NCLEX RN Practice Question # 964
NCLEX Examination.
Practice Question # 964.
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1. Question
An adult female client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client’s history?
CorrectOption C is the correct answer:
Rationale: The normal hemoglobin level for an adult female client is 12 to 16 g/dL (120 to 160 mmol/L). Iron deficiency anemia can result in lower hemoglobin levels. Dehydration may increase the hemoglobin level by hemoconcentration. Heart failure and chronic obstructive pulmonary disease may increase the hemoglobin level as a result of the body’s need for more oxygen-carrying capacity.
Test-Taking Strategy: Note the strategic words, most likely. Evaluate each of the conditions in the options in terms of their pathophysiology and whether each is likely to raise or lower the hemoglobin level. Also, note the relationship between hemoglobin level in the question and the correct option.IncorrectOption C is the correct answer:
Rationale: The normal hemoglobin level for an adult female client is 12 to 16 g/dL (120 to 160 mmol/L). Iron deficiency anemia can result in lower hemoglobin levels. Dehydration may increase the hemoglobin level by hemoconcentration. Heart failure and chronic obstructive pulmonary disease may increase the hemoglobin level as a result of the body’s need for more oxygen-carrying capacity.
Test-Taking Strategy: Note the strategic words, most likely. Evaluate each of the conditions in the options in terms of their pathophysiology and whether each is likely to raise or lower the hemoglobin level. Also, note the relationship between hemoglobin level in the question and the correct option.
Iron Deficiency Anemia
- In iron deficiency anemia, iron stores are depleted, resulting in a decreased supply of iron for the manufacture of hemoglobin in red blood cells; red blood cells are microcytic and hypochromic.