NURP-532-Exam 3 COMPREHENSIVE TEST BANK FINAL
EXAM APPROVED QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (A NEW UPDATED VERSION
2026) |GUARANTEED PASS A+ |FULL REVISED CESCP EXAM
2026-2027
Classifications of Anemia
Hypoproliferative: not enough RBC production
Non-hypoproliferative: there is not an issue with production but an
issue with RBCs dying or being lost
Microcytic: MCV <
80; Macrocytic: MCV
> 100
Generally will transfuse between a Hgb of 7-9
Hemolytic Anemia
Anemia caused by the destruction of red blood cells
S&S: jaundice, scleral icterus, dark urine, hepatoslplenomegaly, fever,
pallor, tachycardia, signs of HF, hemoglobinuria
,Microcytic Anemia
Low Hgb and MCV
Iron deficiency anemia: normal retic count
Thalassemia: high retic count
Macrocytic Anemia
Folic acid vs. B12 deficiency
Aplastic Anemia
Failure of blood cell production in the bone
marrow S&S: pancytopenia, low Hgb, low
RBC
Tx in adults: immunosuppressants
Tx in children: bone marrow transplant
,Sickle Cell Disease
Genetic disorder in which red blood cells have abnormal hemoglobin
molecules and take on an abnormal shape.
Universal screening at birth
S&S (emerge around 6 months of age): fatigue, pain, bacterial
infections Labs: low HCT, Hgl, and high reticulocyte count
Tx: hydration, pain management, abx prophylaxis for infants and young
children, referral to hematologist, monitor growth and development
A complete blood count on a 12-month-old infant reveals
microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL.
The infant has mild pallor with no hepatosplenomegaly. The
primary care pediatric nurse practitioner suspects what
disorder?
Iron-deficiency anemia
The primary care pediatric nurse practitioner sees a 12-month-old
infant who is being fed goat's milk and a vegetarian diet. The child
is pale and has a beefy-red, with sore tongue and oral mucous
membranes. Which tests will the nurse practitioner order to
evaluate this child's condition?
RBC folate, iron, and B12 levels
, The primary care pediatric nurse practitioner evaluates a 5-year-
old child who presents with pallor and obtains labs revealing a
hemoglobin of 8.5 g/dL and a hematocrit of 31%. How will the
nurse practitioner manage this patient?
The child has mild to moderate iron-deficiency anemia and will need
iron supplementation. The hemoglobin, hematocrit, and reticulocytes
should be reevaluated in 4 weeks after initiation of treatment.
A patient reports recent mild fatigue and palpitations. A complete
blood count reveals a decreased hemoglobin level and a normal
ferritin level. What other findings are likely to be present?
Decreased hematocrit
Lead Poisoning in Adults
S&S: asymptomatic, GI manifestations, GI manifestations, anemia,
HTN, nephropathy, peripheral neuropathy, spontaneous abortion, male
infertility
Lead Poisoning in Children
Lead level > 5
S&S: asymptomatic, learning disabilities, behavioral disorders,
decreased hearing, decreased growth, hypochromic microcytic anemia,
HA, abdominal pain, seizure, coma
EXAM APPROVED QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (A NEW UPDATED VERSION
2026) |GUARANTEED PASS A+ |FULL REVISED CESCP EXAM
2026-2027
Classifications of Anemia
Hypoproliferative: not enough RBC production
Non-hypoproliferative: there is not an issue with production but an
issue with RBCs dying or being lost
Microcytic: MCV <
80; Macrocytic: MCV
> 100
Generally will transfuse between a Hgb of 7-9
Hemolytic Anemia
Anemia caused by the destruction of red blood cells
S&S: jaundice, scleral icterus, dark urine, hepatoslplenomegaly, fever,
pallor, tachycardia, signs of HF, hemoglobinuria
,Microcytic Anemia
Low Hgb and MCV
Iron deficiency anemia: normal retic count
Thalassemia: high retic count
Macrocytic Anemia
Folic acid vs. B12 deficiency
Aplastic Anemia
Failure of blood cell production in the bone
marrow S&S: pancytopenia, low Hgb, low
RBC
Tx in adults: immunosuppressants
Tx in children: bone marrow transplant
,Sickle Cell Disease
Genetic disorder in which red blood cells have abnormal hemoglobin
molecules and take on an abnormal shape.
Universal screening at birth
S&S (emerge around 6 months of age): fatigue, pain, bacterial
infections Labs: low HCT, Hgl, and high reticulocyte count
Tx: hydration, pain management, abx prophylaxis for infants and young
children, referral to hematologist, monitor growth and development
A complete blood count on a 12-month-old infant reveals
microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL.
The infant has mild pallor with no hepatosplenomegaly. The
primary care pediatric nurse practitioner suspects what
disorder?
Iron-deficiency anemia
The primary care pediatric nurse practitioner sees a 12-month-old
infant who is being fed goat's milk and a vegetarian diet. The child
is pale and has a beefy-red, with sore tongue and oral mucous
membranes. Which tests will the nurse practitioner order to
evaluate this child's condition?
RBC folate, iron, and B12 levels
, The primary care pediatric nurse practitioner evaluates a 5-year-
old child who presents with pallor and obtains labs revealing a
hemoglobin of 8.5 g/dL and a hematocrit of 31%. How will the
nurse practitioner manage this patient?
The child has mild to moderate iron-deficiency anemia and will need
iron supplementation. The hemoglobin, hematocrit, and reticulocytes
should be reevaluated in 4 weeks after initiation of treatment.
A patient reports recent mild fatigue and palpitations. A complete
blood count reveals a decreased hemoglobin level and a normal
ferritin level. What other findings are likely to be present?
Decreased hematocrit
Lead Poisoning in Adults
S&S: asymptomatic, GI manifestations, GI manifestations, anemia,
HTN, nephropathy, peripheral neuropathy, spontaneous abortion, male
infertility
Lead Poisoning in Children
Lead level > 5
S&S: asymptomatic, learning disabilities, behavioral disorders,
decreased hearing, decreased growth, hypochromic microcytic anemia,
HA, abdominal pain, seizure, coma
