FNP 654 FINAL EXAM 2024 LATEST UPDATE (315
QUESTIONS AND ANSWERS) GRADED A+|
COMPLETE| (GCU)
Vaccines that are not recommended for pregnant patients - ANSWER Pregnant
patients cannot receive life vaccines such as:
MMR
Varicella
intranasal influenza
Zoster
Iron deficiency anemia signs and symptoms - ANSWER HCT > 30
pica: usual food cravings such as size clay
dyspnea and mild fatigue
headache
palpitations
weakness
tachycardia
Pallor
postural hypotension
Iron deficiency anemia laboratory - ANSWER Low HGB
low HCT
low MCV ( microcytic)
low MCHC
low RBCs
low serum iron
low Ferritin
High TIBC
high RDW -
Iron deficiency anemia management - ANSWER Oral ferrous sulfate 300- 325 MG 1
to 2 hours after meals
Iron should not be taken with antacids as they interfere with absorption.
Juice that has vitamin C increases absorption
foods high in iron:
Raisins
green leafy Vegetable
Red meats
Citrus products
bread and cereals
Thalassemia - ANSWER an inherited defect in the ability to produce hemoglobin,
leading to hypochromia
Found in African-American, Middle Eastern, Indian, African Americans
, Thalassemia symptoms - ANSWER Fatigue.
Weakness.
Pale or yellowish skin.
Facial bone deformities.
Slow growth.
Abdominal swelling.
Dark urine.
note; general physical findings are unremarkable unless the form of thalassemia is
severe
Thalassemia laboratory - ANSWER decrease age Hgb
low MCV ( microcytic)
low MCHC
normal TIBC
normal Ferritin
Thalassemia management - ANSWER -No treatment for mild to moderate
-RBC transfusion/splenctomy for more severe forms
-Iron is contraindicated as Fe overload can result
Folic Acid Deficiency - ANSWER A macrocytic, normochromic anemia due to folic
acid deficiency
Folic Acid Deficiency Cause - ANSWER Inadequate intake/malabsorption of folic
acid (needed for RBC production)
Folic Acid Deficiency Signs/Symptoms - ANSWER Fatigue
Tachycardia
Dyspnea on exertion
Anorexia
Pallor Glossitis
Headache
Aphthous ulcers
Folic Acid Deficiency signs Laboratory/Diagnostics - ANSWER Hct and RBC
decreased
Serum folate decreased
MCV elevated (macrocytic)
Red blood cell folate < 100 ng/mL
MCHC normal (normochromic)
Folic Acid Deficiency Management - ANSWER Folate 1 mg orally every day
Foods high in folic acid: Bananas, peanut butter, fish, green leafy vegetables, iron
fortified breads and cereals
Pernicious Anemia - ANSWER A macrocytic, normochromic anemia due to
deficiency of intrinsic factor, which results in malabsorption of B12
Pernicious Anemia Signs/Symptoms - ANSWER Weakness
Paresthesia
QUESTIONS AND ANSWERS) GRADED A+|
COMPLETE| (GCU)
Vaccines that are not recommended for pregnant patients - ANSWER Pregnant
patients cannot receive life vaccines such as:
MMR
Varicella
intranasal influenza
Zoster
Iron deficiency anemia signs and symptoms - ANSWER HCT > 30
pica: usual food cravings such as size clay
dyspnea and mild fatigue
headache
palpitations
weakness
tachycardia
Pallor
postural hypotension
Iron deficiency anemia laboratory - ANSWER Low HGB
low HCT
low MCV ( microcytic)
low MCHC
low RBCs
low serum iron
low Ferritin
High TIBC
high RDW -
Iron deficiency anemia management - ANSWER Oral ferrous sulfate 300- 325 MG 1
to 2 hours after meals
Iron should not be taken with antacids as they interfere with absorption.
Juice that has vitamin C increases absorption
foods high in iron:
Raisins
green leafy Vegetable
Red meats
Citrus products
bread and cereals
Thalassemia - ANSWER an inherited defect in the ability to produce hemoglobin,
leading to hypochromia
Found in African-American, Middle Eastern, Indian, African Americans
, Thalassemia symptoms - ANSWER Fatigue.
Weakness.
Pale or yellowish skin.
Facial bone deformities.
Slow growth.
Abdominal swelling.
Dark urine.
note; general physical findings are unremarkable unless the form of thalassemia is
severe
Thalassemia laboratory - ANSWER decrease age Hgb
low MCV ( microcytic)
low MCHC
normal TIBC
normal Ferritin
Thalassemia management - ANSWER -No treatment for mild to moderate
-RBC transfusion/splenctomy for more severe forms
-Iron is contraindicated as Fe overload can result
Folic Acid Deficiency - ANSWER A macrocytic, normochromic anemia due to folic
acid deficiency
Folic Acid Deficiency Cause - ANSWER Inadequate intake/malabsorption of folic
acid (needed for RBC production)
Folic Acid Deficiency Signs/Symptoms - ANSWER Fatigue
Tachycardia
Dyspnea on exertion
Anorexia
Pallor Glossitis
Headache
Aphthous ulcers
Folic Acid Deficiency signs Laboratory/Diagnostics - ANSWER Hct and RBC
decreased
Serum folate decreased
MCV elevated (macrocytic)
Red blood cell folate < 100 ng/mL
MCHC normal (normochromic)
Folic Acid Deficiency Management - ANSWER Folate 1 mg orally every day
Foods high in folic acid: Bananas, peanut butter, fish, green leafy vegetables, iron
fortified breads and cereals
Pernicious Anemia - ANSWER A macrocytic, normochromic anemia due to
deficiency of intrinsic factor, which results in malabsorption of B12
Pernicious Anemia Signs/Symptoms - ANSWER Weakness
Paresthesia
