The Ideal Quiz On Anemia & Dyscarias

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The Ideal Quiz On Anemia & Dyscarias - Quiz

Anaemia is a common disease that is as a result of blood having a low degree of healthy red blood cells whereas dyscrasia is a nonspecific term that refers to a disease of the blood. The quiz below covers these two diseases and what you know so far. Give it a try and see how high you score.


Questions and Answers
  • 1. 

    Peggy has presented with spoonshaped fingernails, PICA, chelitits, glossitis, fatigue, irritability and numbness.  The doctor has diagnosed her with anemia.  What type of anemia would a nurse expect these s/s are related to?

    • A.

      Aplastic

    • B.

      Iron

    • C.

      Sickle cell

    • D.

      Hemophilia A

    • E.

      Hemophilia B

    Correct Answer
    B. Iron
    Explanation
    The symptoms described, such as spoon-shaped fingernails, PICA (craving and eating non-food items), chelitits (inflammation of the lips), glossitis (inflammation of the tongue), fatigue, irritability, and numbness, are all characteristic of iron deficiency anemia. Iron is essential for the production of hemoglobin, which carries oxygen in the blood. When there is a lack of iron, the body is unable to produce enough healthy red blood cells, leading to the symptoms mentioned. Therefore, the nurse would expect these symptoms to be related to iron deficiency anemia.

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  • 2. 

    Michael has been diagnosed with anemia.  He suffers from poor nutrition and after testing his cells are microcytic.  His blood panel comes back with normal WBC and Plt counts.  However, his RBC, Hgb, and Hct are low.  What type of anemia does Michael have?

    • A.

      Aplastic

    • B.

      Iron

    • C.

      Pernicious

    • D.

      Hemophilia

    • E.

      Sickle Cell

    Correct Answer
    B. Iron
    Explanation
    Based on the given information, Michael has been diagnosed with anemia and his blood panel shows low RBC, Hgb, and Hct levels. This indicates that Michael has iron-deficiency anemia. Iron-deficiency anemia is caused by a lack of iron in the body, leading to a decreased production of healthy red blood cells. This can be caused by poor nutrition, which is mentioned in the question.

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  • 3. 

    The nurse needs to give the pt a IM injection of Fe for anemia.  What considerations should the nurse make when giving this medication?

    • A.

      IM Z track with a wet needle.

    • B.

      IM Z track with a mixed injection of Fe and Insulin.

    • C.

      IM Z track with a dry needle.

    Correct Answer
    C. IM Z track with a dry needle.
    Explanation
    When giving an intramuscular (IM) injection of iron (Fe) for anemia, the nurse should make the consideration of using the Z track technique with a dry needle. The Z track technique involves pulling the skin laterally before inserting the needle and then releasing it after the injection. This technique helps to prevent leakage of the medication into the subcutaneous tissue and minimizes potential irritation or staining of the skin. Using a dry needle ensures that the medication is not diluted or contaminated by any residual moisture.

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  • 4. 

    A pt has been prescribed ferrous sulfate 300mg q 8hr.  What would not be suitable liquids for a pt to take with Fe anemia?

    • A.

      Coffee

    • B.

      Juice

    • C.

      Water

    • D.

      Milk

    Correct Answer
    A. Coffee
    Explanation
    Coffee would not be a suitable liquid for a patient to take with iron supplementation for anemia because coffee contains compounds like tannins and polyphenols that can inhibit the absorption of iron. These compounds can bind to iron and form insoluble complexes, making it difficult for the body to absorb the iron effectively. Therefore, drinking coffee with iron supplements may reduce the effectiveness of the treatment for iron deficiency anemia.

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  • 5. 

    Linda has had a gastectomy.  She presents with N/V and a sore tongue and her children say she has become more disconnected with reality.  Linda's mother also suffered from anemia.  What type of anemia would the nurse expect Linda to have?

    • A.

      Aplastic

    • B.

      Iron

    • C.

      Pernicious

    • D.

      Sickle Cell

    • E.

      Hemophilia B

    Correct Answer
    C. Pernicious
    Explanation
    Based on the given information, Linda's symptoms of nausea/vomiting, sore tongue, and disconnection with reality, along with her family history of anemia, suggest that she may have pernicious anemia. Pernicious anemia is a type of anemia caused by a deficiency in vitamin B12, which can lead to neurological symptoms and affect cognitive function. The symptoms mentioned align with the neurological manifestations commonly seen in pernicious anemia.

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  • 6. 

    Keith has an anemia that is an auto immune disorder that doesn't allow B12 to be excreted in the intestines.  Cobaldime has been prescribed for Keith QDx2 weeks for 6 months.  His labs have come back and his WBC and Plt's are all normal.  His cells are macrocytic.  What type of anemia does Keith have?

    • A.

      Aplastic

    • B.

      Iron

    • C.

      Sicle Cell

    • D.

      Pernicious

    • E.

      Hemophilia A

    Correct Answer
    D. Pernicious
    Explanation
    Keith has pernicious anemia. Pernicious anemia is a type of anemia that occurs when the body is unable to absorb enough vitamin B12 from the gastrointestinal tract. This can be due to an autoimmune disorder that affects the production of intrinsic factor, a protein necessary for the absorption of vitamin B12. As a result, B12 is not properly excreted in the intestines, leading to a deficiency. The macrocytic cells observed in Keith's lab results are a characteristic feature of pernicious anemia.

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  • 7. 

    75% mortality rate in this anemia is expected if the anemia is not treated as the pt is at risk of for bleeding and infection.

    • A.

      Aplastic

    • B.

      Iron

    • C.

      Pernicious

    • D.

      Sickle Cell

    • E.

      Hemophila

    Correct Answer
    A. Aplastic
    Explanation
    Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells. This can lead to a decrease in red blood cells, white blood cells, and platelets. Without treatment, the patient is at risk of bleeding and infection, which can be life-threatening. The 75% mortality rate mentioned in the question suggests that if aplastic anemia is not treated, there is a high likelihood of death. Therefore, the correct answer is Aplastic.

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  • 8. 

    Doug works in demolition. He presents with an infection.  He has an arm wound that fails to heel and seeps constantly.  He has a low RBC, WBC and Plt count.  His RBC indicies is low.  What type of anemia does Doug have?

    • A.

      Iron

    • B.

      Aplastic

    • C.

      Pernicious

    • D.

      Hemophiila A

    • E.

      Von Wilebrands

    Correct Answer
    B. Aplastic
    Explanation
    Doug's symptoms of a non-healing wound, low RBC, WBC, and Plt count, as well as a low RBC indices suggest that he has aplastic anemia. Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells, including red blood cells, white blood cells, and platelets. This can result in symptoms such as fatigue, infections, and easy bleeding or bruising. Given Doug's occupation in demolition, exposure to toxins or chemicals that can damage the bone marrow may be a possible cause of his aplastic anemia.

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  • 9. 

    Sarah has had a bone marrow transplant and is on immuno suppressive drugs.  Her cells are normocytic.  What teachings would the nurse instruct Sarah on for her Aplastic anemia?

    • A.

      Use soft tooth brushes

    • B.

      Use electric razors

    • C.

      Treat infections promptly

    • D.

      All the above

    Correct Answer
    D. All the above
    Explanation
    The nurse would instruct Sarah to use soft toothbrushes and electric razors because her cells are normocytic, which means they are of normal size. This indicates that Sarah's bone marrow is functioning properly and producing normal cells. However, since she is on immunosuppressive drugs, her immune system may be compromised, making her more susceptible to infections. Therefore, the nurse would also instruct Sarah to treat infections promptly. All of these teachings would help Sarah manage her aplastic anemia effectively.

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  • 10. 

    Which virus can be a cause of aplastic anemia?

    • A.

      HIV

    • B.

      Influenza

    • C.

      Epstein Bar

    • D.

      TB

    Correct Answer
    C. Epstein Bar
    Explanation
    Epstein Bar virus (EBV) can be a cause of aplastic anemia. EBV is a common virus that infects a large portion of the population. In some cases, the virus can lead to the destruction of bone marrow cells, resulting in aplastic anemia. This condition is characterized by a decrease in the production of red blood cells, white blood cells, and platelets. Therefore, EBV can be a potential cause of aplastic anemia.

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  • 11. 

    John is an 89 year old man who has to get 4 pints of blood transfused every 3-4 months.  He reports that his stool is normal.  He has prednisone ordered and he reports that he has been taking it as scheduled.  What type of anemia could John have?

    • A.

      Iron

    • B.

      Pernicious

    • C.

      Von Willebrand

    • D.

      Aplastic

    • E.

      Hemophilia A

    Correct Answer
    D. Aplastic
    Explanation
    John could have aplastic anemia. Aplastic anemia is a condition where the bone marrow does not produce enough new blood cells. This can lead to a decrease in the number of red blood cells, white blood cells, and platelets in the body. Symptoms of aplastic anemia can include fatigue, paleness, shortness of breath, and increased susceptibility to infections. John's need for regular blood transfusions and his normal stool suggest that he may have a condition affecting his bone marrow's ability to produce enough blood cells, which is consistent with aplastic anemia.

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  • 12. 

    Rani has hepatitis A and is a chronic alcoholic.  His RBCs are low as is his Hgb.  His cells present as normocytic.  What type of anemia does Rani most likely suffer from?

    • A.

      Iron

    • B.

      Pernicious

    • C.

      Aplastic

    • D.

      Sickle Cell

    Correct Answer
    C. Aplastic
    Explanation
    Rani most likely suffers from aplastic anemia. Aplastic anemia is characterized by low red blood cell count and low hemoglobin levels. It is caused by the bone marrow's inability to produce enough new blood cells. Chronic alcoholism can contribute to the development of aplastic anemia.

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  • 13. 

    Robert presents with hematuria and is jaundiced.  Robert is a 16 year old male that has impaired physical mobility.  His RBC is shaped like a c and is blocking tissue perfusion.  Robert has fought chronic infections.  His mother is often seen crying and blaming herself as her father also had many of the same symptoms.  What anemia could Robert be suffering from?

    • A.

      Iron

    • B.

      Pernicious

    • C.

      Sickle Cell

    • D.

      Hemophiila A

    • E.

      Hemophilia B

    Correct Answer
    C. Sickle Cell
    Explanation
    Robert could be suffering from sickle cell anemia. This is suggested by the fact that his RBC is shaped like a c, which is a characteristic of sickle cell disease. Additionally, the symptoms of hematuria and jaundice can be seen in sickle cell anemia. The mention of chronic infections and the family history of similar symptoms further support the possibility of sickle cell anemia.

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  • 14. 

    Glenn gets fatigued every time he goes to the mountain to go snowboarding and when he gets an infection.  Stress also triggers his fatigue and SOB.  He says he feels better after resting for a few days and avoids stress and crisis.  He manages his pain well but sometimes needs intervention.  He tries to eat well and exercise regularly but admits he has not been able to give up his favorite soft drink, Mountain Dew.  What type of anemia does Glenn have?

    • A.

      Sickle Cell

    • B.

      Pernicious

    • C.

      Von Willebrand

    • D.

      Aplastic

    • E.

      Iron

    Correct Answer
    A. Sickle Cell
    Explanation
    Glenn has Sickle Cell anemia. This is indicated by the fact that he gets fatigued every time he goes snowboarding or gets an infection, as well as the fact that stress triggers his fatigue and shortness of breath. Sickle Cell anemia is a genetic disorder that affects the shape of red blood cells, causing them to become sickle-shaped and less able to carry oxygen. Resting, avoiding stress and crisis, and managing pain are common strategies for managing Sickle Cell anemia. The fact that Glenn has not been able to give up his favorite soft drink, Mountain Dew, does not provide any information about the type of anemia he has.

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  • 15. 

    Epogen is often prescribed along with Cetiedil and Butyrate.  This anemia leaves WBC and Plt within normal ranges and has normocytic cells.  Along with medication, a non pharmacological tx would be decrease crisis, warm fluids, and emotional support.  This most describes which type of anemeia?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Sickle Cell

    • D.

      Von Willebrand

    Correct Answer
    C. Sickle Cell
    Explanation
    Epogen is a medication that is commonly prescribed along with Cetiedil and Butyrate for the treatment of sickle cell anemia. Sickle cell anemia is a type of anemia that is characterized by normocytic cells and leaves white blood cells (WBC) and platelets (Plt) within normal ranges. In addition to medication, non-pharmacological treatments for sickle cell anemia include decreasing crisis, consuming warm fluids, and providing emotional support. Therefore, the given information aligns with the characteristics and treatment options of sickle cell anemia.

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  • 16. 

    Lisa has anemia.  Factor VIII is low and her PTT is prolonged.  She bleed time is longer after trauma and her gums bleed freequently.  She receives whole blood plasma when needed.  Because of her disorder, she has to have limited injections.  What type of anemia does Lisa suffer from?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Von Willebrand

    • D.

      Sickle Cell

    Correct Answer
    C. Von Willebrand
    Explanation
    Lisa suffers from Von Willebrand disease, which is a type of anemia characterized by low levels of Factor VIII and prolonged PTT. The symptoms mentioned, such as longer bleed time after trauma and frequent gum bleeding, are consistent with Von Willebrand disease. Additionally, the fact that she receives whole blood plasma when needed and has to have limited injections further supports this diagnosis. Hemophilia A and B are not associated with low Factor VIII levels, and Sickle Cell anemia does not present with prolonged PTT or gum bleeding.

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  • 17. 

    Nick has the most common coagulation disorder.  His PTT is prolonged and his RBC must be tested for antibodies before transfusion.  He gets nose bleeds frequently and his granfather on his mothers side also has the same problem.  He needs fresh frozen plasma on ocassion.  What type of anemeia does Nick have?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Von Willebrands

    • D.

      Sickle Cell

    Correct Answer
    A. Hemophilia A
    Explanation
    Nick has the most common coagulation disorder, which is hemophilia. This is indicated by his prolonged PTT (partial thromboplastin time) and the need to test his RBC (red blood cells) for antibodies before transfusion. The frequent nose bleeds and the fact that his grandfather on his mother's side also has the same problem further support the diagnosis of hemophilia. Fresh frozen plasma is often used to treat hemophilia, which confirms the diagnosis of Hemophilia A.

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  • 18. 

    On Christmas day, Brad was in a car accident.  Brad's wounds do not seem to clot, which he has never had a problem with before.  Upon testing, his PTT is prolonged and his clotting factor VIII is low.  Upon closer review, his Factor IX is the problem.  What type of anemia does Brad have?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Von Willebrands

    • D.

      Sickle Cell

    Correct Answer
    B. Hemophilia B
    Explanation
    Brad's symptoms of prolonged PTT and low clotting factor VIII indicate a problem with his clotting factors. Specifically, his Factor IX is the issue. This suggests that Brad has Hemophilia B, which is a type of anemia characterized by a deficiency in Factor IX. Hemophilia A is a deficiency in Factor VIII, Von Willebrands is a disorder involving a deficiency in von Willebrand factor, and Sickle Cell is a genetic disorder affecting red blood cells.

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  • 19. 

    Tim is on Proplex QD.  He cannot use a safety razor to shave.  Tim was adopted and does not know his family history but it is certain that his grandfather must have had the same anemia.  Tim lives in fear of injuring himself again and goes to councelling.  It wasn't until he had a skiing accident that he found out he had this particular anemeia.  What type of anemia does Tim have?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Sickle Cell

    • D.

      Von Willebrands

    Correct Answer
    B. Hemophilia B
    Explanation
    Tim has Hemophilia B. Hemophilia is a genetic disorder that affects the blood's ability to clot properly. Since Tim cannot use a safety razor to shave and lives in fear of injuring himself, it suggests that he has a bleeding disorder. Additionally, the mention of his grandfather having the same anemia indicates a genetic inheritance, further supporting the diagnosis of Hemophilia B.

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  • 20. 

    Larry must take Heomfil, Humate, or Koate.  His father wont let him play football for fear of being injured.   Larry bruises quite easily and his mother has a lot of guilt for passing this anemia on to her son.  What type of anemeia does Larry have?

    • A.

      Hemophilia A

    • B.

      Hemophilia B

    • C.

      Sickle Cell

    • D.

      Pernicious

    Correct Answer
    A. Hemophilia A
    Explanation
    The meds are the key to the answer.

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