BRAINSCAPE1
FNP 654 Exam with complete
solutions latest version
Vaccines that are not recommended for pregnant patients - CORRECT ANSWER-
Pregnant patients cannot receive life vaccines such as:
MMR
Varicella
intranasal influenza
Zoster
Iron deficiency anemia signs and symptoms - CORRECT ANSWER-HCT > 30
pica: usual food cravings such as size clay
dyspnea and mild fatigue
headache
palpitations
weakness
tachycardia
Pallor
postural hypotension
Iron deficiency anemia laboratory - CORRECT ANSWER-Low HGB
low HCT
low MCV ( microcytic)
low MCHC
low RBCs
low serum iron
low Ferritin
High TIBC
high RDW -
Iron deficiency anemia management - CORRECT ANSWER-Oral ferrous sulfate 300-
325 MG 1 to 2 hours after meals
Iron should not be taken with antacids as they interfere with absorption.
Juice that has vitamin C increases absorption
foods high in iron:
Raisins
green leafy Vegetable
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, BRAINSCAPE1
Red meats
Citrus products
bread and cereals
Thalassemia - CORRECT ANSWER-an inherited defect in the ability to produce
hemoglobin, leading to hypochromia
Found in African-American, Middle Eastern, Indian, African Americans
Thalassemia symptoms - CORRECT ANSWER-Fatigue.
Weakness.
Pale or yellowish skin.
Facial bone deformities.
Slow growth.
Abdominal swelling.
Dark urine.
note; general physical findings are unremarkable unless the form of thalassemia is
severe
Thalassemia laboratory - CORRECT ANSWER-decrease age Hgb
low MCV ( microcytic)
low MCHC
normal TIBC
normal Ferritin
Thalassemia management - CORRECT ANSWER--No treatment for mild to moderate
-RBC transfusion/splenctomy for more severe forms
-Iron is contraindicated as Fe overload can result
Folic Acid Deficiency - CORRECT ANSWER-A macrocytic, normochromic anemia due
to folic acid deficiency
Folic Acid Deficiency Cause - CORRECT ANSWER-Inadequate intake/malabsorption of
folic acid (needed for RBC production)
Folic Acid Deficiency Signs/Symptoms - CORRECT ANSWER-Fatigue
Tachycardia
Dyspnea on exertion
Anorexia
Pallor Glossitis
Headache
Aphthous ulcers
Folic Acid Deficiency signs Laboratory/Diagnostics - CORRECT ANSWER-Hct and
RBC decreased
Serum folate decreased
MCV elevated (macrocytic)
Red blood cell folate < 100 ng/mL
BRAINSCAPE1
FNP 654 Exam with complete
solutions latest version
Vaccines that are not recommended for pregnant patients - CORRECT ANSWER-
Pregnant patients cannot receive life vaccines such as:
MMR
Varicella
intranasal influenza
Zoster
Iron deficiency anemia signs and symptoms - CORRECT ANSWER-HCT > 30
pica: usual food cravings such as size clay
dyspnea and mild fatigue
headache
palpitations
weakness
tachycardia
Pallor
postural hypotension
Iron deficiency anemia laboratory - CORRECT ANSWER-Low HGB
low HCT
low MCV ( microcytic)
low MCHC
low RBCs
low serum iron
low Ferritin
High TIBC
high RDW -
Iron deficiency anemia management - CORRECT ANSWER-Oral ferrous sulfate 300-
325 MG 1 to 2 hours after meals
Iron should not be taken with antacids as they interfere with absorption.
Juice that has vitamin C increases absorption
foods high in iron:
Raisins
green leafy Vegetable
BRAINSCAPE1
, BRAINSCAPE1
Red meats
Citrus products
bread and cereals
Thalassemia - CORRECT ANSWER-an inherited defect in the ability to produce
hemoglobin, leading to hypochromia
Found in African-American, Middle Eastern, Indian, African Americans
Thalassemia symptoms - CORRECT ANSWER-Fatigue.
Weakness.
Pale or yellowish skin.
Facial bone deformities.
Slow growth.
Abdominal swelling.
Dark urine.
note; general physical findings are unremarkable unless the form of thalassemia is
severe
Thalassemia laboratory - CORRECT ANSWER-decrease age Hgb
low MCV ( microcytic)
low MCHC
normal TIBC
normal Ferritin
Thalassemia management - CORRECT ANSWER--No treatment for mild to moderate
-RBC transfusion/splenctomy for more severe forms
-Iron is contraindicated as Fe overload can result
Folic Acid Deficiency - CORRECT ANSWER-A macrocytic, normochromic anemia due
to folic acid deficiency
Folic Acid Deficiency Cause - CORRECT ANSWER-Inadequate intake/malabsorption of
folic acid (needed for RBC production)
Folic Acid Deficiency Signs/Symptoms - CORRECT ANSWER-Fatigue
Tachycardia
Dyspnea on exertion
Anorexia
Pallor Glossitis
Headache
Aphthous ulcers
Folic Acid Deficiency signs Laboratory/Diagnostics - CORRECT ANSWER-Hct and
RBC decreased
Serum folate decreased
MCV elevated (macrocytic)
Red blood cell folate < 100 ng/mL
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