RNSG 2539 FINAL EXAM AND STUDY
GUIDE NEWEST 2026/2027 TEST
BANK| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| RNSG 2539
EXAM PREP (BRAND NEW!!)
causesmofmanemiam-mCORRECTmANSWERm●mBloodmlossm
●mInadequatemRBCmproductionm(hypoproliferative)m●mIncreasedmRBCmdestructionm(hem
olytic)m
●mDeficiencymofmnecessarymcomponentsmsuchmasmfolicmacid,miron,merythropoietin,man
d/ormvitaminmB12
anemiamriskmfactorsm-
mCORRECTmANSWERmacutemormchronicmbloodmloss,mincreasedmhemolysis,minadequate
mdietarymintakemormmalabsorption,mbonemmarrowmsuppression,mage
anemiamexpectedmfindingsm-
mCORRECTmANSWERm●mPossiblymasymptomaticminmmildmcasesm
●mPallor
●mFatiguem
●mIrritabilitym
●mNumbnessmandmtinglingmofmextremitiesm
●mDyspneamonmexertionm
●mSensitivitymtomcoldm
●mPainmandmhypoxiamwithmsickle-cellmcrisis
,Anemiamphysicalmassessmentmfindingsm-
mCORRECTmANSWERm●mShortnessmofmbreath/fatigue,mespeciallymuponmexertionm
●mTachycardiamandmpalpitationsm
●mDizzinessmormsyncopemuponmstandingmormwithmexertionm
●mPallormwithmpalemnailmbedsmandmmucousmmembranesm
●mNailmbedmdeformitiesm(spoon-shapedmnails)m
●mSmooth,msore,mbright-redmtonguem(vitaminmB12mdeficiency
Anemia:mLaboratorymTestsm-mCORRECTmANSWERmCBCmcount
RBCmindices
Ironmstudies
Hgbmelectrophoresis
Sickle-cellmtest
Schillingmtest
Anemiamdiagnosticmtestsm-mCORRECTmANSWERmbonemmarrowmbiopsy
Anemiamnursingmcarem-
mCORRECTmANSWERmEncouragemincreasedmdietarymintakemofmthemdeficientmnutrientm
(iron,mvitaminmB12,mfolicmacid).
●mMonitormoxygenmsaturationmtomdeterminemamneedmformoxygenmtherapy.m
●mAdministermmedications,masmprescribed,matmthempropermtimemformoptimalmabsorpti
on,mandmusingmanmappropriatemtechnique.m
●mTeachmthemclientmandmfamilymaboutmenergymconservationminmthemclientmandmthe
mriskmofmthemclientmexperiencingmdizzinessmuponmstanding.m
●mTeachmthemclientmaboutmthemtimemframemformresolution.
,AnemiamMedicationsm-mCORRECTmANSWERm-
mIronmsupplementsm(Ferrousmsulfate,mferrousmfumarate,mferrousmgluconate)
-mErythropoietin:mepoetinmalfam
-mVitaminmB12msupplementationm(cyanocobalamin
-mFolicmacidmsupplements
Ironmsupplementsm(Ferrousmsulfate,mferrousmfumarate,mferrousmgluconate)m-
mCORRECTmANSWERm●mOralmironmsupplementsmaremusedmtomreplenishmserummiron
mandmironmstores.mIronmismanmessentialmcomponentmofmHgb,mandmsubsequently,moxy
genmtransport.
●mParenteralmironmsupplementsm(ironmdextran)maremonlymgivenmformseveremanemia.m
NURSINGmCONSIDERATIONS:mAdministermparenteralmironmusingmthemZ-trackmmethod
CLIENTmEDUCATIONm
●mInstructmtomhavemhemoglobinmcheckedminm4mtom6mweeksmtomdeterminemefficacy.
m
●mVitaminmCmcanmincreasemoralmironmabsorption.m
●mInstructmthemclientmtomtakemironmsupplementsmbetweenmmealsmtomincreasemabsor
ption,mifmtolerated.m
●mInformmthemclientmstoolsmcanmappearmgreenmtomblackminmcolormwhilemtakingmiro
n
Erythropoietin:mepoetinmalfam-
mCORRECTmANSWERmAmhematopoieticmgrowthmfactormusedmtomincreasemproductionof
mRBCs
NURSINGmCONSIDERATIONS
●mMonitormformanmincreaseminmbloodmpressure.
●mMonitormHgbmandmHctmtwicempermweek.
, ●mMonitormformamcardiovascularmeventmifmHgbmincreasesmtoomrapidlym(greatermthan
m1mg/dLminm2mweeks).
CLIENTmEDUCATION:m
ReinforcemthemimportancemofmhavingmHgbmandmHctmevaluatedmonmamtwice-per-week
mbasismuntilmtargetedmlevelsmaremreached.
VitaminmB12msupplementationm(cyanocobalamin)m-
mCORRECTmANSWERm●mVitaminmB12mismnecessarymtomconvertmfolicmacidmfrommitsm
inactivemformmtomitsmactivemform.mAllmcellsmrelymonmfolicmacidmformDNAmproduction
.
●mVitaminmB12msupplementationmcanmbemgivenmorallymifmthemdeficitmismduemtomina
dequatemdietarymintake.mHowever,mifmdeficiencymismduemtomlackmofmintrinsicmfactorm
beingmproducedmbymthemparietalmcellsmofmthemstomachmormmalabsorptionmsyndrome,
mitmmustmbemadministeredmparenterallymormintranasallymtombemabsorbed.
NURSINGmCONSIDERATIONSm
●mAdministermvitaminmB12maccordingmtomappropriatemroutemrelatedmtomcausemofmvit
aminmB12manemiam(parenteralmvs.moral).m
●mAdministermparenteralmformsmofmvitaminmB12mIMmormdeepmsubcutaneousmtomdecr
easemirritation.mDomnotmmixmothermmedicationsminmthemsyringe.m
CLIENTmEDUCATIONm
●mClientsmwhomlackmintrinsicmfactormormhavemanmirreversible-
malabsorptionmsyndromemshouldmbeminformedmthatmthismtherapymmustmbemcontinued
mformthemrestmofmtheirmlife.m
●mAmclientmshouldmreceivemvitaminmB12minjectionsmonmammonthlymbasis
FolicmAcidmSupplementsm-
mCORRECTmANSWERmFolicmacidmismamwater-soluble,mB-complexmvitamin.mItmismnecess
arymformthemproductionmofmnewmRBCs.
NURSINGmCONSIDERATIONS:
mFolicmacidmcanmbemgivenmorallymormparenterally.mCLIENTmEDUCATIONm
GUIDE NEWEST 2026/2027 TEST
BANK| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| RNSG 2539
EXAM PREP (BRAND NEW!!)
causesmofmanemiam-mCORRECTmANSWERm●mBloodmlossm
●mInadequatemRBCmproductionm(hypoproliferative)m●mIncreasedmRBCmdestructionm(hem
olytic)m
●mDeficiencymofmnecessarymcomponentsmsuchmasmfolicmacid,miron,merythropoietin,man
d/ormvitaminmB12
anemiamriskmfactorsm-
mCORRECTmANSWERmacutemormchronicmbloodmloss,mincreasedmhemolysis,minadequate
mdietarymintakemormmalabsorption,mbonemmarrowmsuppression,mage
anemiamexpectedmfindingsm-
mCORRECTmANSWERm●mPossiblymasymptomaticminmmildmcasesm
●mPallor
●mFatiguem
●mIrritabilitym
●mNumbnessmandmtinglingmofmextremitiesm
●mDyspneamonmexertionm
●mSensitivitymtomcoldm
●mPainmandmhypoxiamwithmsickle-cellmcrisis
,Anemiamphysicalmassessmentmfindingsm-
mCORRECTmANSWERm●mShortnessmofmbreath/fatigue,mespeciallymuponmexertionm
●mTachycardiamandmpalpitationsm
●mDizzinessmormsyncopemuponmstandingmormwithmexertionm
●mPallormwithmpalemnailmbedsmandmmucousmmembranesm
●mNailmbedmdeformitiesm(spoon-shapedmnails)m
●mSmooth,msore,mbright-redmtonguem(vitaminmB12mdeficiency
Anemia:mLaboratorymTestsm-mCORRECTmANSWERmCBCmcount
RBCmindices
Ironmstudies
Hgbmelectrophoresis
Sickle-cellmtest
Schillingmtest
Anemiamdiagnosticmtestsm-mCORRECTmANSWERmbonemmarrowmbiopsy
Anemiamnursingmcarem-
mCORRECTmANSWERmEncouragemincreasedmdietarymintakemofmthemdeficientmnutrientm
(iron,mvitaminmB12,mfolicmacid).
●mMonitormoxygenmsaturationmtomdeterminemamneedmformoxygenmtherapy.m
●mAdministermmedications,masmprescribed,matmthempropermtimemformoptimalmabsorpti
on,mandmusingmanmappropriatemtechnique.m
●mTeachmthemclientmandmfamilymaboutmenergymconservationminmthemclientmandmthe
mriskmofmthemclientmexperiencingmdizzinessmuponmstanding.m
●mTeachmthemclientmaboutmthemtimemframemformresolution.
,AnemiamMedicationsm-mCORRECTmANSWERm-
mIronmsupplementsm(Ferrousmsulfate,mferrousmfumarate,mferrousmgluconate)
-mErythropoietin:mepoetinmalfam
-mVitaminmB12msupplementationm(cyanocobalamin
-mFolicmacidmsupplements
Ironmsupplementsm(Ferrousmsulfate,mferrousmfumarate,mferrousmgluconate)m-
mCORRECTmANSWERm●mOralmironmsupplementsmaremusedmtomreplenishmserummiron
mandmironmstores.mIronmismanmessentialmcomponentmofmHgb,mandmsubsequently,moxy
genmtransport.
●mParenteralmironmsupplementsm(ironmdextran)maremonlymgivenmformseveremanemia.m
NURSINGmCONSIDERATIONS:mAdministermparenteralmironmusingmthemZ-trackmmethod
CLIENTmEDUCATIONm
●mInstructmtomhavemhemoglobinmcheckedminm4mtom6mweeksmtomdeterminemefficacy.
m
●mVitaminmCmcanmincreasemoralmironmabsorption.m
●mInstructmthemclientmtomtakemironmsupplementsmbetweenmmealsmtomincreasemabsor
ption,mifmtolerated.m
●mInformmthemclientmstoolsmcanmappearmgreenmtomblackminmcolormwhilemtakingmiro
n
Erythropoietin:mepoetinmalfam-
mCORRECTmANSWERmAmhematopoieticmgrowthmfactormusedmtomincreasemproductionof
mRBCs
NURSINGmCONSIDERATIONS
●mMonitormformanmincreaseminmbloodmpressure.
●mMonitormHgbmandmHctmtwicempermweek.
, ●mMonitormformamcardiovascularmeventmifmHgbmincreasesmtoomrapidlym(greatermthan
m1mg/dLminm2mweeks).
CLIENTmEDUCATION:m
ReinforcemthemimportancemofmhavingmHgbmandmHctmevaluatedmonmamtwice-per-week
mbasismuntilmtargetedmlevelsmaremreached.
VitaminmB12msupplementationm(cyanocobalamin)m-
mCORRECTmANSWERm●mVitaminmB12mismnecessarymtomconvertmfolicmacidmfrommitsm
inactivemformmtomitsmactivemform.mAllmcellsmrelymonmfolicmacidmformDNAmproduction
.
●mVitaminmB12msupplementationmcanmbemgivenmorallymifmthemdeficitmismduemtomina
dequatemdietarymintake.mHowever,mifmdeficiencymismduemtomlackmofmintrinsicmfactorm
beingmproducedmbymthemparietalmcellsmofmthemstomachmormmalabsorptionmsyndrome,
mitmmustmbemadministeredmparenterallymormintranasallymtombemabsorbed.
NURSINGmCONSIDERATIONSm
●mAdministermvitaminmB12maccordingmtomappropriatemroutemrelatedmtomcausemofmvit
aminmB12manemiam(parenteralmvs.moral).m
●mAdministermparenteralmformsmofmvitaminmB12mIMmormdeepmsubcutaneousmtomdecr
easemirritation.mDomnotmmixmothermmedicationsminmthemsyringe.m
CLIENTmEDUCATIONm
●mClientsmwhomlackmintrinsicmfactormormhavemanmirreversible-
malabsorptionmsyndromemshouldmbeminformedmthatmthismtherapymmustmbemcontinued
mformthemrestmofmtheirmlife.m
●mAmclientmshouldmreceivemvitaminmB12minjectionsmonmammonthlymbasis
FolicmAcidmSupplementsm-
mCORRECTmANSWERmFolicmacidmismamwater-soluble,mB-complexmvitamin.mItmismnecess
arymformthemproductionmofmnewmRBCs.
NURSINGmCONSIDERATIONS:
mFolicmacidmcanmbemgivenmorallymormparenterally.mCLIENTmEDUCATIONm
