Prometric HAAD/DHA/MOH MOCK TEST - 1
1.
A nurse is assessing a client with iron deficiency anemia. The nurse notes that the client has spoon-shaped nails. Which of the following conditions is this finding most likely associated with?
2.
A nurse is teaching a client with iron deficiency anemia about dietary sources of iron. Which of the following foods should the nurse recommend as the best source of iron?
3.
A nurse is assessing a client with iron deficiency anemia. Which of the following symptoms should the nurse expect to find in this client?
4.
A client with iron deficiency anemia is prescribed iron supplements. Which of the following instructions should the nurse provide to the client to increase absorption of the iron supplement?
5.
A client with iron deficiency anemia is prescribed ferrous sulfate. Which of the following is the least likely side effect of this medication?
6.
A nurse is providing discharge teaching to a client with iron deficiency anemia. The nurse should instruct the client to take the iron supplements at which time of day for optimal absorption?
7.
A nurse is caring for a client with severe iron deficiency anemia. The client is exhibiting signs of fatigue, dizziness, and shortness of breath. Which of the following interventions should the nurse prioritize?
8.
A nurse is preparing a client with iron deficiency anemia for a follow-up appointment. Which of the following lab values should the nurse expect to be low in this client?
9.
A nurse is providing dietary instructions to a client with iron deficiency anemia. Which of the following foods should the nurse recommend to increase the client’s iron intake?
10.
A client with iron deficiency anemia is taking ferrous sulfate supplements. The nurse knows that the client understands the instructions when the client states:
11.
A nurse is reviewing lab results for a client diagnosed with iron deficiency anemia. Which of the following lab findings is characteristic of this condition?
12.
A nurse is caring for a child with iron deficiency anemia. The child’s mother asks how she can help increase the child’s iron intake. The nurse should recommend which of the following?
13.
A client with iron deficiency anemia is prescribed iron supplementation. The nurse is explaining the administration of iron to the client. Which statement is correct?
14.
A nurse is caring for a client with megaloblastic anemia. The client’s laboratory results show macrocytic (large) red blood cells. The nurse understands that this condition is most likely related to a deficiency of which of the following nutrients?
15.
A client with megaloblastic anemia is prescribed vitamin B12 injections. The nurse explains to the client that the reason for the injections is:
16.
A nurse is assessing a client with megaloblastic anemia. Which of the following symptoms would the nurse most likely observe in this client?
17.
A nurse is teaching a client with megaloblastic anemia about dietary sources of folic acid. Which of the following foods should the nurse recommend to increase the client’s folate intake?
18.
A client with megaloblastic anemia is prescribed a folic acid supplement. The nurse should inform the client that folic acid supplementation:
19.
A client is diagnosed with pernicious anemia, a type of megaloblastic anemia. Which of the following laboratory findings would the nurse expect to see in this client?
20.
A client with pernicious anemia asks the nurse why they need vitamin B12 injections instead of oral supplements. The nurse explains that the reason for the injections is:
21.
A nurse is educating a client with megaloblastic anemia due to a vitamin B12 deficiency. Which of the following signs or symptoms is most likely associated with this type of anemia?
22.
A client with megaloblastic anemia has a history of gastric surgery that involved the removal of part of the stomach. The nurse should be aware that this client is at increased risk for which condition?
23.
A nurse is caring for a client with megaloblastic anemia caused by a folic acid deficiency. The client asks about the causes of folic acid deficiency. Which of the following would the nurse identify as a common cause?
24.
A nurse is caring for a child with sickle cell anemia who is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority during this acute episode?
25.
A client with sickle cell anemia is admitted with severe pain in the joints and abdomen. The nurse knows that which of the following is the most common cause of a pain crisis in this condition?
26.
A nurse is preparing to administer pain medication to a patient with sickle cell anemia who is in a vaso-occlusive crisis. Which of the following is the most appropriate pain management strategy for this patient?
27.
A nurse is teaching a client with sickle cell anemia about preventive measures to avoid sickle cell crises. Which of the following statements by the client indicates the need for further education?
28.
A nurse is educating the parents of a child with sickle cell anemia about signs and symptoms of a crisis. Which of the following would the nurse include as a common sign of a vaso-occlusive crisis?
29.
A nurse is assessing a client with sickle cell anemia who is receiving blood transfusions. Which of the following complications should the nurse monitor for in clients receiving frequent blood transfusions?
30.
A client with sickle cell anemia is receiving hydroxyurea as part of their treatment plan. The nurse explains to the client that the purpose of this medication is to:
31.
A nurse is caring for a pregnant client with sickle cell anemia. The nurse should monitor the client closely for which of the following complications during pregnancy?
32.
A nurse is educating a client with sickle cell anemia about the importance of avoiding dehydration. Which of the following should the nurse emphasize as a measure to prevent dehydration and subsequent sickle cell crises?
33.
A nurse is providing care for an adult client with sickle cell anemia who is complaining of chest pain, shortness of breath, and cough. The nurse suspects that the client may have developed acute chest syndrome. Which of the following actions should the nurse take first?
34.
A nurse is caring for a child with hemophilia A. The child has a recent history of frequent bruising and nosebleeds. Which of the following interventions is the most important for preventing bleeding episodes in this child?
35.
A nurse is teaching the parents of a child with hemophilia about how to manage a minor bleed at home. Which of the following instructions should the nurse include?
36.
A 12-year-old child with hemophilia A is admitted with a knee joint bleed. Which of the following is the priority nursing action?
37.
A nurse is providing discharge teaching to the parents of a child with hemophilia. Which of the following statements by the parents indicates the need for further teaching?
38.
A nurse is reviewing lab results for a child with hemophilia. Which of the following lab findings would the nurse expect to see in this child?
39.
A nurse is caring for a child diagnosed with thalassemia major. The child’s laboratory results show severe anemia. Which of the following is the most common treatment for thalassemia major?
40.
A client with thalassemia is receiving treatment with iron chelation therapy. The nurse is educating the client about this therapy. Which statement indicates that the client understands the purpose of iron chelation therapy?
41.
A nurse is caring for a client with aplastic anemia who is undergoing bone marrow suppression. Which of the following laboratory findings would the nurse expect to observe in this client?
42.
A nurse is providing education to the parents of a child diagnosed with thalassemia. The nurse explains that which of the following complications is the child at risk for due to frequent blood transfusions?
43.
A nurse is caring for a client with aplastic anemia who has received a bone marrow transplant. The nurse monitors the client for signs of graft-versus-host disease (GVHD). Which of the following is a common manifestation of GVHD?
44.
A nurse is preparing to administer a blood transfusion to a client. Before starting the transfusion, which of the following actions should the nurse take first?
45.
A nurse is monitoring a client during a blood transfusion. Which of the following signs or symptoms is most indicative of a hemolytic transfusion reaction?
46.
A nurse is caring for a client who is receiving a packed red blood cell (PRBC) transfusion. Which of the following is an appropriate nursing action during the transfusion?
47.
A client is receiving a blood transfusion and starts to complain of chest tightness, shortness of breath, and back pain. The nurse suspects a transfusion reaction. What is the nurse's first priority?
48.
A nurse is administering a platelet transfusion to a client with thrombocytopenia. Which of the following is a common complication associated with platelet transfusions?
49.
A nurse is preparing to administer fresh frozen plasma (FFP) to a client with a bleeding disorder. Which of the following is an important step when administering FFP?
50.
A nurse is caring for a client who has just received a whole blood transfusion. Which of the following should the nurse monitor for as a potential complication?
51.
A nurse is educating a client about the potential risks of blood transfusions. Which of the following should the nurse include as a common side effect?
52.
A nurse is preparing to administer a blood transfusion. Which of the following should the nurse use to administer the blood product?
53.
A nurse is caring for a client who has had a recent blood transfusion. The client is experiencing fever, chills, and hypotension. The nurse suspects a febrile non-hemolytic transfusion reaction. What is the nurse’s priority action?
54.
A nurse is preparing to administer a blood transfusion to a client. The client's blood type is A positive. Which of the following blood types is compatible for transfusion with this client?
55.
A nurse is preparing to administer blood to a client with AB positive blood. Which of the following is true about blood compatibility for this client?
56.
A nurse is assessing a client with iron deficiency anemia. Which of the following symptoms would the nurse most likely expect to find during the assessment?
57.
A nurse is assessing a client with pernicious anemia. The nurse should be aware that which of the following is a characteristic symptom of this condition?
58.
A nurse is evaluating a client with sickle cell anemia who is complaining of severe pain in the joints and abdomen. Which of the following symptoms is a common manifestation of a sickle cell crisis?
59.
A client is receiving radiation therapy for breast cancer and reports feeling unusually tired, even after a full night’s sleep. She says, “I don’t have the energy to do the things I used to enjoy.” What should the nurse recommend?
60.
A client with iron deficiency anemia is refusing to take the prescribed oral iron supplement, stating that it causes nausea. Which action should the nurse take?
61.
A client is to have a transfusion of packed red blood cells from a designated donor. The client asks if any diseases can be transmitted by this donor. The nurse should inform the client that which of the following diseases can be transmitted by a designated donor?
62.
A client is admitted with active rectal bleeding and has been typed and cross-matched for 2 units of packed red blood cells. Shortly after admission, the client faints while trying to go to the commode. The provider orders a unit of blood to be transfused immediately. The nurse should expect which type of packed RBCs to be used for emergency transfusion?
63.
The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet?
64.
The nurse should instruct the client to eat which of the following foods to obtain the best supply of vitamin B12?
65.
A 35-year-old female client is admitted with a normal vitamin B12 level of 800 pg/mL. During the initial assessment, the nurse reviews the client’s lab results. Which of the following findings would prompt the nurse to further assess the client’s history for possible alcohol or drug use?
66.
Which of the following lab values should the nurse report to the health care provider when the client has anemia?
