This is a quiz that contains NCLEX review questions about pernicious anemia. Patients who have pernicious anemia have low levels of red blood cells caused by low vitamin B12 levels. This is due to an autoimmune condition causing the patient to lack intrinsic factor. In the previous
NCLEX review series, I explained about other disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well. As the nurse, it is important to know how to care for a patient with pernicious anemia. In addition, the nurse needs to be aware of the causes, risk factors, and management of pernicious anemia. The NCLEX exam loves to ask questions about
patient education and major signs and symptoms about pernicious anemia. This quiz will test you on: This quiz will test you on pernicious anemia in preparation for the NCLEX exam. (NOTE:
When you hit submit, it will refresh this same page. Scroll down to see your result) 1. You’re providing discharge teaching to a patient about pernicious anemia. Which statement by the patient indicates they did NOT understand the discharge teaching? A. “Pernicious anemia is caused by not
consuming enough Vitamin B12.” B. “Pernicious anemia causes the red blood cells to appear very large and oval.” C. “Treatment for pernicious anemia includes a series of intramuscular injections of Vitamin B12.” D. “A red, smooth tongue can be a sign of pernicious anemia.” 2. In pernicious anemia, intrinsic factor is not being secreted by the _______ cells which are found in the gastric mucosa. A. Visceral B. Langerhan C. Parietal D. Chief 3. Select the patient below who is at MOST risk for pernicious anemia: A. A 75 year old male who recently had surgery on the ileum. B. A 25 year old female who reports craving ice and clay. C. A 66 year old male whose peripheral blood smear showed hypochromic red blood cells. D. All the patients above are at risk for pernicious anemia. 4. A doctor suspects pernicious anemia in a patient presenting with a beefy red tongue. The patient reports feeling extremely fatigued and numbness and tingling in the hands. The doctor orders a peripheral blood smear. From your nursing knowledge, how will the red blood cells appear in the peripheral blood smear if pernicious anemia is present? A. Round-shaped and hypochromic B. Oval-shaped and hyperchromic C. Large and oval-shaped D. Small and hyperchromic 5. Select ALL the signs and symptoms that can present in pernicious anemia: A. Erythema B. Paresthesia of hands and feet C. Racing thoughts D. Extreme hunger E. Depression F. Unsteady gait G. Shortness of breath with activity 6. A patient with pernicious anemia is ordered to receive supplementary Vitamin B12. What is the best route to administer this medication for patients with this disorder? A. Intravenous B. Orally C. Through a central line D. Intramuscular 7. True or False: Intrinsic factor is a protein that plays a role in how the body absorbs Vitamin B12. 8. A patient with severe pernicious anemia is being discharged home and requires routine injections of Vitamin B12. Which statement by the patient demonstrates they understood your instructions about their treatment regime? A. “I will require one injection every 6 months until my Vitamin B12 levels are therapeutic and then I’m done.” B. “Initially, I will need weekly injections of Vitamin B12 and then monthly injections for maintenance, which will be a lifelong regime.” C. “I will only need vitamin B12 injections for a month and then I can take a low dose of oral vitamin B12.” D. “When I start to feel weak and short of breath I need to call the doctor so I can schedule an appointment for a Vitamin B12 injection.” Answer Key: 1. A More NCLEX Quizzes  Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. How do you perform a Schilling test?The patient is given radiolabeled vitamin B12 orally, followed by an intramuscular (IM) dose of unlabeled vitamin B12 one hour later. The injection is given to ensure that none of the radioactive B12 binds to any vitamin B12 depleted tissues, for example, the liver.
What should I do before Schilling test?How to prepare for the Schilling test. You can't receive any intramuscular injections of vitamin B12 for 3 days before your test. Though you may drink water, you'll need to avoid food for 8 hours before the test. You can then eat normally after the test.
Which of the following that the nurse implement for the client who is starting a Schilling test?The nurse implements which of the following for the client who is starting a Schilling test? Urinary vitamin B12 levels are measured after the ingestion of radioactive vitamin B12.
What is the Schilling test and what does it measure?A Schilling test is also known as a Vitamin B12 absorption test. It was formerly used to determine whether a person was absorbing vitamin B12 normally. If not, then the test could pinpoint the cause of any vitamin B12 deficiency. Schilling tests are no longer used today.
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Which among the following should the nurse do when a client is ordered to have a schilling test?
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