NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is creating a dietary plan for an adult female client who has a hemoglobin level of 9.8 g/dL. Which of the following foods should the nurse recommend?
      A)Carrots
      B)Raisins
      C)Maple syrup
      D)Orange juice
    2. A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?
      A)Iron deficiency anemia
      B)Rickets
      C)Diabetes mellitus
      D)Obesity
    3. What is the result of a deficiency of factor IX?
      A)Idiopathic thrombocytopenic purpura
      B)Christmas disease
      C)Thalassemia
      D)Hemophilia A
    4. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
      A)"I will have my child rest."
      B)"I will elevate the affected part."
      C)"I will compress the site."
      D)"I will apply heat."
    Page 1 of 5

    Exam Review

    1. A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
      A)Discourage a high level of fluid intake.
      B)Apply cold compresses to painful, swollen joints.
      C)Observe for indications of hypokalemia,
      D)Administer meperidine every 4 hr for pain.
    2. A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client would the nurse assess first?
      A)Client with a swollen and painful left great toe
      B)Client with a blood pressure of 180/98 mm Hg
      C)Client who reports calf tenderness and swelling
      D)Client who reports shortness of breath
    3. A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
      A)Dietary iron restrictions
      B)Intestinal malabsorption syndrome
      C)Chronic blood loss
      D)Intestinal parasites
    4. A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?
      A)Take the ferrous sulfate at bedtime.
      B)Take the ferrous sulfate with an antacid.
      C)Take the ferrous sulfate between meals.
      D)Take the ferrous sulfate with yogurt.
    Page 2 of 5

    Exam Review

    1. The nurse assesses a client's oral cavity as seen in the photo below: What action by the nurse is most appropriate?
      A)Encourage the client to have genetic testing.
      B)Instruct the client on high-fiber foods.
      C)Place the client in protective precautions.
      D)Teach the client about cobalamin therapy.
    2. A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
      A)A 10-year-old child who has sickle cell anemia who reports severe chest pain
      B)A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016
      C)A 1-year-old toddler who has roseola and a temperature of 39° C (102.2°F)
      D)A 4-year-old child who has asthma and a PCO2 of 37 mm Hg
    3. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
      A)High fever
      B)Bradycardia
      C)Pain
      D)Constipation
    4. A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
      A)"Monitor your child's temperature daily."
      B)"Restrict outdoor play activity to 1 hour per day."
      C)"Offer fluids to your child multiple times every day."
      D)"Apply cold compresses when your child expresses pain."
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
      A)"Taking the medication between meals will help you avoid becoming constipated."
      B)"Taking the medication with food increases the risk of esophagitis."
      C)"Taking the medication between meals will help you absorb the medication more efficiently."
      D)"The medication can cause nausea if taken with food."
    2. A nurse is preparing educational material for a client who has a thrombocytopenic disorder. Which of the following information should the nurse include?
      A)"Use a rectal suppository if constipated."
      B)"Swish with a commercial mouthwash after brushing the teeth."
      C)"Notify the dentist of your condition prior to invasive procedures,"
      D)"Take aspirin for headaches."
    3. A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?(SATA)
      A)1.5 oz raisins
      B)8 oz black tea
      C)1 cup canned black beans
      D)8 oz whole milk
    4. A nurse is caring for a client who has sickle cell disease. Exhibits For each client finding, click to specify if the finding is consistent with sickle cell disease, iron deficiency anemia, or leukemia. Each finding may support more than 1 disease process.
      Sickle Cell DiseaseIron Deficiency AnemiaLeukemia
      Heart rate at 1000✓✓✓
      Joint pain✓
      Respiratory status✓✓✓
      Jaundice✓
      Ankle ulcer✓
    Page 4 of 5

    Exam Review

    1. A nurse is caring for an adolescent who presents to the emergency department. Exhibits The nurse reassesses the adolescent at 1930. For each assessment finding click to specify if the finding indicates that the adolescent's condition has improved or has not changed.
      ImprovedNo Change
      Heart rate✓
      Dyspnea✓
      Oxygen saturation✓
      Oral intake✓
      Lung sounds✓
      Respiratory rate✓
      Blood pressure✓
    Page 5 of 5