anemia

Question 1

t/f
Platelets are involved in hematopoiesis.

Answer 1

t

Question 2

t/f
Immature RBCs are known as reticulocytes.

Answer 2

t

Question 3

t/f
More than one third of an RBC is composed of hemoglobin

Answer 3

t

Question 4

t/f
Heme, a component of hemoglobin, contains iron

Answer 4

t

Question 5

t/f
Epoetin alfa is a biosynthetic form of erythropoietin.

Answer 5

t

Question 6

t/f
Iron is stored in the liver, spleen, and bone marrow.

Answer 6

t

Question 7

t/f
Dietary iron must be converted by gastric juices before absorption.

Answer 7

t

Question 8

t/f
Orange juice enhances iron absorption.

Answer 8

t

Question 9

t/f
Eggs impair iron absorption.

Answer 9

f

Question 10

t/f
Supplemental iron may be given only in parenteral form.

Answer 10

f

Question 11

What is the lifespan of RBCs?
a) 30 days
b) 60 days
c) 90 days
d) 120 days

Answer 11

d

Question 12

12. Which of the following is a contraindication for darbepoetin (Aranesp®)?
    a) Controlled hypertension
    b) Hemoglobin levels above 100 mmol/L for cancer patients
    c) Hemoglobin levels above 130 mmol/L for patients with kidney disease
    d) Allergy to oral iron preparations

Answer 12

c

Question 13

Which of the following is NOT an adverse effect of epoetin alfa?
a) Hypertension
b) Headache
c) Joint pain
d) Injection site reaction

Answer 13

c

Question 14

What is the primary function of erythropoietin?
a) Enhancing platelet production
b) Stimulating RBC production
c) Regulating white blood cell count
d) Controlling blood glucose levels

Answer 14

b

Question 15

Which of the following is NOT a dietary source of iron? a) Meats b) Eggs c) Certain vegetables d) Grains

Answer 15

b

Question 16

SATA
Which are common oral iron preparations?
a) Ferrous fumarate (Femiron®)
b) Ferrous gluconate
c) Iron dextran (Dexiron®)
d) Ferrous sulfate (FeSO4)

Answer 16

a,b,d

Question 17

Which foods enhance iron absorption?
a) Orange juice
b) Veal
c) Fish
d) Ascorbic acid
e) all of the above

Answer 17

e

Question 18

SATA
What are contraindications for epoetin alfa?
a) Drug allergy
b) Uncontrolled hypertension
c) Hemoglobin levels above 100 mmol/L for cancer patients
d) Risk of thrombosis

Answer 18

a,b,d

Question 19

SATA
Which are parenteral iron preparations? a) Iron dextran (Dexiron®) b) Iron sucrose (Venofer®) c) Ferrous sulfate (FeSO4) d) Ferrous fumarate (Femiron®)

Answer 19

a,b

Question 20

SATA
Which foods impair iron absorption?
a) Eggs
b) Corn
c) Beans
d) Cereal products containing phytates

Answer 20

a,b,d

Question 21

t/f
Iron is used solely for the treatment of iron deficiency syndromes

Answer 21

f

Question 22

t/f
Folic acid deficiency is primarily caused by dietary insufficiency.

Answer 22

f

Question 23

t/f
Cyanocobalamin is administered exclusively through oral routes for the treatment of anemia.

Answer 23

f

Question 24

t/f Folic acid should be administered before determining the actual cause of anemia

Answer 24

f

Question 25

t/f Oral forms of iron should be taken with milk to enhance absorption

Answer 25

f

Question 26

What is the most common cause of pediatric poisoning deaths? a) Lead b) Iron c) Arsenic d) Mercury

Answer 26

b

Question 27

Which vitamin is essential for erythropoiesis? a) Vitamin A b) Vitamin C c) Folic acid d) Vitamin D

Answer 27

c

Question 28

How is cyanocobalamin usually administered to treat pernicious anemia? a) Orally b) Topically c) Subcutaneously d) Intramuscularly

Answer 28

d

Question 29

Which of the following is NOT a nursing implication for administering oral iron preparations? a) Dilute the liquid iron preparations according to manufacturer's guidelines. b) Instruct the patient to take iron with milk. c) Administer oral iron forms between meals for maximum absorption. d) Encourage patients to eat foods high in iron and folic acid.

Answer 29

b

Question 30

SATA What are potential nursing implications when administering iron dextran? a) Perform a small test dose before full administration. b) Administer the dose deeply into a large muscle mass. c) Monitor for reactions for at least 6 hours after administration. d) Use the Z-track method for injection.

Answer 30

a,b

Question 31

Which therapeutic responses should be monitored when administering iron? a) Improved nutritional status b) Decreased weight c) Decreased activity tolerance d) Presence of fatigue

Answer 31

a

Question 32

SATA What are common adverse effects of iron supplementation? a) Headache b) Constipation c) Black, tarry stools d) Increased energy levels

Answer 32

a b c

Question 33

t/f Liquid oral iron preparations may permanently discolor teeth

Answer 33

t

Question 34

t/f Iron dextran is the preferred choice for parenteral iron administration due to its low risk of anaphylactic reactions

Answer 34

f

Question 35

Which of the following is NOT a symptom of iron toxicity? a) Nausea b) Yellowing of the skin c) Constipation d) Black, tarry stools

Answer 35

b

Question 36

What is the primary use of folic acid during pregnancy? a) Preventing iron deficiency b) Treating pernicious anemia c) Preventing neural tube defects d) Treating vitamin C deficiency

Answer 36

c

Question 37

SATA What are potential nursing implications when administering parenteral iron? a) Monitor for anaphylactic reactions. b) Administer a test dose before full administration. c) Administer orally for faster absorption. d) Use resuscitative equipment in case of reactions.

Answer 37

a b d

Question 38

SATA Which laboratory values should be assessed as part of the baseline evaluation before iron supplementation? a) Blood glucose levels b) Serum iron levels c) Liver function tests d) Hemoglobin levels

Answer 38

b d

Question 39

What should be included in the nutritional assessment of a patient receiving iron supplementation? a) Evaluation of vitamin D levels b) Assessment of dietary sources of iron and folic acid c) Measurement of urinary electrolytes d) Examination of red blood cell morphology

Answer 39

b

Question 40

Which adverse effect is commonly associated with oral iron preparations? a) Excessive sweating b) Urinary retention c) Gastrointestinal upset d) Hypertension

Answer 40

c