Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
A. Slurred speech
Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.
B. Confusion
Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.
C. Pain
Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.
D. Fatigue
Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.
This question is an excerpt from Nurse Dive's nursing test bank - ATI 410 Med Surg Proctored Exam. Take the full exam now
Full Explanation
A. Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.
B. Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.
C. Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.
D. Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.
Similar Questions
A nurse is caring for a client who has Meniere's disease. The nurse identifies which of the following manifestations is caused by an excessive accumulation of endolymph fluid?
A. Myopia
Myopia - Myopia (near-sightedness) is a vision condition related to the shape of the eye and is not related to Meniere's disease or endolymph fluid accumulation.
B. Vertigo
Vertigo - Vertigo is a primary symptom of Meniere's disease and is caused by the excessive accumulation of endolymph fluid in the inner ear, which affects balance and spatial orientation.
C. Photophobia
Photophobia - Sensitivity to light is not a symptom of Meniere's disease; it is more commonly associated with migraines or eye conditions.
D. Presbycusis
Presbycusis - Presbycusis is age-related hearing loss and is unrelated to the fluid balance issues seen in Meniere's disease.
Full Explanation
Correct answer: B
A. Myopia - Myopia (near-sightedness) is a vision condition related to the shape of the eye and is not related to Meniere's disease or endolymph fluid accumulation.
B. Vertigo - Vertigo is a primary symptom of Meniere's disease and is caused by the excessive accumulation of endolymph fluid in the inner ear, which affects balance and spatial orientation.
C. Photophobia - Sensitivity to light is not a symptom of Meniere's disease; it is more commonly associated with migraines or eye conditions.
D. Presbycusis - Presbycusis is age-related hearing loss and is unrelated to the fluid balance issues seen in Meniere's disease.
In reviewing a patient’s complete blood count (CBC) results, the nurse notes a "shift to the left." What is the significance of these results?
A. There is an elevated number of immature thrombocytes.
There is an elevated number of immature thrombocytes - Thrombocytes are platelets, and a shift to the left does not refer to these.
B. There is an elevated number of immature neutrophils (bands),
There is an elevated number of immature neutrophils (bands) - A "shift to the left" typically refers to an increase in immature neutrophils, also known as bands, in the blood. This often indicates an acute infection or inflammation as the body is producing and releasing more neutrophils to fight an infection.
C. There is an elevated number of mature neutrophils (segs)
There is an elevated number of mature neutrophils (segs) - An elevated number of mature neutrophils (segmented neutrophils) does not indicate a shift to the left. The term specifically refers to immature forms.
D. There is an elevated number of mature erythrocytes
There is an elevated number of mature erythrocytes - Mature erythrocytes are red blood cells, and a shift to the left does not pertain to red blood cell counts or maturity.
Full Explanation
A. There is an elevated number of immature thrombocytes - Thrombocytes are platelets, and a shift to the left does not refer to these.
B. There is an elevated number of immature neutrophils (bands) - A "shift to the left" typically refers to an increase in immature neutrophils, also known as bands, in the blood. This often indicates an acute infection or inflammation as the body is producing and releasing more neutrophils to fight an infection.
C. There is an elevated number of mature neutrophils (segs) - An elevated number of mature neutrophils (segmented neutrophils) does not indicate a shift to the left. The term specifically refers to immature forms.
D. There is an elevated number of mature erythrocytes - Mature erythrocytes are red blood cells, and a shift to the left does not pertain to red blood cell counts or maturity.
A charge nurse is teaching a newly licensed nurse about risk factors for chronic myelogenous leukemia (CML). Which of the following information should the nurse include?
A. Exposure to radiation
Exposure to radiation - Exposure to high levels of radiation is a known risk factor for developing CML. Historical data, such as from atomic bomb survivors, show a higher incidence of leukemia, including CML, among those exposed to radiation.
B. Family history
Family history - CML is generally not associated with a significant familial risk. It is more commonly linked to acquired genetic mutations rather than inherited predispositions.
C. Another type of cancer
Another type of cancer - Having another type of cancer does not directly increase the risk of developing CML. However, treatments for other cancers, like radiation therapy, might increase risk.
D. Genetic mutation
Genetic mutation - The development of CML is associated with a specific acquired genetic mutation known as the Philadelphia chromosome (translocation between chromosomes 9 and 22), rather than inherited genetic mutations.
Full Explanation
A. Exposure to radiation - Exposure to high levels of radiation is a known risk factor for developing CML. Historical data, such as from atomic bomb survivors, show a higher incidence of leukemia, including CML, among those exposed to radiation.
B. Family history - CML is generally not associated with a significant familial risk. It is more commonly linked to acquired genetic mutations rather than inherited predispositions.
C. Another type of cancer - Having another type of cancer does not directly increase the risk of developing CML. However, treatments for other cancers, like radiation therapy, might increase risk.
D. Genetic mutation - The development of CML is associated with a specific acquired genetic mutation known as the Philadelphia chromosome (translocation between chromosomes 9 and 22), rather than inherited genetic mutations.