NURS 5315 UTA EXAM 2 2026
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Risk factors and CM of pernicious anemia - correct answer -Risk:
vegan, gastrectomy, atrophy of gastric mucosa r/t autoimmune
disease
CM: beefy red tongue, weakness, fatigue, loss of appetite, weight
loss, neurological symptoms- parenthesis of hands/feet, loss of
sense of position and vibration
Pathophysiology and clinical implications of folate deficient
anemia - correct answer -Folic acid is required for RBC synthesis,
when lacking, cell continues to grow- but not mature, will get large
and be destroyed in the bone marrow
Monitor nutritional status of patients, elderly are easily
malnourished
ETOH dependent may need supplementation
Risk factors and CM of folate deficient anemia - correct answer -
Risk: malnourished, alcoholic
CM: beefy red tongue, weakness, fatigue, loss of appetite, weight
loss
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Risk factors and CM of iron deficient anemia - correct answer -
Risk: PUD, excessive menstruation, occult GI bleed, inadequate
dietary intake, Meds with GI bleed risk
CM: fatigue, hypoxia, SOB, pale tissues, glossitis, spoon shaped
nails
Pathophysiology and clinical implications of iron deficient anemia
- correct answer -Microcytic
Iron is necessary for production of hgb. Iron stores are depleted
and less hgb is produced, results in small RBCs
Most common worldwide, usially from chronic blood loss or
pregnancy, more common in women
Risk factors and CM of anemia of chronic disease - correct
answer -AIDS, RA, CKD, chronic hepatitis, lupus
2nd most common, chronic disease leads to body's inability to
use iron stores
Risk factors and CM of sickle cell anemia - correct answer -
African descent, Mediterranean, middle eastern, or Indian
descent, familial history
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Pain during crisis
Pathophysiology and clinical implications of sickle cell anemia -
correct answer -Lack of O2 causes hgb S molecules to transform
to sickle shape, treat with 0.45% NaCl to rehydrate cell and
reverse shape change
Autosomal recessive- can carry trait or active form.
Define acute leukemia - correct answer -Rapid onset- aggressive
accumulation of immature cells, causes overproduction of
leukocytes by the bone marrow, causes overcrowding, prevents
formation of normal blood cells
Chronic leukemia - correct answer -Gradual onset, cells appear
normal but do not function appropriately and accumulate
Lymphocytic leukemia - correct answer -Excessive production of
lymphocytes
Myelogenous leukemia - correct answer -Excessive production of
granulocytes