A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate

This is a quiz that contains NCLEX review questions on iron-deficiency anemia. Patients who have iron-deficiency anemia have low levels of red blood cells and amounts of hemoglobin caused by low iron levels. The patient will experience low levels of oxygen throughout the body since red blood cells transport oxygen.

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 iron-deficiency anemia. In addition, the nurse needs to be aware of the causes, risk factors, and management of iron-deficiency anemia.

The NCLEX exam loves to ask questions about patient education, major signs and symptoms, and the different types of iron-deficiency anemia.

This quiz will test you on:

• Pathophysiology of  iron-deficiency anemia
• Signs and Symptoms of  iron-deficiency anemia
• Nursing Interventions for  iron-deficiency anemia
• Patient Education

Iron-Deficiency Anemia NCLEX Questions

This quiz will test your knowledge on iron-deficiency anemia in preparation for the NCLEX exam.

• 1. True or False: The least common type of anemia is iron-deficiency anemia.*
  • True
  • False

• 2. Select all the patients who are at MOST risk for iron-deficiency anemia:*
  • A. A 55 year old male who reports taking Ferrous Sulfate regularly.
  • B. A 25 year old female who was recently diagnosed with Celiac Disease.
  • C. A 35 year old female who is 36 weeks pregnant that reports craving ice.
  • D. A 67 year old female with a Hemoglobin level of 14.

• 3. A patient, with a history of gastric bypass surgery 6 months ago, reports feeling very fatigued and is having food cravings for clay and dirt. On assessment, you note the patient has nail changes that look "spoon-shaped". This spoon-shaped appearance of the nails is called?*
  • A. Terry's Nails
  • B. Onychoschizia
  • C. Koilonychias
  • D. Leukonychia

• 4. The physician orders a patient with suspected iron-deficiency anemia a blood smear test to assess the quality of the red blood cells. How would the red blood cells appear if the patient had iron- deficiency anemia?*
  • A. Hyperchromic and macrocytic
  • B. Hypochromic and microcytic
  • C. Hyperchromic and macrocytic
  • D. Hypochromic and macrocytic

• 5. You're providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement?*
  • A. "I will take this medication on an empty stomach."
  • B. "I will avoid taking this medication with orange juice."
  • C. "I will wait and take my calcium supplements 2 hours after I take my iron supplement."
  • D. "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as needed."

• 6. A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse, you would?*
  • A. Notify the doctor
  • B. Hold the next dose of iron
  • C. Reassure the patient this is a normal side effect of iron supplementation
  • D. None of the options are correct

• 7. You are providing diet teaching to a patient with low iron levels. Which foods would you encourage the patient to eat regularly?*
  • A. Herbal tea, apples, and watermelon
  • B. Sweet potatoes, artichokes, and packaged meat
  • C. Egg yolks, beef, and legumes
  • D. Chocolate, cornbread, and cabbage

• 8. True or False: The body uses hemoglobin to make iron.*
  • True
  • False

• 9. True or False: High levels of iron lead to the body producing fewer red blood cells.*
  • True
  • False

• 10. True or False: Early signs and symptoms of iron-deficiency anemia are vague.*
  • True
  • False

(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your result)

Iron-Deficiency Anemia NCLEX Quiz

1. True or False: The least common type of anemia is iron-deficiency anemia.

2. Select all the patients who are at MOST risk for iron-deficiency anemia:

A. A 55 year old male who reports taking Ferrous Sulfate regularly.

B. A 25 year old female who was recently diagnosed with Celiac Disease.

C. A 35 year old female who is 36 weeks pregnant that reports craving ice.

D. A 67 year old female with a Hemoglobin level of 14.

3. A patient with a history of gastric bypass surgery 6 months ago reports feeling very fatigued and is having food cravings for clay and dirt. On assessment, you note the patient has nail changes that look “spoon-shaped”. This spoon-shaped appearance of the nails is called?

A. Terry’s Nails

B. Onychoschizia

C. Koilonychias

D. Leukonychia

4. The physician orders a patient with suspected iron-deficiency anemia a blood smear test to assess the quality of the red blood cells. How would the red blood cells appear if the patient had iron- deficiency anemia?

A. Hyperchromic and macrocytic

B. Hypochromic and microcytic

C. Hyperchromic and macrocytic

D. Hypochromic and macrocytic

5. You’re providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement?

A. “I will take this medication on an empty stomach.”

B. “I will avoid taking this medication with orange juice.”

C. “I will wait and take my calcium supplements 2 hours after I take my iron supplement.”

D. “This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as needed.”

6. A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse you would?

A. Notify the doctor

B. Hold the next dose of iron

C. Reassure the patient this is a normal side effect of iron supplementation

D. None of the options are correct

7. You are providing diet teaching to a patient with low iron levels. Which foods would you encourage the patient to eat regularly?

A. herbal tea, apples, and watermelon

B. Sweet potatoes, artichokes, and packaged meat

C. Egg yolks, beef, and legumes

D. Chocolate, cornbread, and cabbage

8. True or False: The body uses hemoglobin to make iron.

9. True or False: High levels of iron lead to the body to producing fewer red blood cells.

10. True or False: Early signs and symptoms of iron-deficiency anemia are vague.
Answer Key:
1. False
2. B, C
3. C
4. B
5. B
6. C
7. C
8. False
9. False
10. True

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