NR507 Midterm Exam
Complete Questions and Guide Answers
100% Verified Graded A+
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
Answer: A 30-year-old client who donates blood every
3 months
2. The nurse practitioner (NP) reviews a client's laboratory results. Which labo- ratory result
best reflects the client's level of iron stores?
Transferrin saturation
,Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
Answer: Serum ferritin
3. The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what?
Answer: a bloos 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
Answer: Avoid drinking tea or cottee with meals
Consume lean red meat 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.
Answer: Refer the couple for genetic counseling. Explain what it means to be a carrier of 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
Answer: 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
Answer: Adult client who had a vertical sleeve
gastrectomy
Complete Questions and Guide Answers
100% Verified Graded A+
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
Answer: A 30-year-old client who donates blood every
3 months
2. The nurse practitioner (NP) reviews a client's laboratory results. Which labo- ratory result
best reflects the client's level of iron stores?
Transferrin saturation
,Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
Answer: Serum ferritin
3. The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what?
Answer: a bloos 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
Answer: Avoid drinking tea or cottee with meals
Consume lean red meat 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.
Answer: Refer the couple for genetic counseling. Explain what it means to be a carrier of 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
Answer: 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
Answer: Adult client who had a vertical sleeve
gastrectomy
