- | P a g e
NUR 242 MED SURG EXAM 1 NEWEST 2025 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ ||BRAND NEW VERSION!!
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 cookies
Which assessments beyond the standard would be made at every prenatal visit when the client has sickle cell anemia? Select all that apply. One, some, or all responses may be correct. - CORRECT ANSWER -Evidence of urinary tract infection, Presence of hyperemesis gravidarum
Which iron-rich foods would the nurse encourage the client with mild anemia in early pregnancy to eat? Select all that apply.One, some, or all responses may be correct. - CORRECT 1 / 4
- | P a g e
ANSWER-liver, meats, whole grain or enriched breads, dark green leafy vegetables, legumes, and dried fruits
How would the nurse explain physiological anemia to a pregnant client? - CORRECT ANSWER -Plasma volume increases
A transfusion of packed red blood cells is prescribed for a client with anemia. List the actions in the order in which they will be performed by the nurse. - CORRECT ANSWER -A client must sign a consent for the transfusion before the procedure; clients have the right to refuse. Vital signs should be obtained immediately before the transfusion to serve as a baseline for comparison if a reaction is suspected. Two nurses must verify that the numbers, ABO type, and Rh type on the blood label and laboratory record match before hanging the transfusion to minimize risk of transfusion reactions. Clean gloves must be worn before inserting the spike of the blood administration set.The transfusion is run slowly for the first 15 to 20 minutes, but only after other steps have been completed.
A client with upper gastrointestinal (GI) bleeding develops mild anemia. Which agent is indicated for treatment of this condition?
- CORRECT ANSWER -Iron salts
- / 4
- | P a g e
A client develops hemolytic anemia. Which client medication can cause this adverse effect? - CORRECT ANSWER - Methyldopa
Parents of a child with sickle cell anemia ask about their child taking iron supplements to help treat the anemia. How will the nurse respond? - CORRECT ANSWER -Taking supplements will not help with this condition
A client with a diagnosis of anemia is receiving packed red blood cells. Which nursing action is important when administering the transfusion? - CORRECT ANSWER - Monitoring the client's response, particularly within the first 10 minutes
When discussing the therapeutic regimen of vitamin B 12 for pernicious anemia with a client, which teaching would the nurse provide? - CORRECT ANSWER -Intramuscular injections once a month will maintain control
The nurse provides teaching regarding vitamin B 12 injections to a client with pernicious anemia. Which statement by the client indicates that teaching was understood? - CORRECT ANSWER-I must take this medication for the rest of my life
- / 4
- | P a g e
A child with sickle cell anemia is experiencing a painful episode (vaso-occlusive crisis). The nurse assesses the child, obtains the child's vital signs, and reviews the child's laboratory test results.Which is the priority nursing action?O2 is 92% - CORRECT ANSWER -Administering an analgesic
A client with sickle cell anemia is experiencing a painful episode (vaso-occlusive crisis) and has a patient-controlled analgesia (PCA) pump. The current pain rating is 5 on a scale of 1 to 10 at the right elbow. The nurse observes that the pump is "locked out" for another 10 minutes. Which action would the nurse implement? - CORRECT ANSWER -Placing the prescribed as- needed warm, wet compress on the elbow
A child with sickle cell anemia is admitted to the unit in vasoocclusive crisis (VOC). After the child has been given the prescribed analgesic, which intervention is the priority to minimize the effects of the crisis? - CORRECT ANSWER - Intravenous fluids
Which discharge education would the nurse provide the parents of a 3-year-old child with thalassemia (Cooley anemia)? - CORRECT ANSWER -Minimize the risk of infection
- / 4