2026 NUR 242 MEDICAL SURGICAL EXAMS: EXAM 1,
2, 3 AND FINAL EXAM|ACTUAL QUESTIONS AND
ANSWERS|ALREADY GRADED A+|GALEN COLLEGE
EXAM 1
A client had part of the ileum surgically removed. The nurse monitors the client
closely for anemia based on which rationale?
Cobalamin is absorbed in the ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never
had any symptoms of SSA and do not understand why our child has this problem."
Which information will the nurse include when teaching the parents?
If both parents are carriers of SSA, there is a 25% chance that offspring will
have SSA.
When a client develops iron-deficiency anemia, which of the client's laboratory test
results would the nurse expect to be decreased?
Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a
vaso-occlusive crisis. Which pathophysiology is correct?
Blockage of small blood vessels as a result of clumping of RBCs
Which is the most appropriate nursing intervention for an adolescent child with
sickle cell anemia?
Teaching the family how to limit sickling episodes
,The nurse is helping an adolescent with iron-deficiency anemia make breakfast
meal choices. Which food would the nurse suggest?
Bowl of raisin bran
The parent of a child with sickle cell anemia tells the nurse that the family is going
camping by a lake in the mountains this summer. The parent inquires what activities
are appropriate. Which activity would the nurse suggest?
Motorboat rides around the lake
The nurse concludes that the teaching about sickle cell anemia has been understood
when an adolescent with the disorder makes which statement?
"I'll start to have symptoms when I drink less fluid."
Which cause of anemia would the nurse recognize as the most common cause of
anemia in 1-year-olds?
Iron deficiency
Which assessment finding would the nurse expect when assessing an 11-month-old
infant with iron-deficiency anemia whose hemoglobin is 8 g/dL (80 mmol/L)?
Pallor
Which education would the nurse provide the parents of a 3-year-old child with
sickle cell anemia about splenomegaly during a pain crisis?
,Triggered by a vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-
deficiency anemia and fatigue?
Increased pulse rate
Which iron-rich foods would the nurse recommend for a toddler diagnosed with iron
deficiency anemia? Select all that apply. One, some, or all responses may be
correct.
Chicken, broccoli, lean steak
What would the nurse include in the plan of care to minimize the potential for a
sickling episode in a child with sickle cell anemia?
Promoting adequate oxygenation
Which is the cause of milk anemia in toddlers?
Increased milk intake
A 12-year-old child with sickle cell anemia is admitted during a vasoocclusive crisis.
Which is the priority of care for this child?
Relieving pain
, A child with beta-thalassemia (Cooley anemia) is admitted to the ambulatory care
unit for a transfusion. Which instruction would the nurse include in the plan of care?
Protect from infections
When reviewing the results of a toddler's complete blood count, the nurse notes
decreased hemoglobin and hematocrit levels. Which other laboratory findings
would the nurse expect in iron-deficiency anemia? Select all that apply. One, some,
or all responses may be correct.
Microcytic red blood cells, Slightly reduced reticulocyte count
The parents of a 3-month old infant who is breast-fed ask the nurse how to prevent
nutritional anemia. Which is the best response by the nurse?
Baby cereal or an iron supplement should be given around 4 months of age
Which parent education would the nurse provide when teaching an infant's parents
about the major cause of iron-deficiency anemia?
Overfeeding of milk
Which decreased hormone level may cause a client's anemia?
Erythropoietin
2, 3 AND FINAL EXAM|ACTUAL QUESTIONS AND
ANSWERS|ALREADY GRADED A+|GALEN COLLEGE
EXAM 1
A client had part of the ileum surgically removed. The nurse monitors the client
closely for anemia based on which rationale?
Cobalamin is absorbed in the ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never
had any symptoms of SSA and do not understand why our child has this problem."
Which information will the nurse include when teaching the parents?
If both parents are carriers of SSA, there is a 25% chance that offspring will
have SSA.
When a client develops iron-deficiency anemia, which of the client's laboratory test
results would the nurse expect to be decreased?
Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a
vaso-occlusive crisis. Which pathophysiology is correct?
Blockage of small blood vessels as a result of clumping of RBCs
Which is the most appropriate nursing intervention for an adolescent child with
sickle cell anemia?
Teaching the family how to limit sickling episodes
,The nurse is helping an adolescent with iron-deficiency anemia make breakfast
meal choices. Which food would the nurse suggest?
Bowl of raisin bran
The parent of a child with sickle cell anemia tells the nurse that the family is going
camping by a lake in the mountains this summer. The parent inquires what activities
are appropriate. Which activity would the nurse suggest?
Motorboat rides around the lake
The nurse concludes that the teaching about sickle cell anemia has been understood
when an adolescent with the disorder makes which statement?
"I'll start to have symptoms when I drink less fluid."
Which cause of anemia would the nurse recognize as the most common cause of
anemia in 1-year-olds?
Iron deficiency
Which assessment finding would the nurse expect when assessing an 11-month-old
infant with iron-deficiency anemia whose hemoglobin is 8 g/dL (80 mmol/L)?
Pallor
Which education would the nurse provide the parents of a 3-year-old child with
sickle cell anemia about splenomegaly during a pain crisis?
,Triggered by a vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-
deficiency anemia and fatigue?
Increased pulse rate
Which iron-rich foods would the nurse recommend for a toddler diagnosed with iron
deficiency anemia? Select all that apply. One, some, or all responses may be
correct.
Chicken, broccoli, lean steak
What would the nurse include in the plan of care to minimize the potential for a
sickling episode in a child with sickle cell anemia?
Promoting adequate oxygenation
Which is the cause of milk anemia in toddlers?
Increased milk intake
A 12-year-old child with sickle cell anemia is admitted during a vasoocclusive crisis.
Which is the priority of care for this child?
Relieving pain
, A child with beta-thalassemia (Cooley anemia) is admitted to the ambulatory care
unit for a transfusion. Which instruction would the nurse include in the plan of care?
Protect from infections
When reviewing the results of a toddler's complete blood count, the nurse notes
decreased hemoglobin and hematocrit levels. Which other laboratory findings
would the nurse expect in iron-deficiency anemia? Select all that apply. One, some,
or all responses may be correct.
Microcytic red blood cells, Slightly reduced reticulocyte count
The parents of a 3-month old infant who is breast-fed ask the nurse how to prevent
nutritional anemia. Which is the best response by the nurse?
Baby cereal or an iron supplement should be given around 4 months of age
Which parent education would the nurse provide when teaching an infant's parents
about the major cause of iron-deficiency anemia?
Overfeeding of milk
Which decreased hormone level may cause a client's anemia?
Erythropoietin
