Anemia NCLEX Questions-New GUARANTEED
PASS !!
mother asks the nurse if her child's iron deficiency anemia is related to the child's frequent
infections. The nurse responds based on the understanding of which of the following?
a.
Little is known about iron-deficiency anemia and its relationship to infection in children.
b.
Children with iron deficiency anemia are more susceptible to infection than are other children.
c.
Children with iron-deficiency anemia are less susceptible to infection than are other children.
d.
Children with iron-deficient anemia are equally as susceptible to infection as are other children. -
(ANSWER)Children with iron deficiency anemia are more susceptible to infection than are other
children.
Rationale: If iron deficiency anaemia is left untreated, it can make you more susceptible to
illness and infection, as a lack of iron affects the body's natural defence system (the immune
system).
When a client is diagnosed with aplastic anemia, the nurse monitors for changes in which of the
following physiological functions?
a.
Bleeding tendencies
b.
Intake and output
c.
Peripheral sensation
d.
Bowel function - (ANSWER)a. Bleeding tendencies
Aplastic anemia decreases the bone marrow production of RBCs, WBCs, and Platelets (aka
pancytopenia, the decrease in overall CBC's). The client is at risk for bruising and bleeding
tendencies. The patient is also at risk for infections
A client was admitted with iron deficiency anemia and blood-streaked emesis. Which question is
most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?
a.
"What activities were you able to do 6 months ago compared with present?"
b.
"How long have you had this problem?"
c.
"Have you been able to keep up with all your usual activities?"
d.
Page 1 of 11
, "Are you more tired now than you used to be?" - (ANSWER)a. What activities were you able to
do 6 months ago compared with present?
Rationale: It is difficult to determine activity intolerance without objectively comparing activities
from one time frame to another. Because iron deficiency anemia can occur gradually and
individual endurance varies, the nurse can best assess the clients activity tolerance by asking the
client to compare activities 6 months ago and at the present
A client is beginning a regimen of ferrous sulfate or iron. As you prepare to administer the
medication, it is important for you to advise the client that
select all that apply:
a. Her urine will turn a dark orange
b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
d. Her vision will become slightly blurred
e. She may experience constipation - (ANSWER)b. Her bowel movements will be dark and
tarry r/t increased iron in their system
e. She may experience constipation
rationale: Constipation or stools that are black or green also occur. (The unusual coloring is
because of absorbed iron, and is not harmful.) In rare cases, ferrous sulfate side effects include:
Diarrhea.
The usual treatment for iron-deficiency anemia includes:
a. Vitamin B12 injection
b. Non-enteric-coated ferrous sulfate
c. Enteric-coated or sustained-release ferrous sulfate
d. Whole blood transfusion - (ANSWER)b. Non-enteric-coated ferrous sulfate
The usual tx is 325 mg p.o. daily. enteric-coated and sustained rls formulas should be avoided, as
they are poorly absorbed
A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about
pernicious anemia, the nurse determines that the patient understands the disorder when the
patient states,
a.
"I will need to have cobalamin (B12) injections regularly for the rest of my life."
b.
"I will stop having a glass of wine with dinner."
c.
"The numbness in my feet will go away once my hemoglobin level returns to normal."
d.
"My diet should include more red meat or liver." - (ANSWER)a. I will need to have cobalamin -
B12 injections regularly for the rest of my life
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PASS !!
mother asks the nurse if her child's iron deficiency anemia is related to the child's frequent
infections. The nurse responds based on the understanding of which of the following?
a.
Little is known about iron-deficiency anemia and its relationship to infection in children.
b.
Children with iron deficiency anemia are more susceptible to infection than are other children.
c.
Children with iron-deficiency anemia are less susceptible to infection than are other children.
d.
Children with iron-deficient anemia are equally as susceptible to infection as are other children. -
(ANSWER)Children with iron deficiency anemia are more susceptible to infection than are other
children.
Rationale: If iron deficiency anaemia is left untreated, it can make you more susceptible to
illness and infection, as a lack of iron affects the body's natural defence system (the immune
system).
When a client is diagnosed with aplastic anemia, the nurse monitors for changes in which of the
following physiological functions?
a.
Bleeding tendencies
b.
Intake and output
c.
Peripheral sensation
d.
Bowel function - (ANSWER)a. Bleeding tendencies
Aplastic anemia decreases the bone marrow production of RBCs, WBCs, and Platelets (aka
pancytopenia, the decrease in overall CBC's). The client is at risk for bruising and bleeding
tendencies. The patient is also at risk for infections
A client was admitted with iron deficiency anemia and blood-streaked emesis. Which question is
most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?
a.
"What activities were you able to do 6 months ago compared with present?"
b.
"How long have you had this problem?"
c.
"Have you been able to keep up with all your usual activities?"
d.
Page 1 of 11
, "Are you more tired now than you used to be?" - (ANSWER)a. What activities were you able to
do 6 months ago compared with present?
Rationale: It is difficult to determine activity intolerance without objectively comparing activities
from one time frame to another. Because iron deficiency anemia can occur gradually and
individual endurance varies, the nurse can best assess the clients activity tolerance by asking the
client to compare activities 6 months ago and at the present
A client is beginning a regimen of ferrous sulfate or iron. As you prepare to administer the
medication, it is important for you to advise the client that
select all that apply:
a. Her urine will turn a dark orange
b. Her bowel movements will be dark and tarry
c. Her appetite will be diminished
d. Her vision will become slightly blurred
e. She may experience constipation - (ANSWER)b. Her bowel movements will be dark and
tarry r/t increased iron in their system
e. She may experience constipation
rationale: Constipation or stools that are black or green also occur. (The unusual coloring is
because of absorbed iron, and is not harmful.) In rare cases, ferrous sulfate side effects include:
Diarrhea.
The usual treatment for iron-deficiency anemia includes:
a. Vitamin B12 injection
b. Non-enteric-coated ferrous sulfate
c. Enteric-coated or sustained-release ferrous sulfate
d. Whole blood transfusion - (ANSWER)b. Non-enteric-coated ferrous sulfate
The usual tx is 325 mg p.o. daily. enteric-coated and sustained rls formulas should be avoided, as
they are poorly absorbed
A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about
pernicious anemia, the nurse determines that the patient understands the disorder when the
patient states,
a.
"I will need to have cobalamin (B12) injections regularly for the rest of my life."
b.
"I will stop having a glass of wine with dinner."
c.
"The numbness in my feet will go away once my hemoglobin level returns to normal."
d.
"My diet should include more red meat or liver." - (ANSWER)a. I will need to have cobalamin -
B12 injections regularly for the rest of my life
Page 2 of 11
