NURS 623 Cary Review With Answers Exam 1
Weeks 1-5
30 MC questions
1. Be able to provide education related to iron supplementation (when to take, common side
effects, etc.)
-Iron is best absorbed on an empty stomach, with water or fruit juice (avoid taking with milk or
calcium supplements) about 1 hour before or 2 hours after a meal. However, if upset stomach
occurs, can be taken with food or immediately after meals.
2. Be able to interpret a CBC and identify which type of anemia exists
HINT** ANEMIA refers to a HEMOGLOBIN of <13.0 in MEN and <12.0 in WOMEN
HINT*** suffix -cytic refers to SIZE OF RBC and -chromic refers to COLOR OF RBC
MICROCYTIC NORMOCYTIC MACROCYTIC
MCV<80 MCV 80-96 MCV>96
HYPOCHROMIC NORMOCHROMIC MACROCHROMIC
MCH <27(low) MCH 27-33(within range) MCH>33(high)
CAUSES
Macrocytic Anemia Normocytic Anemia Microcytic Anemia
Vit B12 Deficiency Acute blood loss Hem synthesis defect – iron
Alcoholism Chronic bone disease deficiency, chronic disease
Liver disease Bone marrow failure Globin synthesis – thalassemia,
DNA replication inhibitors Hemolysis sideroblastic defect
(Methotrexate) Chronic Disease
Sickle Cell (inherited) - Normocytic, Normochromic.
Thalassemia – Microcytic, hypochromic, RDW normal.
IDA (MOST COMMON) – Microcytic, hypochromic, RDW high (longstanding will be
normal).
Anemia of Chronic Disease- Normocytic, Normochromic
Serum ferritin – if you see changes in MCV, MCH, add it on to labs – single most powerful test
for IDA
, NURS 623 Cary Review With Answers Exam 1
3. Differentiate between the following based on presentation (identify skin conditions or
appearance of skin)
BASAL CELL CARCINOMA: Typically on the head and neck but can occur anywhere. Flesh-
colored, pearly domed nodule with overlaying telangiectatic vessels, pinkish patch of skin. Later
stage will be a central ulcer and crusting.
PLAQUE PSORIASIS: Scale-like lesions that appear as red, raised patches with a whitish
buildup of dead skin cells. Can appear anywhere but typically on elbows, knees, lower back,
scalp. Plaques often hurt or itch.
URTICARIA: Also known as hives. An outbreak of swollen, pale red bumps or wheals that
appear suddenly- typically a result of a reaction to an allergen. Usually cause itching and may
burn or sting.
Weeks 1-5
30 MC questions
1. Be able to provide education related to iron supplementation (when to take, common side
effects, etc.)
-Iron is best absorbed on an empty stomach, with water or fruit juice (avoid taking with milk or
calcium supplements) about 1 hour before or 2 hours after a meal. However, if upset stomach
occurs, can be taken with food or immediately after meals.
2. Be able to interpret a CBC and identify which type of anemia exists
HINT** ANEMIA refers to a HEMOGLOBIN of <13.0 in MEN and <12.0 in WOMEN
HINT*** suffix -cytic refers to SIZE OF RBC and -chromic refers to COLOR OF RBC
MICROCYTIC NORMOCYTIC MACROCYTIC
MCV<80 MCV 80-96 MCV>96
HYPOCHROMIC NORMOCHROMIC MACROCHROMIC
MCH <27(low) MCH 27-33(within range) MCH>33(high)
CAUSES
Macrocytic Anemia Normocytic Anemia Microcytic Anemia
Vit B12 Deficiency Acute blood loss Hem synthesis defect – iron
Alcoholism Chronic bone disease deficiency, chronic disease
Liver disease Bone marrow failure Globin synthesis – thalassemia,
DNA replication inhibitors Hemolysis sideroblastic defect
(Methotrexate) Chronic Disease
Sickle Cell (inherited) - Normocytic, Normochromic.
Thalassemia – Microcytic, hypochromic, RDW normal.
IDA (MOST COMMON) – Microcytic, hypochromic, RDW high (longstanding will be
normal).
Anemia of Chronic Disease- Normocytic, Normochromic
Serum ferritin – if you see changes in MCV, MCH, add it on to labs – single most powerful test
for IDA
, NURS 623 Cary Review With Answers Exam 1
3. Differentiate between the following based on presentation (identify skin conditions or
appearance of skin)
BASAL CELL CARCINOMA: Typically on the head and neck but can occur anywhere. Flesh-
colored, pearly domed nodule with overlaying telangiectatic vessels, pinkish patch of skin. Later
stage will be a central ulcer and crusting.
PLAQUE PSORIASIS: Scale-like lesions that appear as red, raised patches with a whitish
buildup of dead skin cells. Can appear anywhere but typically on elbows, knees, lower back,
scalp. Plaques often hurt or itch.
URTICARIA: Also known as hives. An outbreak of swollen, pale red bumps or wheals that
appear suddenly- typically a result of a reaction to an allergen. Usually cause itching and may
burn or sting.
