NR 507 MIDTERM EXAM AND FINAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
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NR 507 MIDTERM EXAM
A 28-year-old client with a history of sickle cell anemia presents to the
emergency department with severe pain in the joints and abdomen,
decreased range of motion in extremities, and decreased oxygen saturation
levels. The client denies recent infections. The nurse practitioner (NP)
should recognize the client is most likely experiencing which type of sickle
cell crisis?
Hyperhemolytic crisis
Sequestration crisis
Aplastic crisis
Vaso-occlusive crisis ---------CORRECT ANSWER-----------------Vaso-
occlusive crisis
A 35-year-old client with a known history of sickle cell anemia presents to
the emergency department (ED) with jaundice, dark urine, and fatigue.
Laboratory results show a significant drop in hemoglobin levels. The nurse
practitioner (NP) should recognize the client is most likely experiencing
which type of sickle cell crisis?
Sequestration crisis
Vaso-occlusive crisis
Aplastic crisis
Hemolytic crisis ---------CORRECT ANSWER-----------------Hemolytic crisis
,What are the clinical manifestation associated with a vaso-occlusive crisis,
aplastic crisis, sequestration crisis, or hyperhemolytic crisis? ---------
CORRECT ANSWER-----------------Bone pain → Vaso-occlusive crisis
Dark-colored urine → Hyperhemolytic crisis
Severe anemia → Aplastic crisis
Splenomegaly → Sequestration crisis
Which of the following pathophysiological condition(s) can lead to coronary
artery disease (CAD)? Select all that apply.
Hypertension
Atrial fibrillation
Heart failure
Pneumonia
Diabetes mellitus
Gastroenteritis ---------CORRECT ANSWER-----------------Diabetes mellitus
Hypertension
Which of the following diagnostic tests are used to confirm coronary artery
disease (CAD)? Select all that apply.
Cardiac catheterization
Chest radiograph
Orthostatic blood pressures
Treadmill exercise stress test
ST elevation on an electrocardiogram ---------CORRECT ANSWER-----------
------Cardiac catheterization & Treadmill exercise stress test
An individual who is at risk for coronary artery disease may be prescribed
which diagnostic tests? Select all that apply.
Stress test
Chest X-ray
Echocardiogram
,Lipid profile
Electrocardiogram ---------CORRECT ANSWER-----------------ALL
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
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
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 blood transfusion
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
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.
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
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | LATEST
VERSIONS
NR 507 MIDTERM EXAM
A 28-year-old client with a history of sickle cell anemia presents to the
emergency department with severe pain in the joints and abdomen,
decreased range of motion in extremities, and decreased oxygen saturation
levels. The client denies recent infections. The nurse practitioner (NP)
should recognize the client is most likely experiencing which type of sickle
cell crisis?
Hyperhemolytic crisis
Sequestration crisis
Aplastic crisis
Vaso-occlusive crisis ---------CORRECT ANSWER-----------------Vaso-
occlusive crisis
A 35-year-old client with a known history of sickle cell anemia presents to
the emergency department (ED) with jaundice, dark urine, and fatigue.
Laboratory results show a significant drop in hemoglobin levels. The nurse
practitioner (NP) should recognize the client is most likely experiencing
which type of sickle cell crisis?
Sequestration crisis
Vaso-occlusive crisis
Aplastic crisis
Hemolytic crisis ---------CORRECT ANSWER-----------------Hemolytic crisis
,What are the clinical manifestation associated with a vaso-occlusive crisis,
aplastic crisis, sequestration crisis, or hyperhemolytic crisis? ---------
CORRECT ANSWER-----------------Bone pain → Vaso-occlusive crisis
Dark-colored urine → Hyperhemolytic crisis
Severe anemia → Aplastic crisis
Splenomegaly → Sequestration crisis
Which of the following pathophysiological condition(s) can lead to coronary
artery disease (CAD)? Select all that apply.
Hypertension
Atrial fibrillation
Heart failure
Pneumonia
Diabetes mellitus
Gastroenteritis ---------CORRECT ANSWER-----------------Diabetes mellitus
Hypertension
Which of the following diagnostic tests are used to confirm coronary artery
disease (CAD)? Select all that apply.
Cardiac catheterization
Chest radiograph
Orthostatic blood pressures
Treadmill exercise stress test
ST elevation on an electrocardiogram ---------CORRECT ANSWER-----------
------Cardiac catheterization & Treadmill exercise stress test
An individual who is at risk for coronary artery disease may be prescribed
which diagnostic tests? Select all that apply.
Stress test
Chest X-ray
Echocardiogram
,Lipid profile
Electrocardiogram ---------CORRECT ANSWER-----------------ALL
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
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
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 blood transfusion
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
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.
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
