Evolve: Anemia Test Questions and Answers Graded A+
A patient's laboratory reports show a low mean drinking undiluted liquid iron without a straw,
corpuscular volume (MCV) and a high consuming it with a straw does not boost iron
reticulocyte count. The nurse suspects which absorption, reduce iron absorption, or reduce
condition? - -Thalassemia allergic reactions.
In thalassemia, a low mean corpuscular volume
and a high reticulocyte count are observed. In Which laboratory report findings support the
sickle cell anemia, a normal MCV and low nurse's conclusion that a patient has thalassemia
reticulocyte count are seen. In hemolytic anemia, major? Select all that apply. - -Thalassemia
a normal MCV and increased reticulocytes are major is characterized by the presence of
found. An increased MCV and normal or low increased bilirubin levels, serum iron levels, and
reticulocyte count occur due to a folic acid reticulocyte level. Thalassemia major is also
deficiency. characterized by the presence of decreased
mean corpuscular volume and total iron-binding
capacity.
A patient that is receiving treatment for
thalassemia show evidence of hemolysis. The
nurse anticipates a prescription for which The nurse recalls that which condition results in
supplementation? - -Folic acid anemia due to synthesis of defective DNA in the
body? - -Folic acid deficiency can cause
Folic acid is given if there is any evidence of the synthesis of defective deoxyribonucleic acid
hemolysis in patients with thalassemia. Zinc (DNA) and result in anemia. A decreased number
supplementation is required in patients with of red blood cell precursors results in anemia in
thalassemia after chelation therapy, because patients with myelodysplasia and Fanconi
zinc levels may decline. Vitamin B12 syndrome. Increased red blood cell destruction
supplementation is required for patients with can result in anemia in patients with G6PD
megaloblastic anemias. Ascorbic acid enzyme deficiency.
supplementation may be needed during
chelation therapy in patients receiving treatment
for thalassemia, because it increases urinary A patient experiences acute blood loss following
excretion of iron a motor vehicle accident. Which erythrocyte
characteristic would the nurse expect to see in
the laboratory findings? - -Normocytic,
What level of hemoglobin indicates increased normochromic erythrocytes are seen in patients
heart rate? - -Hemoglobin content of less with acute blood loss following an accident.
than 60 g/dL indicates severe anemia, which can Microcytic, hypochromic erythrocytes are seen in
result in tachycardia, or increased heart rate patients with iron-deficiency anemia, vitamin B6
deficiency, copper deficiency, thalassemia, or
lead poisoning. Megaloblastic erythrocytes are
While taking undiluted liquid iron that was seen in patients with vitamin B12 deficiency, folic
prescribed, a patient asks the nurse why it must acid deficiency, or liver disease.
be drunk through a straw. How should the nurse
respond? - -An undiluted iron preparation
causes staining of the teeth if consumed without The nurse suspects that a patient is experiencing
using a straw. Such preparations should microcytic, hypochromic anemia after noting
therefore be taken using a straw. Compared to which blood test results? - -Microcytic,
1/5
, Evolve: Anemia Test Questions and Answers Graded A+
hypochromic anemia is characterized by the and black, tarry stools. Ferrous gluconate does
presence of a mean corpuscular volume of less not cause fluid accumulation in the peritoneal
than 80 fL and a mean corpuscular hemoglobin cavity or abdominal swelling.
of less than 27 pg. Normocytic and
normochromic anemia are characterized by the
presence of mean corpuscular volume between The nurse assesses a patient with pernicious
80 and 100 fL and mean corpuscular hemoglobin anemia and expects to find what classic sign of
between 27 and 34 pg. Macrocytic and this condition? - -The decreased absorption
normochromic anemia are characterized by the of vitamin B12 resulting from a lack of intrinsic
presence of mean corpuscular volume of greater factor causes a decrease in hemoglobin,
than 100 fL and mean corpuscular hemoglobin of hematocrit, and red blood cells. A smooth, red,
greater than 34 pg. enlarged or "beefy" appearance of the tongue
may also be seen. Intrinsic factor is produced by
the parietal cells of the stomach lining and is
The nurse recalls that the role of folic acid in required to absorb vitamin B12 from the
erythropoiesis is what? - -Folic acid intestines. Causes of decreased intrinsic factor
promotes maturation of red blood cells (RBC). production include surgical alterations such as
Ascorbic acid aids in the absorption of iron. Iron gastrectomy and autoimmune disease. Diarrhea,
and pyridoxine promote hemoglobin synthesis. indigestion, and flushed skin appearance are not
Copper helps in the mobilization of iron from signs specifically associated with pernicious
tissue to plasma. anemia.
When teaching a patient about treatment for iron A patient that has sickle cell disease has
deficiency, the nurse provides a list of foods that developed cellulitis above the left ankle. What is
provide nutritional support for hemoglobin the nurse's priority for this patient? - -
synthesis. Which foods should the nurse include Maintaining oxygenation is a priority, because
on the list? Select all that apply. - - sickling episodes frequently are triggered by low
Legumes, dried fruits, and dark green leafy oxygen tension in the blood, which commonly is
vegetables contain iron, which supports caused by an infection. Antibiotics to treat
hemoglobin synthesis. Strawberries provide cellulitis, pain control, and fluids to reduce blood
vitamin C, which converts folic to its active forms viscosity also will be used, but oxygenation is the
and aids iron absorption but not hemoglobin priority.
synthesis. Milk products contain riboflavin and
amino acids but do not support hemoglobin
synthesis. The nurse provides discharge teaching to a
patient with chronic anemia. What should the
nurse include in the education? - -The
A patient receives a prescription for ferrous cause of chronic anemia is often inadequate
gluconate. The nurse should provide education dietary intake of foods high in iron. In most cases
related to what potential side effect? - -Iron of iron-deficiency anemia, the condition may be
supplements such as ferrous gluconate reduce prevented by consuming a nutritionally balanced
peristalsis and result in constipation. Ferrous diet. Attending a nutrition education session will
gluconate does not reduce blood pressure and increase compliance with the recommended diet.
does not result in hypotension. Ferrous Taking supplements of vitamin C, which will
gluconate can cause gastrointestinal bleeding increase iron absorption from the GI tract,
2/5
A patient's laboratory reports show a low mean drinking undiluted liquid iron without a straw,
corpuscular volume (MCV) and a high consuming it with a straw does not boost iron
reticulocyte count. The nurse suspects which absorption, reduce iron absorption, or reduce
condition? - -Thalassemia allergic reactions.
In thalassemia, a low mean corpuscular volume
and a high reticulocyte count are observed. In Which laboratory report findings support the
sickle cell anemia, a normal MCV and low nurse's conclusion that a patient has thalassemia
reticulocyte count are seen. In hemolytic anemia, major? Select all that apply. - -Thalassemia
a normal MCV and increased reticulocytes are major is characterized by the presence of
found. An increased MCV and normal or low increased bilirubin levels, serum iron levels, and
reticulocyte count occur due to a folic acid reticulocyte level. Thalassemia major is also
deficiency. characterized by the presence of decreased
mean corpuscular volume and total iron-binding
capacity.
A patient that is receiving treatment for
thalassemia show evidence of hemolysis. The
nurse anticipates a prescription for which The nurse recalls that which condition results in
supplementation? - -Folic acid anemia due to synthesis of defective DNA in the
body? - -Folic acid deficiency can cause
Folic acid is given if there is any evidence of the synthesis of defective deoxyribonucleic acid
hemolysis in patients with thalassemia. Zinc (DNA) and result in anemia. A decreased number
supplementation is required in patients with of red blood cell precursors results in anemia in
thalassemia after chelation therapy, because patients with myelodysplasia and Fanconi
zinc levels may decline. Vitamin B12 syndrome. Increased red blood cell destruction
supplementation is required for patients with can result in anemia in patients with G6PD
megaloblastic anemias. Ascorbic acid enzyme deficiency.
supplementation may be needed during
chelation therapy in patients receiving treatment
for thalassemia, because it increases urinary A patient experiences acute blood loss following
excretion of iron a motor vehicle accident. Which erythrocyte
characteristic would the nurse expect to see in
the laboratory findings? - -Normocytic,
What level of hemoglobin indicates increased normochromic erythrocytes are seen in patients
heart rate? - -Hemoglobin content of less with acute blood loss following an accident.
than 60 g/dL indicates severe anemia, which can Microcytic, hypochromic erythrocytes are seen in
result in tachycardia, or increased heart rate patients with iron-deficiency anemia, vitamin B6
deficiency, copper deficiency, thalassemia, or
lead poisoning. Megaloblastic erythrocytes are
While taking undiluted liquid iron that was seen in patients with vitamin B12 deficiency, folic
prescribed, a patient asks the nurse why it must acid deficiency, or liver disease.
be drunk through a straw. How should the nurse
respond? - -An undiluted iron preparation
causes staining of the teeth if consumed without The nurse suspects that a patient is experiencing
using a straw. Such preparations should microcytic, hypochromic anemia after noting
therefore be taken using a straw. Compared to which blood test results? - -Microcytic,
1/5
, Evolve: Anemia Test Questions and Answers Graded A+
hypochromic anemia is characterized by the and black, tarry stools. Ferrous gluconate does
presence of a mean corpuscular volume of less not cause fluid accumulation in the peritoneal
than 80 fL and a mean corpuscular hemoglobin cavity or abdominal swelling.
of less than 27 pg. Normocytic and
normochromic anemia are characterized by the
presence of mean corpuscular volume between The nurse assesses a patient with pernicious
80 and 100 fL and mean corpuscular hemoglobin anemia and expects to find what classic sign of
between 27 and 34 pg. Macrocytic and this condition? - -The decreased absorption
normochromic anemia are characterized by the of vitamin B12 resulting from a lack of intrinsic
presence of mean corpuscular volume of greater factor causes a decrease in hemoglobin,
than 100 fL and mean corpuscular hemoglobin of hematocrit, and red blood cells. A smooth, red,
greater than 34 pg. enlarged or "beefy" appearance of the tongue
may also be seen. Intrinsic factor is produced by
the parietal cells of the stomach lining and is
The nurse recalls that the role of folic acid in required to absorb vitamin B12 from the
erythropoiesis is what? - -Folic acid intestines. Causes of decreased intrinsic factor
promotes maturation of red blood cells (RBC). production include surgical alterations such as
Ascorbic acid aids in the absorption of iron. Iron gastrectomy and autoimmune disease. Diarrhea,
and pyridoxine promote hemoglobin synthesis. indigestion, and flushed skin appearance are not
Copper helps in the mobilization of iron from signs specifically associated with pernicious
tissue to plasma. anemia.
When teaching a patient about treatment for iron A patient that has sickle cell disease has
deficiency, the nurse provides a list of foods that developed cellulitis above the left ankle. What is
provide nutritional support for hemoglobin the nurse's priority for this patient? - -
synthesis. Which foods should the nurse include Maintaining oxygenation is a priority, because
on the list? Select all that apply. - - sickling episodes frequently are triggered by low
Legumes, dried fruits, and dark green leafy oxygen tension in the blood, which commonly is
vegetables contain iron, which supports caused by an infection. Antibiotics to treat
hemoglobin synthesis. Strawberries provide cellulitis, pain control, and fluids to reduce blood
vitamin C, which converts folic to its active forms viscosity also will be used, but oxygenation is the
and aids iron absorption but not hemoglobin priority.
synthesis. Milk products contain riboflavin and
amino acids but do not support hemoglobin
synthesis. The nurse provides discharge teaching to a
patient with chronic anemia. What should the
nurse include in the education? - -The
A patient receives a prescription for ferrous cause of chronic anemia is often inadequate
gluconate. The nurse should provide education dietary intake of foods high in iron. In most cases
related to what potential side effect? - -Iron of iron-deficiency anemia, the condition may be
supplements such as ferrous gluconate reduce prevented by consuming a nutritionally balanced
peristalsis and result in constipation. Ferrous diet. Attending a nutrition education session will
gluconate does not reduce blood pressure and increase compliance with the recommended diet.
does not result in hypotension. Ferrous Taking supplements of vitamin C, which will
gluconate can cause gastrointestinal bleeding increase iron absorption from the GI tract,
2/5
