NUR 242 Exam 1 Questions with Verified Answers Top Graded 2025
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Course
NUR 242
Institution
NUR 242
A client had part of the ileum surgically removed. The nurse monitors the client closely for anemia based on which rationale? -Correct Answer Cobalamin is absorbed in the ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never had any symptoms of SSA and do not...
NUR 242 Exam 1 Questions with Verified
Answers Top Graded 2025
A client had part of the ileum surgically removed. The nurse monitors the client closely
for anemia based on which rationale? -Correct Answer ✔Cobalamin is absorbed in the
ileum.
The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never had
any symptoms of SSA and do not understand why our child has this problem." Which
information will the nurse include when teaching the parents? -Correct Answer ✔If both
parents are carriers of SSA, there is a 25% chance that offspring will have SSA.
When a client develops iron-deficiency anemia, which of the client's laboratory test
results would the nurse expect to be decreased? -Correct Answer ✔Ferritin level
An adolescent child with sickle cell anemia is admitted to the pediatric unit during a
vaso-occlusive crisis. Which pathophysiology is correct? -Correct Answer ✔Blockage of
small blood vessels as a result of clumping of RBCs
Which is the most appropriate nursing intervention for an adolescent child with sickle
cell anemia? -Correct Answer ✔Teaching the family how to limit sickling episodes
The nurse is helping an adolescent with iron-deficiency anemia make breakfast meal
choices. Which food would the nurse suggest? -Correct Answer ✔Bowl of raisin bran
The parent of a child with sickle cell anemia tells the nurse that the family is going
camping by a lake in the mountains this summer. The parent inquires what activities are
appropriate. Which activity would the nurse suggest? -Correct Answer ✔Motorboat rides
around the lake
The nurse concludes that the teaching about sickle cell anemia has been understood
when an adolescent with the disorder makes which statement? -Correct Answer ✔"I'll
start to have symptoms when I drink less fluid."
Which cause of anemia would the nurse recognize as the most common cause of
anemia in 1-year-olds? -Correct Answer ✔Iron deficiency
Which assessment finding would the nurse expect when assessing an 11-month-old
infant with iron-deficiency anemia whose hemoglobin is 8 g/dL (80 mmol/L)? -Correct
Answer ✔Pallor
NUR 242 exam 1
,NUR 242 exam 1
Which education would the nurse provide the parents of a 3-year-old child with sickle
cell anemia about splenomegaly during a pain crisis? -Correct Answer ✔Triggered by a
vasoocclusive crisis
Which symptoms would the nurse expect in a 3-year-old child with mild iron-deficiency
anemia and fatigue? -Correct Answer ✔Increased pulse rate
Which iron-rich foods would the nurse recommend for a toddler diagnosed with iron
deficiency anemia? Select all that apply. One, some, or all responses may be correct. -
Correct Answer ✔Chicken, broccoli, lean steak
What would the nurse include in the plan of care to minimize the potential for a sickling
episode in a child with sickle cell anemia? -Correct Answer ✔Promoting adequate
oxygenation
Which is the cause of milk anemia in toddlers? -Correct Answer ✔Increased milk intake
A 12-year-old child with sickle cell anemia is admitted during a vasoocclusive crisis.
Which is the priority of care for this child? -Correct Answer ✔Relieving pain
A child with beta-thalassemia (Cooley anemia) is admitted to the ambulatory care unit
for a transfusion. Which instruction would the nurse include in the plan of care? -Correct
Answer ✔Protect from infections
When reviewing the results of a toddler's complete blood count, the nurse notes
decreased hemoglobin and hematocrit levels. Which other laboratory findings would the
nurse expect in iron-deficiency anemia? Select all that apply. One, some, or all
responses may be correct. -Correct Answer ✔Microcytic red blood cells, Slightly
reduced reticulocyte count
The parents of a 3-month old infant who is breast-fed ask the nurse how to prevent
nutritional anemia. Which is the best response by the nurse? -Correct Answer ✔Baby
cereal or an iron supplement should be given around 4 months of age
Which parent education would the nurse provide when teaching an infant's parents
about the major cause of iron-deficiency anemia? -Correct Answer ✔Overfeeding of
milk
Which decreased hormone level may cause a client's anemia? -Correct Answer
✔Erythropoietin
A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class."
Which is the most likely explanation for this symptom? -Correct Answer ✔Insufficient
cerebral oxygenation
NUR 242 exam 1
, NUR 242 exam 1
A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis.
Which interventions would be implemented after the pain is under control? Select all
that apply. One, some, or all responses may be correct. -Correct Answer ✔Rehydration,
Oxygen (O 2) therapy
A client who has renal failure asks the nurse why anemia keeps recurring. Which
reason would the nurse explain to the client? -Correct Answer ✔Decrease in
erythropoietin
Which is the priority nursing intervention to prevent thrombus formation in a child with
sickle cell anemia? -Correct Answer ✔Encouraging fluids
Which common concern of most parents of children with sickle cell anemia would the
nurse address at a family education conference? -Correct Answer ✔Sharing feelings
regarding the transmission of the disorder
The nurse is teaching the parents of a child with sickle cell anemia about ways to
prevent sickling. Which would the nurse explain as the primary cause of sickling? -
Correct Answer ✔Hypoxia
Which laboratory result in a client who has just been admitted with anemia of unknown
etiology requires the most rapid action by the nurse? -Correct Answer ✔White blood cell
count 950 mm 3 (950 × 10 9/L
The nurse assesses a client for the development of pernicious anemia after reviewing
the client's history. Which condition did the nurse most likely find in the history? -Correct
Answer ✔Partial gastrectomy
Which instruction would the nurse give to the pregnant client with anemia? -Correct
Answer ✔Drink orange juice with an iron supplement
Which nursing interventions are most important in the care of an infant with iron-
deficiency anemia? Select all that apply. One, some, or all responses may be correct. -
Correct Answer ✔Conserving the infant's energy, Protecting the infant from infection,
Teaching the parents about nutrition
The nurse is teaching the parents of a child who is prescribed iron supplements for iron-
deficiency anemia. Which food would the nurse encourage to provide to enhance
absorption of iron? -Correct Answer ✔Orange juice
Which foods would the nurse suggest for inclusion in a toddler's diet who has been
diagnosed with iron-deficiency anemia? -Correct Answer ✔Gingerbread molasses
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NUR 242 exam 1
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