, such as raisins and apricots.
Iron-fortified cereals, breads and pastas.
Peas.
✔✔What is Syndrome of Inappropriate Antidiuretic Hormone? - ✔✔Excessive amounts
of Antidiuretic Hormone are produced, resulting in fluid retention. Numerous factors can
cause SIADH, including malignancies and tumors pressing on the pituitary
Give hypertonic solutions
s/s confusion, seizures, and loss of consciousness accompanied by weight gain and
edema.Hyponatremia from fluid excess, with serum sodium less than 120 mEq/L,
occurs frequently. This causes muscle cramps and weakness. Urine output is
diminished.
, ✔✔What is the function of the Endocrine gland? - ✔✔works through the negative feed
back
produce the hormones or chemical messages that are passed through the blood stream
to their target organs. Any dysfunction of a gland will affect one or more of the
hormones, as well as their target organs.secrete hormones directly into the bloodstream
✔✔. What does iodized salt do for a patient with a goiter? - ✔✔it prevents the continued
growth of a goiter.
an overgrowth of the thyroid may be prevented by sufficient intake of iodine. Iodine is
available in foods grown near the ocean and in seafood
✔✔What does Nitroglycerin do? - ✔✔vasodialator to increase the blood flow to the
heart.
used in combination with drugs to lower cholesterol and prevent platelet aggregation.
administered sublingually is the most common drug for treatment of angina. An aerosol
spray and a buccal form of the drug are also available.
✔✔What are some signs and symptoms of Congestive Heart Failure? - ✔✔hypoxia of
the tissues throughout the body, which causes fatigue and dyspnea on exertion.
Edema
Chest pain
altered tissue profusion
weight greater than 3lbs. check for swelling
✔✔What does antidysrhythmics do? - ✔✔slows the sodium channels and it prolongs
depolorization
maximizes the cardiac output
prevent and treat abnormal heartbeats (arrhythmias). Problems with your heart's rhythm
are caused by a disruption in the heart's electrical system. A drug called atropine may
be prescribed if your heart beats too slowly (bradycardia).
✔✔How would you give Ferrous sulfate to a patient? Why? - ✔✔give through a straw
becuse it stains the teeth and dilute it becuase it tastes teribble.
increases the iron content within the blood. Do not give with milk as it reduces
absorption. Do not crush enteric-coated tablet. Teach the client about side effects
