NR 507 Midterm Final Exam Questions and Answers Latest
Question 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
Correct Answer
A 30-year-old client who donates blood every 3 months
Question 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
Correct Answer
Serum ferritin
Page 1 of 45
,Question 3
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should anticipate the client will
require what?
Correct Answer
a bloos transfusion
Question 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
Correct Answer
Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
Page 2 of 45
,Question 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.
Correct Answer
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
Page 3 of 45
, Question 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
Correct Answer
Ferritin level
Hemoglobin level
Energy level
Question 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
Correct Answer
Adult client who had a vertical sleeve gastrectomy
Page 4 of 45
Question 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
Correct Answer
A 30-year-old client who donates blood every 3 months
Question 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
Correct Answer
Serum ferritin
Page 1 of 45
,Question 3
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should anticipate the client will
require what?
Correct Answer
a bloos transfusion
Question 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
Correct Answer
Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
Page 2 of 45
,Question 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.
Correct Answer
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
Page 3 of 45
, Question 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
Correct Answer
Ferritin level
Hemoglobin level
Energy level
Question 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
Correct Answer
Adult client who had a vertical sleeve gastrectomy
Page 4 of 45
