NR 507 EXAMS QUESTIONS AND ANSWERS OVER 180
CORRECT QUESTIONS 2025/2026
NR 507 EXAMS QUESTIONS AND ANSWERS OVER 180
CORRECT QUESTIONS 2025/2026
1. **Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?**
- A 25-year-old client who recently became pregnant
- 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
- **A 30-year-old client who donates blood every 3 months**
2. **The nurse practitioner (NP) reviews a client's laboratory 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 with beta thalassemia major. The
NP should anticipate the client will require what?**
- **Blood transfusion**
4. **The nurse practitioner (NP) is counseling a client with iron deficiency anemia about
dietary needs. Which instruction(s) should the NP include?** (Select all that apply)
, - Avoid drinking tea or coffee with meals
- Consume lean red meat
- 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-conception counseling to a couple, both of
whom are carriers of thalassemia. Which of the following actions should the NP take?**
(Select all that apply)
- Encourage the couple not to conceive
- Refer the couple for genetic counseling
- Explain what it means to be a carrier of thalassemia
- Discuss ways to prevent naturally conceiving a child with thalassemia
- Discuss inheritance patterns of thalassemia
6. **The nurse practitioner (NP) assesses the client on a follow-up visit after the
initiation of treatment for thalassemia including administration of blood transfusions.
What three (3) assessments should the NP prioritize to evaluate client outcomes?**
(Select 3)
- Dietary intake
- Developmental milestones
- **Ferritin level**
- **Hemoglobin level**
- Energy level
7. **Which of the following clients should the nurse practitioner (NP) recognize as being
most at risk for developing vitamin B-12 deficiency anemia?**
- 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 (MCHC) indicates hemoglobin
concentration in RBCs**
- True
9. **Ferritin**
- total iron stores; low levels indicate iron deficiency
10. **Microlytic anemia**
- small RBC's
- iron deficiency
- thalassemia
11. **Thalassemia beta major treatment**
- blood transfusion (will increase 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 reaction, Graves Disease
CORRECT QUESTIONS 2025/2026
NR 507 EXAMS QUESTIONS AND ANSWERS OVER 180
CORRECT QUESTIONS 2025/2026
1. **Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?**
- A 25-year-old client who recently became pregnant
- 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
- **A 30-year-old client who donates blood every 3 months**
2. **The nurse practitioner (NP) reviews a client's laboratory 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 with beta thalassemia major. The
NP should anticipate the client will require what?**
- **Blood transfusion**
4. **The nurse practitioner (NP) is counseling a client with iron deficiency anemia about
dietary needs. Which instruction(s) should the NP include?** (Select all that apply)
, - Avoid drinking tea or coffee with meals
- Consume lean red meat
- 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-conception counseling to a couple, both of
whom are carriers of thalassemia. Which of the following actions should the NP take?**
(Select all that apply)
- Encourage the couple not to conceive
- Refer the couple for genetic counseling
- Explain what it means to be a carrier of thalassemia
- Discuss ways to prevent naturally conceiving a child with thalassemia
- Discuss inheritance patterns of thalassemia
6. **The nurse practitioner (NP) assesses the client on a follow-up visit after the
initiation of treatment for thalassemia including administration of blood transfusions.
What three (3) assessments should the NP prioritize to evaluate client outcomes?**
(Select 3)
- Dietary intake
- Developmental milestones
- **Ferritin level**
- **Hemoglobin level**
- Energy level
7. **Which of the following clients should the nurse practitioner (NP) recognize as being
most at risk for developing vitamin B-12 deficiency anemia?**
- 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 (MCHC) indicates hemoglobin
concentration in RBCs**
- True
9. **Ferritin**
- total iron stores; low levels indicate iron deficiency
10. **Microlytic anemia**
- small RBC's
- iron deficiency
- thalassemia
11. **Thalassemia beta major treatment**
- blood transfusion (will increase 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 reaction, Graves Disease
