NUR 5334 MODULE 8 EXAM QUESTIONS WITH
CORRECT OUTLINED ANSWERS
/. Patient reports taking Folic Acid & Vit B12. RN notifies the provider because of the
concern that Folic Acid can: - Answer-✅Mask the Signs of Vitamin B12 deficiency.
/.Patient had hip replacement Sx. Pt receiving Iron Replacement Therapy for 2 days.
Patient's stools appear black & pale skin & C/O feeling tired. Patient's HR:98, RR:20, &
BP:100/50. The RN will contact the provider to: - Answer-✅Request a H&H
/.12Y female admitted to hospital before sinus surgery. RN preparing to care for this
patient notes that the admission hemoglobin is 10.2 gm/dL, & the hematocrit is 32%. RN
will ask the child's parent's which question about their daughter? - Answer-✅"Has she
begun Menstruating?"
/.Patient w/Renal Failure is undergoing chronic hemodialysis. Patient's hemoglobin is
10.6 gm/dL. MD orders Sodium-Ferric Gluconate Complex (SFGC [Ferrlecit]). RN
expect to do - Answer-✅Administer the drug IV with Erythropoietin to stimulate the
production of RBCs.
/.Patient tells RN that she is thinking about getting pregnant & asks about Nutritional
Supplements. What will the RN recommend? - Answer-✅400- 800 mg of Folic Acid per
day
/.Patient who has recently immigrated to the USA from an impoverished country
appears malnourished. Patient's folic acid levels are low, & Vit B12 levels are normal.
RN expects this patient's treatment to include: - Answer-✅A Diet High in Folic Acid.
/.Patient's initial lab results reveal Megaloblastic Anemia. Patient C/O tingling of the
hands & appears confused. RN suspects what in this patient? - Answer-✅Vitamin B12
Deficiency
/.RN is reviewing a patient's most recent blood count & notes that the patient
hemoglobin of 9.6 & a hematocrit of 33%. RN will notify the provider & will expect initial
treatment to include: - Answer-✅Determining the Cause of the Anemia.
, /.What are the indications for administration of a Parenteral Iron Preparation? - Answer-
✅- Blood Loss of 750 mL/week
- Celiac Disease with Anemia
- Intestinal Disease Impairing Absorption
/.Patient given a 30-day supply of Feosol & been taking the drug for 4 weeks for Iron
Deficiency Anemia. Patient's initial hemoglobin was 8.9. RN notes hemoglobin has risen
to 9.7. RN ask the patient about? - Answer-✅Whether the Rx needs to be refilled
/.Patient w/Which of the following is most at risk for Folic Acid Deficiency? - Answer-
✅Alcoholism
/.Patient is receiving Oral Iron for Iron Deficiency Anemia. Which ABX drug, taken
concurrently with iron, would most concern the RN? - Answer-✅Tetracycline
/.Patient w/Vit B12 Deficiency is admitted w/Symptoms of Hypoxia, Anemia, Numbness
of Hands & Feet, & Oral Stomatitis. RN expects MD to order which of the following
therapies? - Answer-✅IM Cyanocobalamin & Folic Acid
/.Patient Rx Oral Ferrous Sulfate reports taking extra doses for the past few months.
Patient's serum iron level: 560. RN expect MD order - Answer-✅Giving Parenteral
Deferoxamine [Desferal]
/.Patient diagnosed w/Moderate Vit B12 Deficiency. RN reviews the lab work & notes
that the plasma B12 is low; also, a Schilling Test reveals B12 Malabsorption. MD orders
Oral Cyanocobalamin 500 mcg/day. RN will - Answer-✅Suggest an Increased Dose.
/.Patient stops taking a PPI after 6 weeks of therapy for treatment of PUD. Patient
reports symptoms of Dyspepsia to the RN. The RN will tell this patient to: - Answer-
✅Try an Antacid to see whether it relieves these symptoms.
/.When Metronidazole [Flagyl] is a component of the H. pylori treatment regimen,
Patient must be instructed to do what? - Answer-✅Avoid any Alcoholic Beverages
/.Patient is diagnosed w/Zollinger-Ellison Syndrome. RN expect the MD to order -
Answer-✅Ranitidine [Zantac]
/.Patient who has GERD receives a Rx for a PPI. RN include when teaching the patient
about this drug? - Answer-✅"You should report any fever & cough to your provider."
/.Older adult w/Severe GERD has had only minimal relief using a Histamine2-Receptor
Antagonist (H2RA). Patient is to begin taking Omeprazole [Prilosec]. What will the RN
teach this patient? - Answer-✅Long-Term Therapy may be needed.
CORRECT OUTLINED ANSWERS
/. Patient reports taking Folic Acid & Vit B12. RN notifies the provider because of the
concern that Folic Acid can: - Answer-✅Mask the Signs of Vitamin B12 deficiency.
/.Patient had hip replacement Sx. Pt receiving Iron Replacement Therapy for 2 days.
Patient's stools appear black & pale skin & C/O feeling tired. Patient's HR:98, RR:20, &
BP:100/50. The RN will contact the provider to: - Answer-✅Request a H&H
/.12Y female admitted to hospital before sinus surgery. RN preparing to care for this
patient notes that the admission hemoglobin is 10.2 gm/dL, & the hematocrit is 32%. RN
will ask the child's parent's which question about their daughter? - Answer-✅"Has she
begun Menstruating?"
/.Patient w/Renal Failure is undergoing chronic hemodialysis. Patient's hemoglobin is
10.6 gm/dL. MD orders Sodium-Ferric Gluconate Complex (SFGC [Ferrlecit]). RN
expect to do - Answer-✅Administer the drug IV with Erythropoietin to stimulate the
production of RBCs.
/.Patient tells RN that she is thinking about getting pregnant & asks about Nutritional
Supplements. What will the RN recommend? - Answer-✅400- 800 mg of Folic Acid per
day
/.Patient who has recently immigrated to the USA from an impoverished country
appears malnourished. Patient's folic acid levels are low, & Vit B12 levels are normal.
RN expects this patient's treatment to include: - Answer-✅A Diet High in Folic Acid.
/.Patient's initial lab results reveal Megaloblastic Anemia. Patient C/O tingling of the
hands & appears confused. RN suspects what in this patient? - Answer-✅Vitamin B12
Deficiency
/.RN is reviewing a patient's most recent blood count & notes that the patient
hemoglobin of 9.6 & a hematocrit of 33%. RN will notify the provider & will expect initial
treatment to include: - Answer-✅Determining the Cause of the Anemia.
, /.What are the indications for administration of a Parenteral Iron Preparation? - Answer-
✅- Blood Loss of 750 mL/week
- Celiac Disease with Anemia
- Intestinal Disease Impairing Absorption
/.Patient given a 30-day supply of Feosol & been taking the drug for 4 weeks for Iron
Deficiency Anemia. Patient's initial hemoglobin was 8.9. RN notes hemoglobin has risen
to 9.7. RN ask the patient about? - Answer-✅Whether the Rx needs to be refilled
/.Patient w/Which of the following is most at risk for Folic Acid Deficiency? - Answer-
✅Alcoholism
/.Patient is receiving Oral Iron for Iron Deficiency Anemia. Which ABX drug, taken
concurrently with iron, would most concern the RN? - Answer-✅Tetracycline
/.Patient w/Vit B12 Deficiency is admitted w/Symptoms of Hypoxia, Anemia, Numbness
of Hands & Feet, & Oral Stomatitis. RN expects MD to order which of the following
therapies? - Answer-✅IM Cyanocobalamin & Folic Acid
/.Patient Rx Oral Ferrous Sulfate reports taking extra doses for the past few months.
Patient's serum iron level: 560. RN expect MD order - Answer-✅Giving Parenteral
Deferoxamine [Desferal]
/.Patient diagnosed w/Moderate Vit B12 Deficiency. RN reviews the lab work & notes
that the plasma B12 is low; also, a Schilling Test reveals B12 Malabsorption. MD orders
Oral Cyanocobalamin 500 mcg/day. RN will - Answer-✅Suggest an Increased Dose.
/.Patient stops taking a PPI after 6 weeks of therapy for treatment of PUD. Patient
reports symptoms of Dyspepsia to the RN. The RN will tell this patient to: - Answer-
✅Try an Antacid to see whether it relieves these symptoms.
/.When Metronidazole [Flagyl] is a component of the H. pylori treatment regimen,
Patient must be instructed to do what? - Answer-✅Avoid any Alcoholic Beverages
/.Patient is diagnosed w/Zollinger-Ellison Syndrome. RN expect the MD to order -
Answer-✅Ranitidine [Zantac]
/.Patient who has GERD receives a Rx for a PPI. RN include when teaching the patient
about this drug? - Answer-✅"You should report any fever & cough to your provider."
/.Older adult w/Severe GERD has had only minimal relief using a Histamine2-Receptor
Antagonist (H2RA). Patient is to begin taking Omeprazole [Prilosec]. What will the RN
teach this patient? - Answer-✅Long-Term Therapy may be needed.
