NR 507 MIDTERM EXAM LATEST
UPDATE 2026
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what? - 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 - 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
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 - 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 - ANSWER --Serum ferritin
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. - 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 - ANSWER --Ferritin level
Hemoglobin level
Energy level
Type 1 hypersensitivity - ANSWER --Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - ANSWER --mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - ANSWER --IgG antibodies attach the TSH receptor causing an over
production of thyroid hormones leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for
pregnant), radioactive iodine therapy (not for pregnant)
Type 3 hypersensitivity - ANSWER --neutrophil mediated reaction
immune complexes activate complement system & neutrophils resulting in tissue destruction
UPDATE 2026
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should
anticipate the client will require what? - 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 - 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
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 - 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 - ANSWER --Serum ferritin
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. - 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 - ANSWER --Ferritin level
Hemoglobin level
Energy level
Type 1 hypersensitivity - ANSWER --Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - ANSWER --mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - ANSWER --IgG antibodies attach the TSH receptor causing an over
production of thyroid hormones leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for
pregnant), radioactive iodine therapy (not for pregnant)
Type 3 hypersensitivity - ANSWER --neutrophil mediated reaction
immune complexes activate complement system & neutrophils resulting in tissue destruction
