NR 507 MIDTERM EXAM 2 LATEST VERSIONS (VERSION A&
B) / NR 507 WEEK 4 MIDTERM ADVANCED
PATHOPHYSIOLOGY MIDTERM EXAM
Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure - (Correct answer) - A 30-
year-old client who donates blood every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which
laboratory result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - (Correct answer) - Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major.
The NP should anticipate the client will require what? - (Correct answer) - a
bloos transfusion
,The nurse practitioner (NP) is counseling a client with iron deficiency anemia
about dietary needs. Which instruction(s) should the NP include? Select all
that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals - (Correct answer) - Avoid
drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception counseling to a couple,
both of whom are carriers of thalassemia. Which of the following actions
should the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
,Discuss inheritance patterns of thalassemia. - (Correct answer) - Refer the
couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a follow-up visit after the
initiation of treatment for thalassemia including administration of blood
transfusions. What three (3) assessments should the NP prioritize to evaluate
client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - (Correct answer) - Ferritin level
Hemoglobin level
Energy level
Which of the following clients should the nurse practitioner (NP) recognize as
being most at risk for developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
, Adult client who had a vertical sleeve gastrectomy - (Correct answer) - Adult
client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - (Correct answer) -
indicates hemoglobin concentration in RBCs
Ferritin - (Correct answer) - total iron stores; low levels indicate iron
deficiency
microlytic anemia - (Correct answer) - small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - (Correct answer) - blood transfusion- will
increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - (Correct answer) - Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - (Correct answer) - mediated by IgG antibodies and
macrophages
HITT reaction, transfusion reaction, Graves Disease
B) / NR 507 WEEK 4 MIDTERM ADVANCED
PATHOPHYSIOLOGY MIDTERM EXAM
Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure - (Correct answer) - A 30-
year-old client who donates blood every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which
laboratory result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - (Correct answer) - Serum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major.
The NP should anticipate the client will require what? - (Correct answer) - a
bloos transfusion
,The nurse practitioner (NP) is counseling a client with iron deficiency anemia
about dietary needs. Which instruction(s) should the NP include? Select all
that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals - (Correct answer) - Avoid
drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception counseling to a couple,
both of whom are carriers of thalassemia. Which of the following actions
should the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
,Discuss inheritance patterns of thalassemia. - (Correct answer) - Refer the
couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a follow-up visit after the
initiation of treatment for thalassemia including administration of blood
transfusions. What three (3) assessments should the NP prioritize to evaluate
client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - (Correct answer) - Ferritin level
Hemoglobin level
Energy level
Which of the following clients should the nurse practitioner (NP) recognize as
being most at risk for developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
, Adult client who had a vertical sleeve gastrectomy - (Correct answer) - Adult
client who had a vertical sleeve gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - (Correct answer) -
indicates hemoglobin concentration in RBCs
Ferritin - (Correct answer) - total iron stores; low levels indicate iron
deficiency
microlytic anemia - (Correct answer) - small RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - (Correct answer) - blood transfusion- will
increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - (Correct answer) - Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - (Correct answer) - mediated by IgG antibodies and
macrophages
HITT reaction, transfusion reaction, Graves Disease
