NR-324 Final Chamberlain
2026 | Questions, Answers
& Rationales Study Guide
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Updated 2026 Questions and Answers
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, What are signs of hemorrhage? Shortness of breath due to decreased ability to meet metabolic demand for O2
Palpitations due to tachycardia to attempt to increase cardiac output
Pallor due to decreased fluid volume, shunting to the core (decreased CO,
decreased arterial blood flow)
What education would be priority for a client receiving a Do not ignore symptoms such as chills, back pain, shortness of breath, or
blood transfusion? achiness.
How are clients with pernicious anemia treated? Pernicious anemia is caused by failure to absorb B12 in the ileum, either due to
an ileostomy or the autoimmune destruction of the intrinsic factor secreting
cells. Treatment includes injections or nasal sprays for life.
Blood transfusions are reserved for clients with an Hgb of less than 7, it is not the
usual treatment of pernicious anemia.
A diet rich in meats and grains can help with B12 deficient anemia if the problem
arises from malnutrition and not an absorption problem.
A diet rich in leafy greens and fish is a treatment for folic acid deficient anemia
and would not address the decreased B12 levels.
When differentiating megaloblastic anemias, what B12 is a required element for neurologic function. Paresthesia's and confusion are
symptomology would be most differential? manifestations of Pernicious anemia but not folic acid deficiency anemia.
The sore beefy red tongue and Dyspepsia and Nausea are symptoms of both
megaloblastic anemias. Weakness and fatigue are common symptoms for all
anemias.
A client with a critically slow clotting time is admitted. Fall precautions
What would be priority concerns for this client?
musculoskeletal traction -Positioning a client in the prone position several times a day will help to reduce
the incidence of contracture
-Skin traction with a hip fracture decreases incidence of muscle spasm in the
affected leg
-
What education would the nurse provide for the client •Notify the provider if you start to have unilateral swelling to your legs or arms.
recently diagnosed with polycythemia? •The FAST acronym with signs and pamphlets for close family and friends.
. Donating blood regularly may help reduce your symptoms.
What actions would the nurse intervene with a -family member bringing the patient lunch.- We need to check the lunch to be
neutropenic patient? sure there are no fresh fruits or vegetables and the meats are fully cooked.
-The client's child is sniffling before entering the room - If a child is sniffling they
could introduce serious illness to the patient..
-The new nurse wears a gown, gloves, goggles, and a mask to assess the patient.-
The nurse does not need to wear goggles or a gown to assess the patient.
What symptoms would include a hemoglobin of 7.9 Dyspnea
Pallor
Tachycardia
Weakness
Dizziness
2026 | Questions, Answers
& Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, What are signs of hemorrhage? Shortness of breath due to decreased ability to meet metabolic demand for O2
Palpitations due to tachycardia to attempt to increase cardiac output
Pallor due to decreased fluid volume, shunting to the core (decreased CO,
decreased arterial blood flow)
What education would be priority for a client receiving a Do not ignore symptoms such as chills, back pain, shortness of breath, or
blood transfusion? achiness.
How are clients with pernicious anemia treated? Pernicious anemia is caused by failure to absorb B12 in the ileum, either due to
an ileostomy or the autoimmune destruction of the intrinsic factor secreting
cells. Treatment includes injections or nasal sprays for life.
Blood transfusions are reserved for clients with an Hgb of less than 7, it is not the
usual treatment of pernicious anemia.
A diet rich in meats and grains can help with B12 deficient anemia if the problem
arises from malnutrition and not an absorption problem.
A diet rich in leafy greens and fish is a treatment for folic acid deficient anemia
and would not address the decreased B12 levels.
When differentiating megaloblastic anemias, what B12 is a required element for neurologic function. Paresthesia's and confusion are
symptomology would be most differential? manifestations of Pernicious anemia but not folic acid deficiency anemia.
The sore beefy red tongue and Dyspepsia and Nausea are symptoms of both
megaloblastic anemias. Weakness and fatigue are common symptoms for all
anemias.
A client with a critically slow clotting time is admitted. Fall precautions
What would be priority concerns for this client?
musculoskeletal traction -Positioning a client in the prone position several times a day will help to reduce
the incidence of contracture
-Skin traction with a hip fracture decreases incidence of muscle spasm in the
affected leg
-
What education would the nurse provide for the client •Notify the provider if you start to have unilateral swelling to your legs or arms.
recently diagnosed with polycythemia? •The FAST acronym with signs and pamphlets for close family and friends.
. Donating blood regularly may help reduce your symptoms.
What actions would the nurse intervene with a -family member bringing the patient lunch.- We need to check the lunch to be
neutropenic patient? sure there are no fresh fruits or vegetables and the meats are fully cooked.
-The client's child is sniffling before entering the room - If a child is sniffling they
could introduce serious illness to the patient..
-The new nurse wears a gown, gloves, goggles, and a mask to assess the patient.-
The nurse does not need to wear goggles or a gown to assess the patient.
What symptoms would include a hemoglobin of 7.9 Dyspnea
Pallor
Tachycardia
Weakness
Dizziness
