4/3/25, 5:44 NR-324, Ch. 30 PRACTICE |
PM
NR-324, CH. 30 PRACTICE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
An adult male with chronic anemia is ANS: D
experiencing increased fatigue and
occasional palpitations at rest. Which The patient's symptoms indicate moderate anemia, which is consistent with a Hgb
laboratory data would the nurse identify of 6 to 10
as consistent with these symptoms? g/dL. The other values are all within the range of normal.
a.RBC count of 4,500,000/L
b. Hematocrit (Hct) value of 38%
c. Normal red blood cell (RBC) indices
d. Hemoglobin (Hgb) of 8.6 g/dL (86 g/L)
Which menu choice indicates that the ANS: A
patient understands the nurse's
recommendations about dietary choices Eggs and whole grain breads are high in iron. The other choices are
for iron-deficiency anemia? appropriate for other nutritional deficiencies but are not the best choice for
a.Omelet and whole wheat toast a patient with iron-deficiency anemia
b.Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
A patient who is receiving ANS: B
methotrexate for severe rheumatoid
arthritis develops a megaloblastic Methotrexate use can lead to folic acid deficiency. Supplementation with oral folic
anemia. Which nutrient supplement acid supplements is the usual treatment. The other nutrients would not correct
should the nurse plan to explain to folic acid deficiency, although they would be used to treat other types of anemia.
the patient?
a. Iron
b. Folic acid
c. Cobalamin (vitamin B12)
d.Ascorbic acid (vitamin C)
1/12
, 4/3/25, 5:44 NR-324, Ch. 30 PRACTICE |
PM
Which patient statement to the nurse ANS: C
indicates that the patient understands
self-care for pernicious anemia? Because pernicious anemia prevents the absorption of vitamin B12, this patient
a."I need to start eating more red meat requires injections or intranasal administration of cobalamin. Alcohol use does not
and liver." cause cobalamin deficiency. Proton pump inhibitors decrease the absorption of
b. "I will stop having a glass of wine vitamin B12. Eating more foods rich in vitamin B12 is not helpful because the lack of
with dinner." intrinsic factor prevents absorption of the vitamin
c. "I could choose nasal spray rather
than injections of vitamin B12."
d. "I will need to take a proton pump
inhibitor such as omeprazole (Prilosec)."
Which is an appropriate nursing ANS: C
intervention for a hospitalized patient with Nursing care for patients with anemia should alternate periods of rest and
severe hemolytic anemia? activity to avoid undue fatigue. There is no indication that the patient has a
a.Provide a diet high in vitamin K. bleeding disorder, so a diet high in vitamin K or teaching about how to avoid
b.Teach the patient how to avoid injury. injury is not needed. Protective isolation might be used for a patient with aplastic
c. Encourage alternating rest and activity. anemia, but it is not indicated for hemolytic anemia.
d. Place the patient on protective
isolation.
Which patient statement to the nurse ANS: C
indicates a need for additional instruction It is normal for the stools to appear black when a patient is taking iron, and the
about taking oral ferrous sulfate? patient should not call the health care provider about this. The other patient
a."I could take a stool softener if I feel statements are correct.
constipated."
b. "I can take the iron with orange juice
before eating."
c. "I should notify my health care
provider if my stools turn black."
d. "I will increase my fluid and fiber intake
while I am taking iron."
Which potential complication should the ANS: B
nurse identify as a high risk for a patient Because the patient with aplastic anemia has pancytopenia, the patient is at risk
admitted to the hospital with idiopathic for infection and bleeding. There is no increased risk for seizures,
aplastic anemia? neurogenic shock, or pulmonary edema.
a.Seizures
b. Infection
c. Neurogenic shock
d. Pulmonary edema
Which nursing intervention is important ANS: B
when providing care for a patient with Pain is the most common clinical manifestation of a crisis and usually requires
sickle cell crisis? large doses of continuous opioids for control. Fluid intake should be increased to
a.Limiting the patient's intake of oral reduce blood viscosity and improve perfusion. Rest is usually ordered to
and IV fluids decrease metabolic requirements. Patients are instructed about the need for
b. Evaluating the effectiveness of opioid dietary folic acid, but high-protein, high-calorie diets are not emphasized.
analgesics
c. Encouraging the patient to ambulate
as much as tolerated
d.Teaching the patient about
high- protein, high-calorie foods
2/12
PM
NR-324, CH. 30 PRACTICE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
An adult male with chronic anemia is ANS: D
experiencing increased fatigue and
occasional palpitations at rest. Which The patient's symptoms indicate moderate anemia, which is consistent with a Hgb
laboratory data would the nurse identify of 6 to 10
as consistent with these symptoms? g/dL. The other values are all within the range of normal.
a.RBC count of 4,500,000/L
b. Hematocrit (Hct) value of 38%
c. Normal red blood cell (RBC) indices
d. Hemoglobin (Hgb) of 8.6 g/dL (86 g/L)
Which menu choice indicates that the ANS: A
patient understands the nurse's
recommendations about dietary choices Eggs and whole grain breads are high in iron. The other choices are
for iron-deficiency anemia? appropriate for other nutritional deficiencies but are not the best choice for
a.Omelet and whole wheat toast a patient with iron-deficiency anemia
b.Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
A patient who is receiving ANS: B
methotrexate for severe rheumatoid
arthritis develops a megaloblastic Methotrexate use can lead to folic acid deficiency. Supplementation with oral folic
anemia. Which nutrient supplement acid supplements is the usual treatment. The other nutrients would not correct
should the nurse plan to explain to folic acid deficiency, although they would be used to treat other types of anemia.
the patient?
a. Iron
b. Folic acid
c. Cobalamin (vitamin B12)
d.Ascorbic acid (vitamin C)
1/12
, 4/3/25, 5:44 NR-324, Ch. 30 PRACTICE |
PM
Which patient statement to the nurse ANS: C
indicates that the patient understands
self-care for pernicious anemia? Because pernicious anemia prevents the absorption of vitamin B12, this patient
a."I need to start eating more red meat requires injections or intranasal administration of cobalamin. Alcohol use does not
and liver." cause cobalamin deficiency. Proton pump inhibitors decrease the absorption of
b. "I will stop having a glass of wine vitamin B12. Eating more foods rich in vitamin B12 is not helpful because the lack of
with dinner." intrinsic factor prevents absorption of the vitamin
c. "I could choose nasal spray rather
than injections of vitamin B12."
d. "I will need to take a proton pump
inhibitor such as omeprazole (Prilosec)."
Which is an appropriate nursing ANS: C
intervention for a hospitalized patient with Nursing care for patients with anemia should alternate periods of rest and
severe hemolytic anemia? activity to avoid undue fatigue. There is no indication that the patient has a
a.Provide a diet high in vitamin K. bleeding disorder, so a diet high in vitamin K or teaching about how to avoid
b.Teach the patient how to avoid injury. injury is not needed. Protective isolation might be used for a patient with aplastic
c. Encourage alternating rest and activity. anemia, but it is not indicated for hemolytic anemia.
d. Place the patient on protective
isolation.
Which patient statement to the nurse ANS: C
indicates a need for additional instruction It is normal for the stools to appear black when a patient is taking iron, and the
about taking oral ferrous sulfate? patient should not call the health care provider about this. The other patient
a."I could take a stool softener if I feel statements are correct.
constipated."
b. "I can take the iron with orange juice
before eating."
c. "I should notify my health care
provider if my stools turn black."
d. "I will increase my fluid and fiber intake
while I am taking iron."
Which potential complication should the ANS: B
nurse identify as a high risk for a patient Because the patient with aplastic anemia has pancytopenia, the patient is at risk
admitted to the hospital with idiopathic for infection and bleeding. There is no increased risk for seizures,
aplastic anemia? neurogenic shock, or pulmonary edema.
a.Seizures
b. Infection
c. Neurogenic shock
d. Pulmonary edema
Which nursing intervention is important ANS: B
when providing care for a patient with Pain is the most common clinical manifestation of a crisis and usually requires
sickle cell crisis? large doses of continuous opioids for control. Fluid intake should be increased to
a.Limiting the patient's intake of oral reduce blood viscosity and improve perfusion. Rest is usually ordered to
and IV fluids decrease metabolic requirements. Patients are instructed about the need for
b. Evaluating the effectiveness of opioid dietary folic acid, but high-protein, high-calorie diets are not emphasized.
analgesics
c. Encouraging the patient to ambulate
as much as tolerated
d.Teaching the patient about
high- protein, high-calorie foods
2/12
