NUR MISC MED SURG 4-25 NCLEX-STYLE
TEST ON ANEMIA (COMPLETE GUIDE Q&A)
VERIFIED ANSWERS | ULTIMATE STUDY GUIDE
FOR YR. 2026/2027
Question 1: A patient is admitted with fatigue, pallor, and glossitis. Lab results show decreased
hemoglobin and hematocrit. What type of anemia is most likely, and what is the priority nursing
intervention?
1. Iron Deficiency Anemia; Administer iron supplements with orange juice
2. B12 Deficiency Anemia; Provide patient education on increasing dietary intake of animal
products
3. Folic Acid Deficiency; Monitor for seizure activity
4. Sickle Cell Anemia; Encourage fluid intake to prevent vaso-occlusive crises
Answer: a. Iron Deficiency Anemia; Administer iron supplements with orange juice
Rationale: Iron deficiency anemia commonly presents with fatigue, pallor, and glossitis. Iron
supplements are best absorbed with vitamin C (orange juice). Educating the patient about
ironrich foods and monitoring for side effects is also crucial.
Question 2: A patient presents with paresthesia, jaundice, and poor balance. The patient's diet
lacks animal products. What condition is likely causing their symptoms?
1. Iron Deficiency Anemia
2. B12 Deficiency Anemia
3. Sickle Cell Disease
4. Folic Acid Deficiency
Answer: b. B12 Deficiency Anemia
Rationale: B12 deficiency, often seen in individuals with inadequate intake of animal products,
manifests as paresthesia, jaundice, and balance issues due to neurological effects.
Question 3: A patient with sickle cell disease is experiencing a vaso-occlusive crisis. What is the
nurse's priority intervention?
, 1. Administer prescribed folic acid supplements
2. Place the patient in a warm environment and encourage fluids
3. Encourage ambulation to prevent clot formation
4. Monitor for signs of infection and administer prescribed iron therapy
Answer: b. Place the patient in a warm environment and encourage fluids
Rationale: The priority during a vaso-occlusive crisis is rehydration and creating a warm
environment to prevent sickling. Ambulation or infections may exacerbate the crisis.
Question 4: During patient teaching, which statement by the patient with iron deficiency
anemia indicates effective learning?
1. "I should avoid drinking milk with iron supplements as it helps absorption."
2. "I will take iron supplements on an empty stomach with water."
3. "Eating leafy greens will not help my condition as they lack iron."
4. "I can take iron supplements with coffee in the morning."
Answer: b. "I will take iron supplements on an empty stomach with water."
Rationale: Iron is best absorbed on an empty stomach with water. Milk, coffee, and tea can
inhibit absorption, while leafy greens are rich in iron and beneficial.
Question 5: A pregnant patient asks why folic acid supplementation is necessary. What is the
nurse's best response?
1. "Folic acid prevents anemia during pregnancy."
2. "Folic acid ensures your baby will have normal red blood cells."
3. "Folic acid prevents neural tube defects in your baby and supports red blood cell
production."
4. "Folic acid is only necessary if your diet lacks vegetables."
Answer: c. "Folic acid prevents neural tube defects in your baby and supports red blood cell
production."
Rationale: Folic acid is vital during pregnancy to prevent neural tube defects and maintain
effective erythropoiesis.
Question 6: Which nursing diagnosis is most appropriate for a patient with sickle cell disease?
1. Risk for Infection related to splenic dysfunction
2. Imbalanced Nutrition: Less than body requirements related to poor appetite
3. Activity Intolerance related to anemia
4. Risk for Impaired Gas Exchange related to sickle-shaped cells obstructing capillaries
TEST ON ANEMIA (COMPLETE GUIDE Q&A)
VERIFIED ANSWERS | ULTIMATE STUDY GUIDE
FOR YR. 2026/2027
Question 1: A patient is admitted with fatigue, pallor, and glossitis. Lab results show decreased
hemoglobin and hematocrit. What type of anemia is most likely, and what is the priority nursing
intervention?
1. Iron Deficiency Anemia; Administer iron supplements with orange juice
2. B12 Deficiency Anemia; Provide patient education on increasing dietary intake of animal
products
3. Folic Acid Deficiency; Monitor for seizure activity
4. Sickle Cell Anemia; Encourage fluid intake to prevent vaso-occlusive crises
Answer: a. Iron Deficiency Anemia; Administer iron supplements with orange juice
Rationale: Iron deficiency anemia commonly presents with fatigue, pallor, and glossitis. Iron
supplements are best absorbed with vitamin C (orange juice). Educating the patient about
ironrich foods and monitoring for side effects is also crucial.
Question 2: A patient presents with paresthesia, jaundice, and poor balance. The patient's diet
lacks animal products. What condition is likely causing their symptoms?
1. Iron Deficiency Anemia
2. B12 Deficiency Anemia
3. Sickle Cell Disease
4. Folic Acid Deficiency
Answer: b. B12 Deficiency Anemia
Rationale: B12 deficiency, often seen in individuals with inadequate intake of animal products,
manifests as paresthesia, jaundice, and balance issues due to neurological effects.
Question 3: A patient with sickle cell disease is experiencing a vaso-occlusive crisis. What is the
nurse's priority intervention?
, 1. Administer prescribed folic acid supplements
2. Place the patient in a warm environment and encourage fluids
3. Encourage ambulation to prevent clot formation
4. Monitor for signs of infection and administer prescribed iron therapy
Answer: b. Place the patient in a warm environment and encourage fluids
Rationale: The priority during a vaso-occlusive crisis is rehydration and creating a warm
environment to prevent sickling. Ambulation or infections may exacerbate the crisis.
Question 4: During patient teaching, which statement by the patient with iron deficiency
anemia indicates effective learning?
1. "I should avoid drinking milk with iron supplements as it helps absorption."
2. "I will take iron supplements on an empty stomach with water."
3. "Eating leafy greens will not help my condition as they lack iron."
4. "I can take iron supplements with coffee in the morning."
Answer: b. "I will take iron supplements on an empty stomach with water."
Rationale: Iron is best absorbed on an empty stomach with water. Milk, coffee, and tea can
inhibit absorption, while leafy greens are rich in iron and beneficial.
Question 5: A pregnant patient asks why folic acid supplementation is necessary. What is the
nurse's best response?
1. "Folic acid prevents anemia during pregnancy."
2. "Folic acid ensures your baby will have normal red blood cells."
3. "Folic acid prevents neural tube defects in your baby and supports red blood cell
production."
4. "Folic acid is only necessary if your diet lacks vegetables."
Answer: c. "Folic acid prevents neural tube defects in your baby and supports red blood cell
production."
Rationale: Folic acid is vital during pregnancy to prevent neural tube defects and maintain
effective erythropoiesis.
Question 6: Which nursing diagnosis is most appropriate for a patient with sickle cell disease?
1. Risk for Infection related to splenic dysfunction
2. Imbalanced Nutrition: Less than body requirements related to poor appetite
3. Activity Intolerance related to anemia
4. Risk for Impaired Gas Exchange related to sickle-shaped cells obstructing capillaries
