Anemia NCLEX Questions and Answers 50 Nursing Exam Questions Test

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14.4K views • July 05, 2024

NCLEX Questions on Anemia Disorders 50 Questions Exam

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0:01 hi everyone this is Nurse Anna from
0:03 nurse study.net um and today I have
0:06 anemia nursing questions with answers
0:08 and rationals if you have any uh
0:12 subjects you want questions on please
0:14 leave them in the comments below
0:17 enjoy would you like free
0:19 audiobooks click the link in the
0:22 description question one a 45-year-old
0:26 female presents with fatigue p and
0:28 shortness of breath
0:30 her lab results reveal hemoglobin of 8
0:33 mean corpuscular volume MCV of 70 and
0:36 fertin of 10 what is the most likely
0:39 type of
0:40 anemia a pricious anemia B iron
0:46 deficiency anemia C anemia of chronic
0:51 disease D hemolytic
0:55 anemia answer B iron deficiency anemia
1:01 rationale the patient symptoms and lab
1:03 results low hemoglobin low MCV and low
1:06 fertin are indicative of iron deficiency
1:09 anemia pernicious anemia is
1:12 characterized by a high MCV anemia of
1:14 chronic disease usually has normal or
1:16 slightly low MCV and hemolytic anemia
1:19 would show signs of increased hemolysis
1:21 not low
1:23 fertin question two a 60-year-old male
1:27 with chronic kidney disease presents
1:29 with parar weakness and
1:31 dpia his hemoglobin is nine and his
1:34 arthropo level is low what treatment is
1:37 most appropriate to manage his
1:40 anemia a iron
1:43 supplements B blood
1:46 transfusion C erythropoesis stimulating
1:50 agents
1:51 esas D vitamin B12
1:56 injections answer C erythropoesis
2:00 stimulating agents
2:02 esas rationale chronic kidney disease
2:05 often results in anemia due to decreased
2:08 arthropo in
2:09 production esas are used to stimulate
2:12 red blood cell production iron
2:15 supplements would only be useful if
2:16 there was an iron deficiency which is
2:18 not indicated here blood transfusions
2:21 are reserved for severe anemia or
2:23 symptomatic patients and vitamin B12
2:26 injections are for B12 deficiency anemia
2:30 question three a 32-year-old pregnant
2:33 woman at 28 weeks gestation is diagnosed
2:36 with iron deficiency
2:37 anemia what is the most appropriate
2:40 initial
2:40 treatment a oral feris sulfate B
2:46 parental iron therapy C blood
2:51 transfusion D erythropoesis stimulating
2:55 agents answer a oral or feris sulfate
3:01 rationale oral feris sulfate is the
3:04 first line treatment for iron deficiency
3:06 anemia in
3:07 pregnancy parental iron therapy is
3:10 reserved for those who cannot tolerate
3:11 oral iron or have severe anemia blood
3:15 transfusion is not indicated unless
3:17 there is severe symptomatic anemia and
3:19 esas are not typically used in iron
3:21 deficiency
3:22 anemia question four a patient with CLE
3:26 cell anemia is admitted with a painful
3:28 vasoocclusive CR is what is the priority
3:32 nursing
3:33 intervention a administer
3:37 hydroxyurea B initiate pain management
3:40 with
3:41 opioids C provide supplemental oxygen D
3:47 start IV
3:49 fluids answer B initiate pain management
3:54 with
3:55 opioids rationale pain management is the
3:58 priority in aaso occlusive
4:00 crisis hydroxyurea is a long-term
4:03 treatment to reduce the frequency of
4:04 crises but is not used for acute pain
4:08 supplemental oxygen and IV fluids are
4:10 important but secondary to pain
4:13 control question five a 70-year-old male
4:17 presents with fatigue pellar and
4:19 peripheral
4:20 neuropathy his lab results show a
4:22 hemoglobin of 10 MCV of 120 and low
4:26 vitamin B12 levels what is the most most
4:29 likely
4:31 diagnosis a iron deficiency anemia B
4:37 pernicious
4:38 anemia C fate deficiency anemia D anemia
4:44 of chronic
4:46 disease answer B pernicious
4:50 anemia rationale pernicious anemia is
4:53 characterized by
4:55 macrotics V and low vitamin B12 levels
5:00 the presence of peripheral neuropathy
5:01 also points to vitamin B12
5:04 deficiency iron deficiency anemia and
5:06 anemia of chronic disease typically
5:08 present with normocytic or microtic
5:11 anemia and folate deficiency anemia does
5:13 not cause peripheral
5:15 neuropathy question six a patient with
5:18 phemia major presents with severe anemia
5:21 and
5:23 hepatosplenomegaly what is the
5:24 definitive treatment for this patient a
5:28 blood transfusions
5:30 B iron cation therapy C hematopoetic
5:36 stem cell
5:38 transplantation D folic acid
5:42 supplementation answer C hematopoetic
5:46 stem cell
5:48 transplantation rationale hematopoetic
5:51 stem cell transplantation is the only
5:53 Curative treatment for phemia major
5:56 blood transfusions and iron cation
5:58 therapy are supportive treatments to
6:01 manage the symptoms and
6:03 complications folic acid supplementation
6:06 can help with erythropoesis but is not
6:09 definitive question seven a patient with
6:12 autoimmune hemolytic anemia AA presents
6:15 with jaundice and dark urine what lab
6:19 test is essential for confirming the
6:21 diagnosis a complete blood count
6:25 CBC B peripheral blood smear
6:30 C kum's test direct antiglobulin test D
6:36 serum fertin
6:38 level answer C kum's test direct
6:43 antiglobulin
6:44 test rationale the kums test detects
6:47 antibodies attached to the surface of
6:49 red blood cells which is characteristic
6:51 of
6:52 AA CBC and peripheral blood smear can
6:56 indicate hemolysis but are not
6:58 specific serum fertin level assesses
7:01 iron stores and is not relevant for
7:03 diagnosing
7:04 AA question 8 a 50-year-old female with
7:08 a history of rheumatoid arthritis
7:10 presents with fatigue and
7:12 dpia lab results show hemoglobin of nine
7:15 and normal
7:16 MCV what is the most likely cause of her
7:19 anemia a iron deficiency
7:23 anemia B anemia of chronic
7:27 disease C vitamin B12
7:31 deficiency d a plastic
7:35 anemia answer B anemia of chronic
7:40 disease rationale anemia of chronic
7:43 disease is common in patients with
7:44 chronic inflammatory conditions like
7:46 rheumatoid arthritis and typically
7:48 presents with normic anemia iron
7:51 deficiency anemia usually presents with
7:54 microtic anemia and vitamin B12
7:56 deficiency presents with macrocytic
7:58 anemia
8:00 a plastic anemia is characterized by
8:03 pancitopenia question n a 25-year-old
8:07 male presents with fatigue and
8:09 jaundice lab results show hemoglobin of
8:12 seven reticulite count of 10% and
8:15 increased lactate dehydrogenase
8:18 LDH what is the most likely
8:21 diagnosis a iron deficiency anemia B
8:27 hemolytic anemia C
8:30 a plastic anemia D anemia of chronic
8:35 disease answer B hemolytic anemia
8:41 rationale The increased reticulite count
8:44 and LDH along with jaundice suggest
8:46 hemolytic anemia iron deficiency anemia
8:50 and anemia of chronic disease typically
8:52 have normal or low respiratory counts
8:55 and a plastic anemia shows
8:57 pancytopenia question 10
9:00 a patient with a history of gastric
9:02 bypass surgery presents with fatigue and
9:05 glossitis lab results reveal hemoglobin
9:08 of eight and low vitamin B12 levels what
9:11 is the most appropriate
9:13 treatment a oral iron
9:16 supplements B parental vitamin
9:20 B12 C folic acid
9:24 supplements D erythropoesis stimulating
9:27 agents
9:29 answer B parental vitamin
9:33 B12 rationale patients with a history of
9:36 gastric bypass surgery are at risk for
9:39 vitamin B12 deficiency due to impaired
9:42 absorption parentral vitamin B12 is the
9:45 treatment of choice oral iron
9:47 supplements and folic acid are not
9:49 relevant here and esas are not
9:52 indicated question 11 a patient presents
9:56 with fatigue poar and a smooth red
9:58 tongue
10:00 lab results show hemoglobin of 9 MCV of
10:03 105 and elevated methylmalonic acid
10:06 MMA what is the most likely
10:09 diagnosis a iron deficiency
10:13 anemia B fate deficiency
10:17 anemia C vitamin B12 deficiency anemia D
10:24 anemia of chronic
10:25 disease answer C vitamin B12 deficiency
10:31 anemia rationel elevated MMA is specific
10:35 to vitamin B12 deficiency
10:37 anemia the patient symptoms macrocytic
10:40 anemia and elevated MMA all point to
10:43 vitamin B12
10:44 deficiency folate deficiency anemia does
10:47 not Elevate
10:49 MMA question 12 a 65-year-old male with
10:53 a history of alcohol abuse presents with
10:55 fatigue and
10:57 irritability lab results show globin of
10:59 10 MCV of 112 and normal vitamin B12
11:04 levels what is the most likely cause of
11:06 his
11:07 anemia a iron deficiency anemia B anemia
11:13 of chronic
11:15 disease C folate deficiency anemia d a
11:21 plastic
11:22 anemia answer C fate deficiency anemia
11:28 rationale alcohol abuse is a common
11:31 cause of folate deficiency anemia which
11:33 presents as
11:35 macrotics levels rule out vitamin B12
11:39 deficiency iron deficiency and anemia of
11:42 chronic disease typically present with
11:44 normic or microtic
11:47 anemia question
11:49 13 a patient with CLE cell anemia is
11:52 being educated on ways to prevent
11:53 vasoocclusive
11:55 crisis what should the nurse include in
11:57 the teaching a a avoid high
12:01 altitudes B increase vitamin C intake C
12:07 limit fluid intake D avoid iron-rich
12:13 foods answer a avoid high
12:18 altitudes rationale high altitudes can
12:21 precipitate baso eclusive crises due to
12:23 lower oxygen levels increasing vitamin C
12:27 intake limiting fluid intake and
12:29 avoiding iron-rich foods are not
12:31 relevant to preventing
12:33 crises question
12:35 14 a patient with severe anemia
12:37 secondary to Chronic blood loss from
12:39 gastrointestinal bleeding is receiving a
12:41 blood
12:43 transfusion what is the most critical
12:45 nursing intervention during the
12:47 transfusion a monitor for transfusion
12:51 reactions B administer iron
12:55 supplements C check blood glucose level
13:00 D monitor for signs of fluid
13:03 overload answer a monitor for
13:08 transfusion
13:09 reactions rationale monitoring for
13:12 transfusion reactions is the priority
13:14 during a blood
13:15 transfusion iron supplements blood
13:18 glucose levels and signs of fluid
13:20 overload are secondary
13:22 considerations question 15 a 55-year-old
13:26 female with a history of breast cancer
13:28 present presents with fatigue and poar
13:31 her lab results show hemoglobin of s and
13:34 MCV of 90 bone marob biopsy reveals
13:38 hypocellularity what is the most likely
13:41 diagnosis a iron deficiency anemia b a
13:47 plastic
13:48 anemia C anemia of chronic disease D
13:55 hemolytic
13:56 anemia answer B
13:59 a plastic anemia rationale a plastic
14:03 anemia is characterized by bone marrow
14:05 hypocellularity and
14:07 pancitopenia iron deficiency anemia and
14:10 anemia of chronic disease typically have
14:12 normal cellularity and hemolytic anemia
14:15 shows increased reticulite count and
14:18 evidence of
14:19 hemolysis question
14:21 16 a patient with a history of peptic
14:24 ulcer disease presents with fatigue and
14:27 Melena lab results show hemoglobin of 6
14:30 and MCV of
14:31 75 what is the most likely cause of his
14:35 anemia a iron deficiency
14:38 anemia B vitamin B12 deficiency anemia C
14:45 anemia of chronic disease d a plastic
14:50 anemia answer a iron deficiency
14:55 anemia rationale chronic blood loss from
14:58 pepid Ulcer Disease leads to iron
15:00 deficiency anemia characterized by
15:02 microtic anemia low
15:05 MCV vitamin B12 deficiency anemia
15:08 presents with
15:12 macrotics low
15:14 MCV a plastic anemia is characterized by
15:19 pancitopenia question
15:21 17 a patient with anemia is started on
15:24 feris
15:25 sulfate what is an important teaching
15:27 point for the patient
15:29 a take with antacids to reduce stomach
15:32 upset B take on an empty stomach for
15:36 better
15:37 absorption C expect dark brown stools as
15:41 a side effect D take with vitamin D for
15:46 better
15:47 absorption answer B take on an empty
15:51 stomach for better
15:53 absorption rationale iron is better
15:56 absorbed on an empty stomach although it
15:58 can cause stomach
15:59 upset dark brown stools are a common
16:02 side effect but not the most critical
16:04 teaching point and acids interfere with
16:07 iron absorption and vitamin C not D
16:10 enhances iron
16:12 absorption question
16:14 18 a patient with G6PD deficiency
16:17 presents with jaundice and dark urine
16:19 after taking a sulfa drug what is the
16:22 most likely cause of his
16:24 symptoms a iron deficiency anemia
16:29 B hemolytic anemia C vitamin B12
16:34 deficiency anemia d a plastic
16:39 anemia answer B hemolytic anemia
16:45 rationale G6PD deficiency can lead to
16:48 hemolytic anemia triggered by certain
16:50 medications such as sulfa drugs the
16:53 jaundice and dark urine are due to
16:56 hemolysis iron deficiency anemia vitamin
16:59 B12 deficiency anemia and a plastic
17:01 anemia do not present with acute
17:04 hemolysis question
17:06 19 a patient with anemia presents with a
17:09 sore mouth and angular
17:11 kytis lab results show hemoglobin of
17:14 eight and low serum
17:16 fertin what is the most likely
17:19 diagnosis a iron deficiency
17:22 anemia B fate deficiency
17:26 anemia C vitamin B12 deficiency anemia D
17:33 anemia of chronic
17:35 disease answer a iron deficiency anemia
17:41 rationel sore mouth and angular kytis
17:44 along with low hemoglobin and low serum
17:46 fertin are indicative of iron deficiency
17:49 anemia folate and vitamin B12 deficiency
17:52 anemia is present with macrotics
17:58 slightly low
18:00 MCV question 20 a patient with anemia
18:04 due to chronic kidney disease is being
18:06 treated with arthropo stimulating agents
18:09 esas what lab value should be monitored
18:12 to evaluate the effectiveness of the
18:14 treatment a serum
18:17 fertin B
18:20 hemoglobin C white blood cell count D
18:26 platelet count and answer B
18:32 hemoglobin rationale hemoglobin levels
18:34 are monitored to evaluate the
18:36 effectiveness of Esa therapy in patients
18:38 with anemia due to chronic kidney
18:40 disease serum fertin assesses iron
18:43 stores and white blood cell and platelet
18:46 counts are not directly related to Esa
18:49 Effectiveness question
18:51 21 a 35-year-old female with systemic
18:54 lupus emosis SLE presents with fatigue
18:58 and shortness of breath lab results
19:01 reveal hemoglobin of nine and low
19:03 haptoglobin what is the most likely
19:05 cause of her
19:06 anemia a iron deficiency anemia B
19:12 hemolytic
19:13 anemia C full aate deficiency anemia D
19:19 anemia of chronic
19:21 disease answer B hemolytic
19:26 anemia rationale low apoglobin is
19:29 indicative of hemolytic anemia which can
19:31 occur in patients with autoimmune
19:33 conditions like
19:34 SLE iron deficiency anemia folate
19:37 deficiency anemia and anemia of chronic
19:40 disease do not typically present with
19:42 low
19:43 haptoglobin question
19:45 22 a patient with iron deficiency anemia
19:49 is not responding to oral iron therapy
19:52 what is the next best step in
19:54 management a increase the dose of oral
19:57 iron
19:59 B switch to parental iron therapy C add
20:04 vitamin B12
20:06 supplements D perform a bone marrow
20:10 biopsy answer B switch to parental iron
20:14 therapy rationale if a patient with iron
20:17 deficiency anemia does not respond to
20:19 oral iron therapy switching to parental
20:21 iron is the next best step increasing
20:24 the dose may not improve absorption and
20:27 vitamin B12 supplements are not
20:29 indicated for iron deficiency anemia a
20:32 bone marob biopsy is not necessary
20:34 unless other causes are
20:36 suspected question
20:38 23 a patient with anemia of chronic
20:41 disease presents with fatigue and poar
20:44 what is a key distinguishing feature of
20:47 anemia of chronic
20:48 disease a elevated respiratory count B
20:54 low serum iron and low
20:57 tibc C
20:59 High
21:00 MCV d low vitamin B12
21:04 levels answer B low serum iron and low
21:10 tibc rationale anemia of chronic disease
21:13 is characterized by low serum iron and
21:16 low total iron binding capacity
21:19 tibc elevated reticulo site count is
21:22 seen in hemolytic anemia High MCV in
21:26 macrotics levels in vitamin B12
21:29 deficiency
21:30 anemia question
21:32 24 a patient with beta Thalia minor
21:35 presents with mild anemia what is the
21:38 most appropriate
21:39 management a blood
21:43 transfusions B iron
21:46 supplements C folate
21:49 supplements D no specific
21:53 treatment answer D no specific treatment
21:59 rationale beta Thalia minor typically
22:02 causes mild anemia that does not require
22:04 specific treatment blood transfusions
22:07 and iron supplements are not necessary
22:10 and folate supplements are only
22:11 indicated if there is a
22:13 deficiency question
22:15 25 a patient with anemia is found to
22:18 have an elevated Red Cell distribution
22:20 withth
22:22 RDW what does this
22:24 indicate a iron deficiency anemia
22:29 B anemia of chronic
22:31 disease C sickle cell anemia D hemolytic
22:38 anemia answer a iron deficiency
22:44 anemia rationale elevated RDW indicates
22:47 increased variability in red blood cell
22:50 size commonly seen in iron deficiency
22:53 anemia anemia of chronic disease CLE
22:56 cell anemia and hemolytic anemia
22:58 typically do not present with elevated
23:01 RDW question
23:03 26 a 40-year-old male presents with
23:06 fatigue and
23:08 glossitis his lab results show
23:10 hemoglobin of 11 and elevated
23:12 homocysteine levels what is the most
23:15 likely cause of his
23:16 anemia a iron deficiency anemia B fate
23:23 deficiency anemia C vitamin B12
23:27 deficiency anemia
23:29 D anemia of chronic
23:32 disease answer B folate deficiency
23:37 anemia rationale elevated homocysteine
23:40 levels are indicative of folate
23:42 deficiency anemia glossitis and Mild
23:45 anemia support this
23:47 diagnosis iron deficiency anemia and
23:50 anemia of chronic disease typically do
23:52 not present with elevated homocysteine
23:54 levels and vitamin B12 deficiency would
23:57 also show elevated methylmalonic
24:00 acid question
24:02 27 a patient with anemia presents with a
24:05 positive Shilling test what is the most
24:08 likely
24:09 diagnosis a iron deficiency anemia B
24:15 pernicious anemia C anemia of chronic
24:20 disease D hemolytic
24:23 anemia answer B pernicious anemia
24:29 rationale a positive Shilling test
24:31 indicates vitamin B12 malabsorption
24:34 commonly seen in pernicious anemia iron
24:37 deficiency anemia and anemia of chronic
24:39 disease are not diagnosed with the
24:41 Shilling test and hemolytic anemia does
24:44 not affect vitamin B12
24:46 absorption question
24:48 28 a patient with severe anemia presents
24:51 with tacac cardia and
24:53 hypotension what is the immediate
24:55 nursing
24:56 intervention a
24:58 administer oral iron
25:00 supplements B start intervenous
25:04 fluids C provide supplemental oxygen D
25:10 perform a blood
25:12 transfusion answer D perform a blood
25:17 transfusion rationale in cases of severe
25:20 anemia with hemodynamic instability a
25:23 blood transfusion is the immediate
25:25 intervention oral iron supplements and
25:27 interven fluids are not sufficient for
25:30 acute management and supplemental oxygen
25:32 is supportive but not
25:34 definitive question
25:36 29 a patient with anemia presents with
25:40 Pica what is the most likely type of
25:42 anemia a iron deficiency anemia B folate
25:49 deficiency
25:50 anemia C vitamin B12 deficiency anemia D
25:57 anemia of chronic disase
25:58 disase answer a iron deficiency
26:04 anemia rationale Pica the craving for
26:07 non-nutritive substances is commonly
26:09 associated with iron deficiency anemia
26:12 it is not typically seen in fate
26:14 deficiency anemia vitamin B12 deficiency
26:17 anemia or anemia of chronic
26:20 disease question 30 a patient with
26:25 macrotics levels is found to have
26:27 elevated serum homocystine and
26:29 methylmalonic acid what is the most
26:32 likely
26:33 diagnosis a iron deficiency
26:37 anemia B folate deficiency
26:41 anemia C vitamin B12 deficiency anemia D
26:47 anemia of chronic
26:49 disease answer C vitamin B12 deficiency
26:55 anemia rationale elevated serum
26:58 homocysteine and methylmalonic acid are
27:00 indicative of vitamin B12 deficiency
27:03 anemia despite normal vitamin B12 levels
27:06 functional deficiency can cause these
27:09 elevations fate deficiency anemia
27:12 presents with elevated homoy but normal
27:14 methylmalonic acid question
27:18 31 a 50-year-old male with a history of
27:21 gastric surgery presents with fatigue
27:23 and
27:24 paresthesia lab results show hemoglobin
27:27 of 10 and low vitamin B12 levels what is
27:30 the best treatment option a oral iron
27:35 supplements B parental vitamin
27:39 B12 C folate
27:42 supplements D erythropoesis stimulating
27:47 agents answer B parental vitamin
27:52 B12 rationale gastric surgery can lead
27:55 to vitamin B12 deficiency due to imper
27:58 absorption parental vitamin B12 is the
28:01 treatment of choice oral iron
28:04 supplements and folate supplements are
28:06 not indicated and esas are not relevant
28:09 here question
28:11 32 a patient with anemia presents with a
28:14 low haptoglobin level elevated
28:16 reticulite count and positive direct
28:19 test what is the most likely
28:23 diagnosis a iron deficiency anemia B B
28:29 hemolytic anemia C folate deficiency
28:34 anemia D anemia of chronic
28:38 disease answer B hemolytic
28:43 anemia rationale low haptoglobin
28:46 elevated reticulite count and a positive
28:48 direct test are indicative of
28:50 hemolytic anemia iron deficiency anemia
28:54 folate deficiency anemia and anemia of
28:57 chronic disease do not present with
28:58 these
29:00 findings question
29:02 33 a patient with anemia is found to
29:05 have a high reticul site count and low
29:07 serum
29:08 fertin what is the most likely cause of
29:10 his
29:11 anemia a iron deficiency anemia B
29:17 hemolytic anemia C anemia of chronic
29:22 disease d a plastic
29:25 anemia answer
29:28 a iron deficiency anemia rationale low
29:33 serum fertin indicates iron deficiency
29:35 anemia a high reticul site count
29:38 suggests the bone marrow is responding
29:40 to the anemia hemolytic anemia would
29:43 present with evidence of hemolysis
29:45 anemia of chronic disease typically has
29:48 normal or slightly low reticulite count
29:50 and a plastic anemia shows
29:53 pancytopenia question
29:55 34 a patient with anemia presents with a
29:58 history of chronic blood loss from heavy
30:00 menstrual
30:02 periods what is the most likely type of
30:05 anemia a iron deficiency
30:08 anemia B anemia of chronic
30:12 disease C fate deficiency anemia d a
30:18 plastic
30:20 anemia answer a iron deficiency anemia
30:26 rationale chronic blood loss such as
30:28 from heavy menstrual periods commonly
30:30 leads to iron deficiency anemia anemia
30:34 of chronic disease folate deficiency
30:36 anemia and a plastic anemia are not
30:38 typically associated with chronic blood
30:41 loss question
30:43 35 a patient with sickle cell anemia
30:46 presents with fever cough and chest pain
30:50 what is the most appropriate initial
30:52 intervention a administer
30:56 antibiotics B
30:58 provide supplemental
31:00 oxygen C start IV
31:03 fluids D perform a blood
31:07 transfusion answer B provide
31:11 supplemental
31:13 oxygen rationale acute chest syndrome in
31:16 sickle cell anemia requires immediate
31:18 supplemental
31:19 oxygen antibiotics may be needed for
31:22 infection IV fluids for hydration and
31:25 blood transfusion for severe cases but
31:27 oxy oen is the
31:29 priority question
31:31 36 a patient with anemia presents with a
31:34 history of chronic alcohol use and
31:38 macrotics of his
31:40 anemia a iron deficiency anemia B folate
31:47 deficiency anemia C vitamin B12
31:51 deficiency anemia D anemia of chronic
31:56 disease answer
31:59 B folate deficiency anemia rationale
32:03 chronic alcohol use is a common cause of
32:05 Fate deficiency anemia which presents as
32:08 macrocytic anemia iron deficiency anemia
32:11 and anemia of chronic disease typically
32:14 present with normocytic or microtic
32:15 anemia and vitamin B12 deficiency anemia
32:18 would also show elevated methylmalonic
32:21 acid question
32:23 37 a patient with anemia due to chronic
32:26 kidney disease is started on arthropo
32:28 stimulating agents
32:30 esas what is an important consideration
32:33 for this
32:34 treatment a monitor for
32:37 hypertension B administer with vitamin C
32:43 C avoid concurrent iron
32:45 supplements D check liver function
32:50 tests answer a monitor for
32:55 hypertension rationale esas can cause
32:57 hypertension so monitoring blood
32:59 pressure is
33:00 important vitamin C is not necessary
33:03 concurrent iron supplements may be
33:05 needed if iron stores are low and liver
33:07 function tests are not directly
33:10 relevant question
33:12 38 a patient with anemia presents with
33:15 fatigue glossitis and a smooth red
33:18 tongue lab results show hemoglobin of
33:20 nine and low serum folate what is the
33:23 most likely
33:25 diagnosis a i deficiency
33:29 anemia B folate deficiency
33:32 anemia C vitamin B12 deficiency anemia D
33:39 anemia of chronic
33:41 disease answer B folate deficiency
33:46 anemia rationel glossitis and a smooth
33:49 red tongue along with low serum folate
33:52 are indicative of folate deficiency
33:54 anemia iron deficiency anemia and anemia
33:57 of chronic disease typically do not
33:59 present with these symptoms and vitamin
34:01 B12 deficiency would also show elevated
34:04 methylmalonic
34:05 acid question
34:07 39 a patient with sickle cell anemia is
34:10 being discharged with instructions to
34:12 prevent future
34:13 crises what should the nurse include in
34:16 the discharge teaching a increase iron
34:20 intake B stay
34:24 hydrated C limit physical activity
34:29 D avoid dairy
34:31 products answer B stay
34:35 hydrated rationale staying hydrated is
34:39 crucial to prevent CLE cell crisis by
34:41 reducing blood
34:42 viscosity increasing iron intake is not
34:45 relevant and limiting physical activity
34:47 is not generally
34:49 recommended avoiding dairy products is
34:51 not
34:52 necessary question 40 a patient with
34:56 anemia presents with the history of
34:58 rheumatoid
34:59 arthritis lab results show hemoglobin of
35:02 10 and normal
35:03 MCV what is the most likely type of
35:06 anemia a iron deficiency anemia B anemia
35:13 of chronic
35:14 disease C folate deficiency anemia d a
35:20 plastic
35:21 anemia answer B anemia of chronic
35:26 disease rationale anemia of chronic
35:29 disease is common in patients with
35:31 rheumatoid arthritis and typically
35:33 presents with normic anemia iron
35:36 deficiency anemia usually presents with
35:38 microtic anemia folate deficiency anemia
35:41 with macrocytic anemia and a plastic
35:43 anemia with
35:45 pancitopenia question
35:47 41 a patient with anemia is started on
35:50 feris
35:51 sulfate what is an important side effect
35:54 to discuss with the patient a
35:58 constipation B
36:01 diarrhea C
36:04 hypotension D
36:07 insomnia answer a
36:12 constipation rationale constipation is a
36:15 common side effect of oral iron
36:17 supplements diarrhea hypotension and
36:20 insomnia are not typically associated
36:23 with Ferris
36:24 sulfate question
36:26 42 a patient with anemia presents with
36:29 fatigue and
36:30 paresthesia lab results show hemoglobin
36:33 of 10 MCV of 105 and low vitamin B12
36:37 levels what is the most appropriate
36:40 treatment a oral iron
36:44 supplements B parental vitamin
36:47 B12 C folic acid
36:51 supplements D erythropoesis stimulating
36:56 agents answer
36:58 B parental vitamin
37:01 B12 rationale low vitamin B12 levels
37:04 with macroy anemia and paresthesia
37:07 indicate vitamin B12
37:09 deficiency parental vitamin B12 is the
37:12 treatment of choice oral iron
37:14 supplements folic acid supplements and
37:17 esas are not
37:19 indicated question
37:21 43 a patient with anemia is found to
37:24 have an elevated reticulite count and B
37:26 Rubin levels
37:28 what is the most likely cause of his
37:30 anemia a iron deficiency anemia B
37:36 hemolytic
37:37 anemia C anemia of chronic disease d a
37:44 plastic
37:45 anemia answer B hemolytic anemia
37:50 rationale elevated reticulite count and
37:53 B Rubin levels indicate hemolytic anemia
37:57 iron deficiency anemia and anemia of
37:59 chronic disease typically do not present
38:02 with these findings and a plastic anemia
38:04 shows
38:05 pancitopenia question
38:08 44 a patient with a history of celiac
38:10 disease presents with fatigue and
38:13 glossitis lab results show hemoglobin of
38:16 nine and low serum
38:17 folate what is the most likely cause of
38:20 his
38:21 anemia a iron deficiency anemia B fate
38:27 deficiency anemia C vitamin B12
38:31 deficiency anemia D anemia of chronic
38:36 disease answer B full aate deficiency
38:42 anemia rationale celiac disease can lead
38:45 to malabsorption of folate causing
38:47 folate deficiency anemia glossitis and
38:50 low serum folate support this
38:53 diagnosis iron deficiency anemia and
38:56 anemia of chronic disease typically do
38:58 not present with these symptoms and
39:00 vitamin B12 deficiency would also show
39:02 elevated methylmalonic
39:04 acid question
39:06 45 a patient with anemia presents with a
39:09 low reticul site count and
39:12 pancytopenia what is the most likely
39:15 diagnosis a iron deficiency anemia B
39:21 hemolytic anemia c a plastic anemia d
39:28 anemia of chronic
39:29 disease answer c a plastic
39:34 anemia rationale pancitopenia and a low
39:38 reticulite count are indicative of a
39:40 plastic anemia iron deficiency anemia
39:43 and anemia of chronic disease typically
39:46 do not present with pancitopenia and
39:48 hemolytic anemia presents with elevated
39:50 reticulite
39:52 count question
39:54 46 a patient with anemia presents with
39:57 Spen omegal and
39:58 jaundice lab results show hemoglobin of
40:01 eight and elevated lactate dehydrogenase
40:04 LDH what is the most likely cause of his
40:07 anemia a iron deficiency anemia B
40:13 hemolytic anemia C anemia of chronic
40:18 disease d a plastic
40:22 anemia answer B hemolytic anemia
40:28 rationel splenomegaly jaundice and
40:31 elevated LDH are indicative of hemolytic
40:34 anemia iron deficiency anemia and anemia
40:37 of chronic disease typically do not
40:39 present with these findings endoplastic
40:41 anemia shows
40:43 pancytopenia question
40:45 47 a patient with anemia due to Chronic
40:48 blood loss is receiving a blood
40:51 transfusion what is the most important
40:53 nursing intervention during the
40:55 transfusion a monitor for signs of fluid
40:59 overload B check Vital Signs
41:03 frequently C administer oral iron
41:07 supplements D assess for signs of
41:11 infection answer B check Vital Signs
41:17 frequently rationale monitoring Vital
41:19 Signs frequently is crucial during a
41:21 blood transfusion to detect any
41:23 transfusion
41:24 reactions signs of fluid overload oral
41:27 iron supplements and infection
41:29 assessment are secondary
41:32 considerations question
41:34 48 a patient with anemia presents with a
41:37 history of chronic kidney disease and
41:39 low arthropo in levels what is the most
41:42 appropriate
41:43 treatment a oral iron
41:47 supplements B blood
41:50 transfusion C erythropoesis stimulating
41:54 agents
41:55 esas d
41:57 vitamin B12
41:59 injections answer C erythropoesis
42:04 stimulating agents
42:06 esas rationale chronic kidney disease
42:09 often results in anemia due to decreased
42:11 arthropo and
42:13 production esas are used to stimulate
42:16 red blood cell production oral iron
42:19 supplements and vitamin B12 injections
42:21 are not indicated here and blood
42:23 transfusions are reserved for severe
42:25 anemia
42:27 question
42:28 49 a patient with anemia presents with
42:31 fatigue and a smooth red tongue lab
42:34 results show hemoglobin of N and low
42:36 serum
42:37 folate what is the most likely
42:40 diagnosis a iron deficiency anemia B
42:46 full8 deficiency
42:47 anemia C vitamin B12 deficiency anemia D
42:54 anemia of chronic disease
42:57 answer B folate deficiency anemia
43:02 rationel glossitis and a smooth red
43:04 tongue along with low serum folate are
43:07 indicative of folate deficiency anemia
43:10 iron deficiency anemia and anemia of
43:12 chronic disease typically do not present
43:15 with these symptoms and vitamin B12
43:17 deficiency would also show elevated
43:19 methylmalonic
43:20 acid question 50 a patient with anemia
43:24 presents with fatigue jaundice and dark
43:27 urine lab results show hemoglobin of
43:30 seven reticulite count of 10% and
43:33 increased lactate dehydrogenase
43:36 LDH what is the most likely
43:38 diagnosis a iron deficiency anemia B
43:44 hemolytic
43:46 anemia c a plastic anemia D anemia of
43:52 chronic
43:53 disease answer B hemolytic anemia
43:59 rationale The increased reticulite count
44:02 and LDH along with jaundice suggest
44:04 hemolytic anemia iron deficiency anemia
44:08 and anemia of chronic disease typically
44:10 have normal or low reticulite counts and
44:13 a plastic anemia shows pancitopenia