1.
Which of the following is not an anti-anemic drug?
A
Metformin
B
Erythropoietin
C
Iron supplements
2.
What is the most common cause of anemia?
A
Folic acid deficiency
B
Iron deficiency
C
Vitamin B12 deficiency
3.
Which of the following is a symptom of anemia?
A
Cough
B
Fatigue
C
Fever
4.
Which organ is responsible for producing erythropoietin?
A
Lungs
B
Liver
C
Kidneys
5.
Which type of anemia is caused by a lack of vitamin B12?
A
Aplastic anemia
B
Pernicious anemia
C
Iron deficiency anemia
6.
Which of the following is a common side effect of iron supplements?
A
Constipation
B
Diarrhea
C
Headache
7.
What is the normal range of hemoglobin levels in adults?
A
6-10 g/dL
B
12-16 g/dL
C
18-22 g/dL
8.
An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?
A
RBC count of 4,500,000/mL
B
Hemoglobin (Hgb) of 8.6 g/dL (86 g/L)
C
Hematocrit (Hct) value of 38%
9.
Which menu choice indicates that the patient understands the nurse’s recommendations about dietary choices for iron-deficiency anemia?
A
Omelet and whole wheat toast
B
Cantaloupe and cottage cheese
C
Strawberry and banana fruit plate
10.
Which patient statement to the nurse indicates that the patient understands self-care for pernicious anemia?
A
“I need to start eating more red meat and liver.”
B
“I will stop having a glass of wine with dinner.”
C
“I could choose nasal spray rather than injections of vitamin B12.”
11.
Which is an appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia?
A
Provide a diet high in vitamin K.
B
Teach the patient how to avoid injury.
C
Encourage alternating rest and activity.
12.
The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?
A
Palpitations
B
Orange-red discoloration of the urine
C
Black, tarry stools
13.
A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
A
Increased appetite
B
Increased activity tolerance
C
Decreased palpitations
14.
The nurse is teaching a patient with IDA about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?
A
Orange juice
B
Antacids
C
Milk
15.
During therapy with the hematopoietic drug epoetin alfa, the nurse instructs the patient about adverse effects that may occur, such as
A
anxiety
B
hypertension
C
constipation
16.
A patient will be receiving epoetin alfa (Epogen) 8000 units IV three times a week. The medication is available in a vial that contains 10,000 units/mL. How many milliliters will the nurse draw up for this dose?
A
1.0 ml
B
0.5 ml
C
0.8 mL
17.
A patient with end-stage renal failure has been admitted to the hospital for severe anemia. The patient is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?
A
Folic acid
B
Cyanocobalamin
C
Epoetin alfa
18.
A woman who is planning to become pregnant should ensure that she receives adequate levels of which supplement to reduce the risk for fetal neural tube defects?
A
Folic acid
B
Vitamin B12
C
Iron
19.
The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?
A
Have the patient sip the medication slowly.
B
Instruct the patient to take the medication through a plastic straw.
C
Have the patient drink the medication, undiluted, from the unit-dose cup.
20.
The nurse observes scleral jaundice in a patient being admitted with hemolytic anemia. Which laboratory result the nurse should check?
