NSG 170 CORRECT FINAL EXAMS QUESTIONS AND
ANSWERS RATED A+
✔✔Anemia - ✔✔A condition in which the blood is deficient in red blood cells, in
hemoglobin, or in total volume.
Anemia can result from dietary problems, genetic disorders, bone marrow disease, or
excessive bleeding. GI bleeding is the most common reason for anemia in adults.
✔✔Sickle Cell Anemia - ✔✔a genetic disorder that causes abnormal hemoglobin,
resulting in some red blood cells assuming an abnormal sickle shape
✔✔Iron Deficiency Anemia - ✔✔Inadequate iron intake caused by:
• Iron-deficient diet
• Chronic alcoholism
• Malabsorption syndromes
• Partial gastrectomy
Rapid metabolic (anabolic) activity caused by:
• Pregnancy
• Adolescence
• Infection
✔✔Anemia labs: Iron - ✔✔Increased levels indicate iron excess, liver disorders,
hemochromatosis, megaloblastic anemia.
, Decreased levels indicate possible iron deficiency anemia, hemorrhage.
✔✔Anemia Labs: Folic Acid - ✔✔Folic Acid is a B vitamin that helps your body make
red blood cells.
Increased and decreased levels are the same as Iron.
✔✔Anemia Labs: Ferritin - ✔✔The serum ferritin test measures the amount of free iron
present in the plasma, which represents 1% of the total body iron stores. Therefore the
serum ferritin level provides a means to assess total iron stores.
Adults with serum ferritin levels at least 10 ng/100 mL have adequate iron stores; adults
with levels less than 10 ng/100 mL have inadequate iron stores and have difficulty
recovering from any blood loss.
✔✔Vitamin B6 - ✔✔Hemoglobin within red blood cells carries oxygen to tissues. Your
body needs vitamin B6 to make hemoglobin. Vitamin B6 also helps increase the amount
of oxygen carried by hemoglobin. A vitamin B6 deficiency can result in a form of anemia
that is similar to iron deficiency anemia.
✔✔Vitamin B12 - ✔✔Vitamin B12 and folate perform several important functions in the
body, including keeping the nervous system healthy.
✔✔Production of red blood cells is reduced when nutrients needed to form them are
deficient, such as_____ , _________, and _______ - ✔✔iron, vitamin B12, folate
✔✔Care of the Patient in Sickle Cell Crisis - ✔✔• Administer oxygen.
• Administer prescribed pain medication.
• Hydrate the patient with normal saline IV and with beverages of choice (without
caffeine) orally.
• Remove any constrictive clothing.
• Encourage the patient to keep extremities extended to promote venous return.
• Do not raise the knee position of the bed.
• Elevate the head of the bed no more than 30 degrees.
• Keep room temperature at or above 72° F (22.2° C).
• Avoid taking blood pressure with external cuff.
ANSWERS RATED A+
✔✔Anemia - ✔✔A condition in which the blood is deficient in red blood cells, in
hemoglobin, or in total volume.
Anemia can result from dietary problems, genetic disorders, bone marrow disease, or
excessive bleeding. GI bleeding is the most common reason for anemia in adults.
✔✔Sickle Cell Anemia - ✔✔a genetic disorder that causes abnormal hemoglobin,
resulting in some red blood cells assuming an abnormal sickle shape
✔✔Iron Deficiency Anemia - ✔✔Inadequate iron intake caused by:
• Iron-deficient diet
• Chronic alcoholism
• Malabsorption syndromes
• Partial gastrectomy
Rapid metabolic (anabolic) activity caused by:
• Pregnancy
• Adolescence
• Infection
✔✔Anemia labs: Iron - ✔✔Increased levels indicate iron excess, liver disorders,
hemochromatosis, megaloblastic anemia.
, Decreased levels indicate possible iron deficiency anemia, hemorrhage.
✔✔Anemia Labs: Folic Acid - ✔✔Folic Acid is a B vitamin that helps your body make
red blood cells.
Increased and decreased levels are the same as Iron.
✔✔Anemia Labs: Ferritin - ✔✔The serum ferritin test measures the amount of free iron
present in the plasma, which represents 1% of the total body iron stores. Therefore the
serum ferritin level provides a means to assess total iron stores.
Adults with serum ferritin levels at least 10 ng/100 mL have adequate iron stores; adults
with levels less than 10 ng/100 mL have inadequate iron stores and have difficulty
recovering from any blood loss.
✔✔Vitamin B6 - ✔✔Hemoglobin within red blood cells carries oxygen to tissues. Your
body needs vitamin B6 to make hemoglobin. Vitamin B6 also helps increase the amount
of oxygen carried by hemoglobin. A vitamin B6 deficiency can result in a form of anemia
that is similar to iron deficiency anemia.
✔✔Vitamin B12 - ✔✔Vitamin B12 and folate perform several important functions in the
body, including keeping the nervous system healthy.
✔✔Production of red blood cells is reduced when nutrients needed to form them are
deficient, such as_____ , _________, and _______ - ✔✔iron, vitamin B12, folate
✔✔Care of the Patient in Sickle Cell Crisis - ✔✔• Administer oxygen.
• Administer prescribed pain medication.
• Hydrate the patient with normal saline IV and with beverages of choice (without
caffeine) orally.
• Remove any constrictive clothing.
• Encourage the patient to keep extremities extended to promote venous return.
• Do not raise the knee position of the bed.
• Elevate the head of the bed no more than 30 degrees.
• Keep room temperature at or above 72° F (22.2° C).
• Avoid taking blood pressure with external cuff.
