NURS 242 EXAM 1 UPDATED Exam
Questions and CORRECT Answers
A client had part of the ileum surgically removed. The nurse monitors the client closely for
anemia based on which rationale? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-
occlusive crisis. Which pathophysiology is correct? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - "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? - CORRECT ANSWER - 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)? - CORRECT
ANSWER - 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? - CORRECT ANSWER - Triggered by a
vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-deficiency anemia
and fatigue? - CORRECT ANSWER - 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. - CORRECT
ANSWER - 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? - CORRECT ANSWER - Promoting adequate
oxygenation
Which is the cause of milk anemia in toddlers? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - 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. -
CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - Overfeeding of milk
Which decreased hormone level may cause a client's anemia? - CORRECT ANSWER -
Erythropoietin
A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class." Which
is the most likely explanation for this symptom? - CORRECT ANSWER - Insufficient
cerebral oxygenation
A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which
interventions would be implemented after the pain is under control? Select all that apply. One,
some, or all responses may be correct. - CORRECT ANSWER - Rehydration, Oxygen (O
2) therapy
A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would
the nurse explain to the client? - CORRECT ANSWER - Decrease in erythropoietin
Which is the priority nursing intervention to prevent thrombus formation in a child with sickle
cell anemia? - CORRECT ANSWER - Encouraging fluids
Questions and CORRECT Answers
A client had part of the ileum surgically removed. The nurse monitors the client closely for
anemia based on which rationale? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-
occlusive crisis. Which pathophysiology is correct? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - "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? - CORRECT ANSWER - 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)? - CORRECT
ANSWER - 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? - CORRECT ANSWER - Triggered by a
vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-deficiency anemia
and fatigue? - CORRECT ANSWER - 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. - CORRECT
ANSWER - 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? - CORRECT ANSWER - Promoting adequate
oxygenation
Which is the cause of milk anemia in toddlers? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - 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. -
CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - Overfeeding of milk
Which decreased hormone level may cause a client's anemia? - CORRECT ANSWER -
Erythropoietin
A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class." Which
is the most likely explanation for this symptom? - CORRECT ANSWER - Insufficient
cerebral oxygenation
A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which
interventions would be implemented after the pain is under control? Select all that apply. One,
some, or all responses may be correct. - CORRECT ANSWER - Rehydration, Oxygen (O
2) therapy
A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would
the nurse explain to the client? - CORRECT ANSWER - Decrease in erythropoietin
Which is the priority nursing intervention to prevent thrombus formation in a child with sickle
cell anemia? - CORRECT ANSWER - Encouraging fluids
