NUR 242 EXAM 1|ACTUAL EXAM|200+QUESTIONS AND
ANSWERS|ALREADY GRADED A+|BRAND NEW 2025-2026,
Exams of Nursing
A client had part of the ileum surgically removed. The nurse monitors the client closely for
anemia based on which rationale?
Cobalamin is absorbed in the ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never had any
symptoms of SSA and do not understand why our child has this problem." Which information
will the nurse include when teaching the parents?
If both parents are carriers of SSA, there is a 25% chance that offspring will have SSA.
When a client develops iron-deficiency anemia, which of the client's laboratory test results
would the nurse expect to be decreased?
Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-
occlusive crisis. Which pathophysiology is correct?
Blockage of small blood vessels as a result of clumping of RBCs
Which is the most appropriate nursing intervention for an adolescent child with sickle cell
anemia?
Teaching the family how to limit sickling episodes
The nurse is helping an adolescent with iron-deficiency anemia make breakfast meal choices.
Which food would the nurse suggest?
,Bowl of raisin bran
The parent of a child with sickle cell anemia tells the nurse that the family is going camping by a
lake in the mountains this summer. The parent inquires what activities are appropriate. Which
activity would the nurse suggest?
Motorboat rides around the lake
The nurse concludes that the teaching about sickle cell anemia has been understood when an
adolescent with the disorder makes which statement?
"I'll start to have symptoms when I drink less fluid."
Which cause of anemia would the nurse recognize as the most common cause of anemia in 1-
year-olds?
Iron deficiency
Which assessment finding would the nurse expect when assessing an 11-month-old infant with
iron-deficiency anemia whose hemoglobin is 8 g/dL (80 mmol/L)?
Pallor
Which education would the nurse provide the parents of a 3-year-old child with sickle cell
anemia about splenomegaly during a pain crisis?
Triggered by a vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-deficiency anemia
and fatigue?
Increased pulse rate
,Which iron-rich foods would the nurse recommend for a toddler diagnosed with iron deficiency
anemia? Select all that apply. One, some, or all responses may be correct.
Chicken, broccoli, lean steak
What would the nurse include in the plan of care to minimize the potential for a sickling episode
in a child with sickle cell anemia?
Promoting adequate oxygenation
Which is the cause of milk anemia in toddlers?
Increased milk intake
A 12-year-old child with sickle cell anemia is admitted during a vasoocclusive crisis. Which is
the priority of care for this child?
Relieving pain
A child with beta-thalassemia (Cooley anemia) is admitted to the ambulatory care unit for a
transfusion. Which instruction would the nurse include in the plan of care?
Protect from infections
When reviewing the results of a toddler's complete blood count, the nurse notes decreased
hemoglobin and hematocrit levels. Which other laboratory findings would the nurse expect in
iron-deficiency anemia? Select all that apply. One, some, or all responses may be correct.
Microcytic red blood cells, Slightly reduced reticulocyte count
The parents of a 3-month-old infant who is breast-fed ask the nurse how to prevent nutritional
anemia. Which is the best response by the nurse?
, Baby cereal or an iron supplement should be given around 4 months of age
Which parent education would the nurse provide when teaching an infant's parents about the
major cause of iron-deficiency anemia?
Overfeeding of milk
Which decreased hormone level may cause a client's anemia?
Erythropoietin
A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class." Which
is the most likely explanation for this symptom?
Insufficient cerebral oxygenation
A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which
interventions would be implemented after the pain is under control? Select all that apply. One,
some, or all responses may be correct.
Rehydration, Oxygen (O 2) therapy
A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would
the nurse explain to the client?
Decrease in erythropoietin
ANSWERS|ALREADY GRADED A+|BRAND NEW 2025-2026,
Exams of Nursing
A client had part of the ileum surgically removed. The nurse monitors the client closely for
anemia based on which rationale?
Cobalamin is absorbed in the ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never had any
symptoms of SSA and do not understand why our child has this problem." Which information
will the nurse include when teaching the parents?
If both parents are carriers of SSA, there is a 25% chance that offspring will have SSA.
When a client develops iron-deficiency anemia, which of the client's laboratory test results
would the nurse expect to be decreased?
Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-
occlusive crisis. Which pathophysiology is correct?
Blockage of small blood vessels as a result of clumping of RBCs
Which is the most appropriate nursing intervention for an adolescent child with sickle cell
anemia?
Teaching the family how to limit sickling episodes
The nurse is helping an adolescent with iron-deficiency anemia make breakfast meal choices.
Which food would the nurse suggest?
,Bowl of raisin bran
The parent of a child with sickle cell anemia tells the nurse that the family is going camping by a
lake in the mountains this summer. The parent inquires what activities are appropriate. Which
activity would the nurse suggest?
Motorboat rides around the lake
The nurse concludes that the teaching about sickle cell anemia has been understood when an
adolescent with the disorder makes which statement?
"I'll start to have symptoms when I drink less fluid."
Which cause of anemia would the nurse recognize as the most common cause of anemia in 1-
year-olds?
Iron deficiency
Which assessment finding would the nurse expect when assessing an 11-month-old infant with
iron-deficiency anemia whose hemoglobin is 8 g/dL (80 mmol/L)?
Pallor
Which education would the nurse provide the parents of a 3-year-old child with sickle cell
anemia about splenomegaly during a pain crisis?
Triggered by a vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-deficiency anemia
and fatigue?
Increased pulse rate
,Which iron-rich foods would the nurse recommend for a toddler diagnosed with iron deficiency
anemia? Select all that apply. One, some, or all responses may be correct.
Chicken, broccoli, lean steak
What would the nurse include in the plan of care to minimize the potential for a sickling episode
in a child with sickle cell anemia?
Promoting adequate oxygenation
Which is the cause of milk anemia in toddlers?
Increased milk intake
A 12-year-old child with sickle cell anemia is admitted during a vasoocclusive crisis. Which is
the priority of care for this child?
Relieving pain
A child with beta-thalassemia (Cooley anemia) is admitted to the ambulatory care unit for a
transfusion. Which instruction would the nurse include in the plan of care?
Protect from infections
When reviewing the results of a toddler's complete blood count, the nurse notes decreased
hemoglobin and hematocrit levels. Which other laboratory findings would the nurse expect in
iron-deficiency anemia? Select all that apply. One, some, or all responses may be correct.
Microcytic red blood cells, Slightly reduced reticulocyte count
The parents of a 3-month-old infant who is breast-fed ask the nurse how to prevent nutritional
anemia. Which is the best response by the nurse?
, Baby cereal or an iron supplement should be given around 4 months of age
Which parent education would the nurse provide when teaching an infant's parents about the
major cause of iron-deficiency anemia?
Overfeeding of milk
Which decreased hormone level may cause a client's anemia?
Erythropoietin
A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class." Which
is the most likely explanation for this symptom?
Insufficient cerebral oxygenation
A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which
interventions would be implemented after the pain is under control? Select all that apply. One,
some, or all responses may be correct.
Rehydration, Oxygen (O 2) therapy
A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would
the nurse explain to the client?
Decrease in erythropoietin
