UPDATED NR 507 MIDTERM EXAM WITH CORRECT
AND VERIFIED ANSWERS
Which of the following clients should the nurse practitioner
(NP) recognize as being most at risk for developing
vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy -
answer-Adult client who had a vertical sleeve gastrectomy
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 - 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 - 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? - answer-a bloos 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 -
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. - 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 - answer-Ferritin level
AND VERIFIED ANSWERS
Which of the following clients should the nurse practitioner
(NP) recognize as being most at risk for developing
vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy -
answer-Adult client who had a vertical sleeve gastrectomy
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 - 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 - 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? - answer-a bloos 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 -
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. - 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 - answer-Ferritin level
