Page 1 of 71
NEW NURS 2356 EXAM 2 LATEST EXAM
WITH PRACTICE QUESTIONS WITH
VERIFIED SOLUTIONS 2025/2025 NEWEST
What are risk factors for iron deficiency anemia in infants and children? -- ANSWER--
1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
Food with good sources of iron -- ANSWER--red meat, egg yolk, leafy greens, dried fruits,
fortified cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs, prunes,
whole grain bread
How is iron deficiency anemia diagnosed? -- ANSWER--Serum lab evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity
, Page 2 of 71
What is the goal of treatment for iron deficiency anemia -- ANSWER--treat medical problem
causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia? -- ANSWER--Increase iron take ~
Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children? -- ANSWER--
Administer to back of mouth because it stains teeth, can cause constipation, and black/green
stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
Lead Poisoning Risks -- ANSWER---Children under the age of 6
-Children living at or below the poverty line who live in older (prior to 1978) housing
-Children adopted from other countries where there are less strict environmental regulations
Environmental causes of lead poisoning -- ANSWER---Lead based paint
-Plumbing from lead pipes
-soil
, Page 3 of 71
Dietary factors of lead poisoning -- ANSWER---iron deficiency
-calcium deficiency
Patient-child interactions -- ANSWER---Job or hobby exposure
-home remedies or cultural practices
How does lead poisoning cause anemia -- ANSWER--lead can replace iron on Hgb causing
O2 to not be delivered causing anemia
Clinical manifestation of lead poisoning -- ANSWER---Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning -- ANSWER--yes
signs of anemia (lead poisoning) -- ANSWER--pallor, fatigue, weakness, shortness of breath,
headache, tachycardia - because lead replaces iron in Hgb causing anemia
, Page 4 of 71
Growth and developmental lags in lead poisoning -- ANSWER--learning difficulties
Neurologic signs and symptoms of lead poisoning -- ANSWER---Headache, irritability,
difficulty concentrating, loss of motor skills, paralysis, tremors
High levels: encephalopathy, seizures, and brain damage
Gastrointestinal signs and symptoms of lead poisoning -- ANSWER--abdominal pain, failure
to gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics -- ANSWER--Blood lead level (BBL) test
-5mcg/dL = lead exposure
-45 mcg/dL = medical treatment required with chelation therapy
->70= mcg/dL = severe lead toxicity
Therapeutic management of lead poisoning -- ANSWER---Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
NEW NURS 2356 EXAM 2 LATEST EXAM
WITH PRACTICE QUESTIONS WITH
VERIFIED SOLUTIONS 2025/2025 NEWEST
What are risk factors for iron deficiency anemia in infants and children? -- ANSWER--
1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
Food with good sources of iron -- ANSWER--red meat, egg yolk, leafy greens, dried fruits,
fortified cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs, prunes,
whole grain bread
How is iron deficiency anemia diagnosed? -- ANSWER--Serum lab evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity
, Page 2 of 71
What is the goal of treatment for iron deficiency anemia -- ANSWER--treat medical problem
causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia? -- ANSWER--Increase iron take ~
Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children? -- ANSWER--
Administer to back of mouth because it stains teeth, can cause constipation, and black/green
stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
Lead Poisoning Risks -- ANSWER---Children under the age of 6
-Children living at or below the poverty line who live in older (prior to 1978) housing
-Children adopted from other countries where there are less strict environmental regulations
Environmental causes of lead poisoning -- ANSWER---Lead based paint
-Plumbing from lead pipes
-soil
, Page 3 of 71
Dietary factors of lead poisoning -- ANSWER---iron deficiency
-calcium deficiency
Patient-child interactions -- ANSWER---Job or hobby exposure
-home remedies or cultural practices
How does lead poisoning cause anemia -- ANSWER--lead can replace iron on Hgb causing
O2 to not be delivered causing anemia
Clinical manifestation of lead poisoning -- ANSWER---Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning -- ANSWER--yes
signs of anemia (lead poisoning) -- ANSWER--pallor, fatigue, weakness, shortness of breath,
headache, tachycardia - because lead replaces iron in Hgb causing anemia
, Page 4 of 71
Growth and developmental lags in lead poisoning -- ANSWER--learning difficulties
Neurologic signs and symptoms of lead poisoning -- ANSWER---Headache, irritability,
difficulty concentrating, loss of motor skills, paralysis, tremors
High levels: encephalopathy, seizures, and brain damage
Gastrointestinal signs and symptoms of lead poisoning -- ANSWER--abdominal pain, failure
to gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics -- ANSWER--Blood lead level (BBL) test
-5mcg/dL = lead exposure
-45 mcg/dL = medical treatment required with chelation therapy
->70= mcg/dL = severe lead toxicity
Therapeutic management of lead poisoning -- ANSWER---Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
