Anemia NCLEX Questions-New Test Questions and Answers
Graded A+
mother asks the nurse if her child's iron infections
deficiency anemia is related to the child's
frequent infections. The nurse responds based
on the understanding of which of the following? A client was admitted with iron deficiency anemia
a. and blood-streaked emesis. Which question is
Little is known about iron-deficiency anemia and most appropriate for the nurse to ask in
its relationship to infection in children. determining the extent of the client's activity
b. intolerance?
Children with iron deficiency anemia are more a.
susceptible to infection than are other children. "What activities were you able to do 6 months
c. ago compared with present?"
Children with iron-deficiency anemia are less b.
susceptible to infection than are other children. "How long have you had this problem?"
d. c.
Children with iron-deficient anemia are equally as "Have you been able to keep up with all your
susceptible to infection as are other children. - usual activities?"
ANSWER -Children with iron deficiency d.
anemia are more susceptible to infection than "Are you more tired now than you used to be?" -
are other children. ANSWER -a. What activities were you able
to do 6 months ago compared with present?
Rationale: If iron deficiency anaemia is left
untreated, it can make you more susceptible to Rationale: It is difficult to determine activity
illness and infection, as a lack of iron affects the
intolerance without objectively comparing
body's natural defence system (the immune activities from one time frame to another.
system). Because iron deficiency anemia can occur
gradually and individual endurance varies, the
nurse can best assess the clients activity
When a client is diagnosed with aplastic anemia, tolerance by asking the client to compare
the nurse monitors for changes in which of the activities 6 months ago and at the present
following physiological functions?
a.
Bleeding tendencies A client is beginning a regimen of ferrous sulfate
b. or iron. As you prepare to administer the
Intake and output medication, it is important for you to advise the
c. client that
Peripheral sensation
d. select all that apply:
Bowel function - ANSWER -a. Bleeding a. Her urine will turn a dark orange
tendencies b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
Aplastic anemia decreases the bone marrow d. Her vision will become slightly blurred
production of RBCs, WBCs, and Platelets (aka e. She may experience constipation -
pancytopenia, the decrease in overall CBC's). ANSWER -b. Her bowel movements will be
The client is at risk for bruising and bleeding dark and tarry r/t increased iron in their system
tendencies. The patient is also at risk for e. She may experience constipation
1/8
, Anemia NCLEX Questions-New Test Questions and Answers
Graded A+
injections so that vitamin B12 goes directly into
rationale: Constipation or stools that are black or the bloodstream rather than it being absorbed via
green also occur. (The unusual coloring is the stomach which'll then bring it into the
because of absorbed iron, and is not harmful.) In bloodstream. So basically you're skipping the
rare cases, ferrous sulfate side effects include: mediator
Diarrhea.
A patient with a history of iron-deficiency anemia
The usual treatment for iron-deficiency anemia who has not taken iron supplements for several
includes: years is experiencing increased fatigue and
a. Vitamin B12 injection occasional palpitations. The nurse would expect
b. Non-enteric-coated ferrous sulfate the patient's laboratory findings to include
c. Enteric-coated or sustained-release ferrous a.
sulfate hematocrit (Hct) 38%.
d. Whole blood transfusion - ANSWER -b. b.
Non-enteric-coated ferrous sulfate red blood cell count (RBC) 4,500,000/l.
c.
The usual tx is 325 mg p.o. daily. enteric-coated hemoglobin (Hgb) 8.6 g/dl (86 g/L).
and sustained rls formulas should be avoided, as d.
they are poorly absorbed normal RBC indices. - ANSWER -c. hgb 8.6
g/dL
A 52-year-old patient has a new diagnosis of The patient's clinical manifestations indicate
pernicious anemia. After teaching the patient moderate anemia, which is consistent with a Hgb
about pernicious anemia, the nurse determines of 6 to 10 g/dl. The other values are all within the
that the patient understands the disorder when range of low-normal to normal.
the patient states,
a. remember:
"I will need to have cobalamin (B12) injections HCT measures how much of your blood is made
regularly for the rest of my life." up of red blood cells. These don't include WBC's,
b. platelets, etc., only RBC's.
"I will stop having a glass of wine with dinner."
c. HGB measures how many IRON CONTAINING
"The numbness in my feet will go away once my RBC's there are in circulation that can carry O2.
hemoglobin level returns to normal."
d. Thus, HCT is a good measure for blood loss
"My diet should include more red meat or liver." - anemia, whereas HGB is a good measure of iron
ANSWER -a. I will need to have cobalamin deficiency anemia
-B12 injections regularly for the rest of my life
rationale: pernicious anemia is the lack of When caring for a client with a coagulation
intrinsic factor within the stomach to absorb disorder, your primary focus should be on:
vitamin B12. inherently, pernicious anemia is a.
simply vitamin B12 deficiency. To correct Prevention of infection
pernicious anemia, you have to give B12 b.
2/8
Graded A+
mother asks the nurse if her child's iron infections
deficiency anemia is related to the child's
frequent infections. The nurse responds based
on the understanding of which of the following? A client was admitted with iron deficiency anemia
a. and blood-streaked emesis. Which question is
Little is known about iron-deficiency anemia and most appropriate for the nurse to ask in
its relationship to infection in children. determining the extent of the client's activity
b. intolerance?
Children with iron deficiency anemia are more a.
susceptible to infection than are other children. "What activities were you able to do 6 months
c. ago compared with present?"
Children with iron-deficiency anemia are less b.
susceptible to infection than are other children. "How long have you had this problem?"
d. c.
Children with iron-deficient anemia are equally as "Have you been able to keep up with all your
susceptible to infection as are other children. - usual activities?"
ANSWER -Children with iron deficiency d.
anemia are more susceptible to infection than "Are you more tired now than you used to be?" -
are other children. ANSWER -a. What activities were you able
to do 6 months ago compared with present?
Rationale: If iron deficiency anaemia is left
untreated, it can make you more susceptible to Rationale: It is difficult to determine activity
illness and infection, as a lack of iron affects the
intolerance without objectively comparing
body's natural defence system (the immune activities from one time frame to another.
system). Because iron deficiency anemia can occur
gradually and individual endurance varies, the
nurse can best assess the clients activity
When a client is diagnosed with aplastic anemia, tolerance by asking the client to compare
the nurse monitors for changes in which of the activities 6 months ago and at the present
following physiological functions?
a.
Bleeding tendencies A client is beginning a regimen of ferrous sulfate
b. or iron. As you prepare to administer the
Intake and output medication, it is important for you to advise the
c. client that
Peripheral sensation
d. select all that apply:
Bowel function - ANSWER -a. Bleeding a. Her urine will turn a dark orange
tendencies b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
Aplastic anemia decreases the bone marrow d. Her vision will become slightly blurred
production of RBCs, WBCs, and Platelets (aka e. She may experience constipation -
pancytopenia, the decrease in overall CBC's). ANSWER -b. Her bowel movements will be
The client is at risk for bruising and bleeding dark and tarry r/t increased iron in their system
tendencies. The patient is also at risk for e. She may experience constipation
1/8
, Anemia NCLEX Questions-New Test Questions and Answers
Graded A+
injections so that vitamin B12 goes directly into
rationale: Constipation or stools that are black or the bloodstream rather than it being absorbed via
green also occur. (The unusual coloring is the stomach which'll then bring it into the
because of absorbed iron, and is not harmful.) In bloodstream. So basically you're skipping the
rare cases, ferrous sulfate side effects include: mediator
Diarrhea.
A patient with a history of iron-deficiency anemia
The usual treatment for iron-deficiency anemia who has not taken iron supplements for several
includes: years is experiencing increased fatigue and
a. Vitamin B12 injection occasional palpitations. The nurse would expect
b. Non-enteric-coated ferrous sulfate the patient's laboratory findings to include
c. Enteric-coated or sustained-release ferrous a.
sulfate hematocrit (Hct) 38%.
d. Whole blood transfusion - ANSWER -b. b.
Non-enteric-coated ferrous sulfate red blood cell count (RBC) 4,500,000/l.
c.
The usual tx is 325 mg p.o. daily. enteric-coated hemoglobin (Hgb) 8.6 g/dl (86 g/L).
and sustained rls formulas should be avoided, as d.
they are poorly absorbed normal RBC indices. - ANSWER -c. hgb 8.6
g/dL
A 52-year-old patient has a new diagnosis of The patient's clinical manifestations indicate
pernicious anemia. After teaching the patient moderate anemia, which is consistent with a Hgb
about pernicious anemia, the nurse determines of 6 to 10 g/dl. The other values are all within the
that the patient understands the disorder when range of low-normal to normal.
the patient states,
a. remember:
"I will need to have cobalamin (B12) injections HCT measures how much of your blood is made
regularly for the rest of my life." up of red blood cells. These don't include WBC's,
b. platelets, etc., only RBC's.
"I will stop having a glass of wine with dinner."
c. HGB measures how many IRON CONTAINING
"The numbness in my feet will go away once my RBC's there are in circulation that can carry O2.
hemoglobin level returns to normal."
d. Thus, HCT is a good measure for blood loss
"My diet should include more red meat or liver." - anemia, whereas HGB is a good measure of iron
ANSWER -a. I will need to have cobalamin deficiency anemia
-B12 injections regularly for the rest of my life
rationale: pernicious anemia is the lack of When caring for a client with a coagulation
intrinsic factor within the stomach to absorb disorder, your primary focus should be on:
vitamin B12. inherently, pernicious anemia is a.
simply vitamin B12 deficiency. To correct Prevention of infection
pernicious anemia, you have to give B12 b.
2/8
