NUR 221 EXAM 2 88 EXAM SCRIPT 2026 FULL
SOLUTION PRACTICE
◉ complete blood count (CBC). Answer: comprehensive blood test
that includes red blood cell count (RBC), white blood cell count
(WBC), hemoglobin (Hgb), hematocrit (Hct), white blood cell
differential, and platelet count
◉ What is PT/INR used for?. Answer: monitor warfarin therapy
◉ What is PTT for?. Answer: monitor heparin therapy
◉ signs/symptoms of anemia. Answer: fatigue, dyspnea, pallor,
tachycardia, decreased regen. of epithelial cells of GI tract,
dry/cracked lips, dysphagia
◉ iron deficiency anemia. Answer: anemia caused by inadequate
iron intake
-affects 1 in 5 women
◉ causes of iron deficiency anemia. Answer: Dietary intake of iron
below minimum requirement
,Chronic blood loss
Impaired duodenal absorption of iron
Severe liver disease
◉ signs/symptoms of iron deficient anemia. Answer: pallor, fatigue,
lethargy, cold intolerance, irritability, delayed healing, syncope
◉ prenicious anemia. Answer: deficiency of vitamin B12, creates
immature erythrocytes that are prematurely destroyed
-common in vegans and vegetarians
◉ signs/symptoms of pernicious anemia. Answer: red beefy tongue,
diarrhea, paresthesia in extremities, ataxia
◉ Pernicious anemia treatment. Answer: -oral supplement for
pregnant women and vegetarians
-B12 IM injection (z-track method)
◉ Cause of sickle cell disease. Answer: -genetic
-Hemoglobin S is deoxygenated (causing sickle shape)
, ◉ sickle cell anemia s/s. Answer: severe anemia,
hyperbilirubinemia, splenomegaly, vascular occlusions and infarcts
(from low O2, PAINFUL) CHF
◉ Sickle Cell Anemia Treatment. Answer: -Hydroxyurea (chemo
drug): stimulated production of non-sickled hemoglobin
-folic acid supplements
-pain management
-bone marrow transplant
◉ Hemophilia A. Answer: deficiency in clotting factor VIII
-men can get it, women only carry
◉ Hemophilia A s/s. Answer: spontaneous bleeding, excessive
bleeding and bruising, tarry stool, painful swollen joints
◉ Hemophilia diagnosis and treatment. Answer: diagnosis:
Prolonged PTT/coagulation time, low serum levels of factor VIII
treatment: -Desmopressin (ADH hormone), IV factor VIII
◉ Von Willebrand Disease. Answer: deficiency of von Willebrand
factor, a "sticky" protein that lines blood vessels and reacts with
platelets to form a plug that leads to clot formation
SOLUTION PRACTICE
◉ complete blood count (CBC). Answer: comprehensive blood test
that includes red blood cell count (RBC), white blood cell count
(WBC), hemoglobin (Hgb), hematocrit (Hct), white blood cell
differential, and platelet count
◉ What is PT/INR used for?. Answer: monitor warfarin therapy
◉ What is PTT for?. Answer: monitor heparin therapy
◉ signs/symptoms of anemia. Answer: fatigue, dyspnea, pallor,
tachycardia, decreased regen. of epithelial cells of GI tract,
dry/cracked lips, dysphagia
◉ iron deficiency anemia. Answer: anemia caused by inadequate
iron intake
-affects 1 in 5 women
◉ causes of iron deficiency anemia. Answer: Dietary intake of iron
below minimum requirement
,Chronic blood loss
Impaired duodenal absorption of iron
Severe liver disease
◉ signs/symptoms of iron deficient anemia. Answer: pallor, fatigue,
lethargy, cold intolerance, irritability, delayed healing, syncope
◉ prenicious anemia. Answer: deficiency of vitamin B12, creates
immature erythrocytes that are prematurely destroyed
-common in vegans and vegetarians
◉ signs/symptoms of pernicious anemia. Answer: red beefy tongue,
diarrhea, paresthesia in extremities, ataxia
◉ Pernicious anemia treatment. Answer: -oral supplement for
pregnant women and vegetarians
-B12 IM injection (z-track method)
◉ Cause of sickle cell disease. Answer: -genetic
-Hemoglobin S is deoxygenated (causing sickle shape)
, ◉ sickle cell anemia s/s. Answer: severe anemia,
hyperbilirubinemia, splenomegaly, vascular occlusions and infarcts
(from low O2, PAINFUL) CHF
◉ Sickle Cell Anemia Treatment. Answer: -Hydroxyurea (chemo
drug): stimulated production of non-sickled hemoglobin
-folic acid supplements
-pain management
-bone marrow transplant
◉ Hemophilia A. Answer: deficiency in clotting factor VIII
-men can get it, women only carry
◉ Hemophilia A s/s. Answer: spontaneous bleeding, excessive
bleeding and bruising, tarry stool, painful swollen joints
◉ Hemophilia diagnosis and treatment. Answer: diagnosis:
Prolonged PTT/coagulation time, low serum levels of factor VIII
treatment: -Desmopressin (ADH hormone), IV factor VIII
◉ Von Willebrand Disease. Answer: deficiency of von Willebrand
factor, a "sticky" protein that lines blood vessels and reacts with
platelets to form a plug that leads to clot formation
