NURSl 5461/l NURS5461l Finall
Comprehensivel Examl (NEWl 2026/l 2027l
Update)l Adultl Gerontologyl Managementl
Acrossl thel Continuuml ofl Carel Prepl |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l UTA
QUESTION
Verdal isl al Typel IIl diabeticl underl fairl control.l Herl lastl A1Cl wasl 8.2%.l Herl beforel
meall glucosesl arel rangingl froml 100-130l mg/dL.l Shel doesl showl youl al fewl readingsl inl
herl logl bookl wherel herl 2l hourl postprandiall glucosesl arel >/=l 280l mg/dL.
Herl previousl providerl hadl documentedl inl Verda'sl recordl thatl shel hadl thel typicall
diabeticl lipidl panell [atl thatl timel herl A1Cl wasl documentedl asl 7.9%].l Basedl onl thisl
information,l whatl dol youl expectl tol seel onl Verda'sl fastingl lipidl panell thatl youl drewl inl
clinicl thisl morning?
a.l LDLl cholesteroll nearl 200l mg/dL;l normall HDLl andl triglycerides
b.l Highl triglycerides,l highl HDLl andl highl LDLl cholesterols
c.l Highl triglycerides,l lowl HDLl cholesteroll andl normal-moderatelyl highl LDLl cholesterol
d.l Lowl HDLl andl LDLl cholesterolsl andl normall triglycerides
Answer:
c.l Highl triglycerides,l lowl HDLl cholesteroll andl normal-moderatelyl highl LDLl cholesterol
QUESTION
Now,l takel thel lipidl panell thatl youl expectl tol findl [inl questionl #8]—statel howl itl willl
changel ifl medicationl andl dietl changesl lowerl Verda'sl A1Cl tol 6%.l Statel whatl youl
expectl thosel changesl tol dol tol thel LDLl andl HDLl cholesterolsl andl tol thel triglycerides.
Answer:
Lowerl triglycerides,l lowerl LDL,l slightl increasel orl nol changel inl HDL
,QUESTION
Sherri'sl bloodl workl returnsl withl al decreasedl MCVl andl al decreasedl MCHC.l Whatl
shouldl youl dol next?
a.l Orderl al seruml ironl andl TIBC
b.l Orderl al seruml ferritin
c.l Orderl al seruml folate
d.l Orderl al seruml iron,l TIBCl andl seruml ferritin
Answer:
d.l Orderl al seruml iron,l TIBCl andl seruml ferritin
QUESTION
1.l Stu,l agel 49,l hasl slightlyl reducedl Hemoglobinl andl Hematocrit.l Whatl isl yourl nextl
action,l afterl youl askl himl aboutl hisl diet?
a.l Repeatl thel labl studies
b.l Performl al fecall occultl bloodl test
c.l Startl himl onl anl ironl preparation
d.l Startl himl onl folicl acid
Answer:
b.l Performl al fecall occultl bloodl test
QUESTION
Underl whichl ofl thel followingl circumstancesl isl thel reticulocytel countl elevated?
a.l Aplasticl anemia
b.l Ironl deficiencyl anemia
c.l Poisoning
d.l Acutel bloodl loss
Answer:
D.l Acutel bloodl loss
QUESTION
,Sandra,l agel 19,l isl pregnant.l Shel isl c/ol breathlessness,l tiredness,l weaknessl andl isl pale.l
Afterl diagnosingl anemia,l youl orderl medicationl andl telll her:
a.l Onlyl withl mealsl becausel itl canl bel irritatingl tol thel stomach
b.l Inl thel morningl ifl shel experiencesl morningl sickness
c.l Onel hourl beforel eatingl orl betweenl meals
d.l Atl bedtime
Answer:
c.l Onel hourl beforel eatingl orl betweenl meals
QUESTION
Lorrie,l agel 29,l appearsl withl thel followingl signs—palel conjunctiva,l palel nailbeds,l
tachycardia,l heartl murmur,l splenomegaly,l koilonychial andl glossitis.l Whatl dol youl
suspect?
a.l Vitaminl B12l deficiency
b.l Folatel deficiency
c.l Ironl deficiencyl anemia
d.l Chronicl fatiguel syndrome
Answer:
c.l Ironl deficiencyl anemia
QUESTION
Yourl patient,l Shirley,l hasl anl elevatedl MCV.l Whatl shouldl youl bel consideringl inl termsl
ofl diagnosis?
a.l Ironl deficiencyl anemia
b.l Hemolyticl anemia
c.l Leadl poisoning
d.l Liverl disease
Answer:
D.l Liverl disease
QUESTION
, Whichl isl thel bestl seruml testl tol performl tol spotl anl iron-deficiencyl anemial early,l beforel
itl progressesl tol al fulll blownl profoundl anemia?
a.l Hemoglobin
b.l Hematocrit
c.l Ferritin
d.l Reticulocytel count
Answer:
C.l Ferritin
QUESTION
Whichl onel ofl thel followingl clinicall featuresl isl mostl usefull inl differentiatingl demential
withl Lewyl bodiesl froml Alzheimer'sl disease?
a.l Psychosis
B.l Hyposmia
c.l Memoryl impairment
D.l REMl sleepl behaviorl disorder
Answer:
D.l REMl sleepl behaviorl disorder
QUESTION
Inl al ptl withl vascularl dementia,l whichl onel ofl thel followingl isl mostl likelyl tol improvel
cognitivel outcomel overl itme?
a.l Exercisel program
b.l Omegal 3l fattyl acidl supplementation
c.l Cholinesterasel inhibitor
d.l Statin
Answer:
A.l Exercisel Program
QUESTION
Al 73-yearl oldl manl hospitalizedl forl hipl fracturel isl havingl visuall hallucinationsl ofl
snakes.l Hel becamel agitatedl earlierl duringl hospitalization.l Hel receivedl haloperidol.l whichl
Comprehensivel Examl (NEWl 2026/l 2027l
Update)l Adultl Gerontologyl Managementl
Acrossl thel Continuuml ofl Carel Prepl |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l UTA
QUESTION
Verdal isl al Typel IIl diabeticl underl fairl control.l Herl lastl A1Cl wasl 8.2%.l Herl beforel
meall glucosesl arel rangingl froml 100-130l mg/dL.l Shel doesl showl youl al fewl readingsl inl
herl logl bookl wherel herl 2l hourl postprandiall glucosesl arel >/=l 280l mg/dL.
Herl previousl providerl hadl documentedl inl Verda'sl recordl thatl shel hadl thel typicall
diabeticl lipidl panell [atl thatl timel herl A1Cl wasl documentedl asl 7.9%].l Basedl onl thisl
information,l whatl dol youl expectl tol seel onl Verda'sl fastingl lipidl panell thatl youl drewl inl
clinicl thisl morning?
a.l LDLl cholesteroll nearl 200l mg/dL;l normall HDLl andl triglycerides
b.l Highl triglycerides,l highl HDLl andl highl LDLl cholesterols
c.l Highl triglycerides,l lowl HDLl cholesteroll andl normal-moderatelyl highl LDLl cholesterol
d.l Lowl HDLl andl LDLl cholesterolsl andl normall triglycerides
Answer:
c.l Highl triglycerides,l lowl HDLl cholesteroll andl normal-moderatelyl highl LDLl cholesterol
QUESTION
Now,l takel thel lipidl panell thatl youl expectl tol findl [inl questionl #8]—statel howl itl willl
changel ifl medicationl andl dietl changesl lowerl Verda'sl A1Cl tol 6%.l Statel whatl youl
expectl thosel changesl tol dol tol thel LDLl andl HDLl cholesterolsl andl tol thel triglycerides.
Answer:
Lowerl triglycerides,l lowerl LDL,l slightl increasel orl nol changel inl HDL
,QUESTION
Sherri'sl bloodl workl returnsl withl al decreasedl MCVl andl al decreasedl MCHC.l Whatl
shouldl youl dol next?
a.l Orderl al seruml ironl andl TIBC
b.l Orderl al seruml ferritin
c.l Orderl al seruml folate
d.l Orderl al seruml iron,l TIBCl andl seruml ferritin
Answer:
d.l Orderl al seruml iron,l TIBCl andl seruml ferritin
QUESTION
1.l Stu,l agel 49,l hasl slightlyl reducedl Hemoglobinl andl Hematocrit.l Whatl isl yourl nextl
action,l afterl youl askl himl aboutl hisl diet?
a.l Repeatl thel labl studies
b.l Performl al fecall occultl bloodl test
c.l Startl himl onl anl ironl preparation
d.l Startl himl onl folicl acid
Answer:
b.l Performl al fecall occultl bloodl test
QUESTION
Underl whichl ofl thel followingl circumstancesl isl thel reticulocytel countl elevated?
a.l Aplasticl anemia
b.l Ironl deficiencyl anemia
c.l Poisoning
d.l Acutel bloodl loss
Answer:
D.l Acutel bloodl loss
QUESTION
,Sandra,l agel 19,l isl pregnant.l Shel isl c/ol breathlessness,l tiredness,l weaknessl andl isl pale.l
Afterl diagnosingl anemia,l youl orderl medicationl andl telll her:
a.l Onlyl withl mealsl becausel itl canl bel irritatingl tol thel stomach
b.l Inl thel morningl ifl shel experiencesl morningl sickness
c.l Onel hourl beforel eatingl orl betweenl meals
d.l Atl bedtime
Answer:
c.l Onel hourl beforel eatingl orl betweenl meals
QUESTION
Lorrie,l agel 29,l appearsl withl thel followingl signs—palel conjunctiva,l palel nailbeds,l
tachycardia,l heartl murmur,l splenomegaly,l koilonychial andl glossitis.l Whatl dol youl
suspect?
a.l Vitaminl B12l deficiency
b.l Folatel deficiency
c.l Ironl deficiencyl anemia
d.l Chronicl fatiguel syndrome
Answer:
c.l Ironl deficiencyl anemia
QUESTION
Yourl patient,l Shirley,l hasl anl elevatedl MCV.l Whatl shouldl youl bel consideringl inl termsl
ofl diagnosis?
a.l Ironl deficiencyl anemia
b.l Hemolyticl anemia
c.l Leadl poisoning
d.l Liverl disease
Answer:
D.l Liverl disease
QUESTION
, Whichl isl thel bestl seruml testl tol performl tol spotl anl iron-deficiencyl anemial early,l beforel
itl progressesl tol al fulll blownl profoundl anemia?
a.l Hemoglobin
b.l Hematocrit
c.l Ferritin
d.l Reticulocytel count
Answer:
C.l Ferritin
QUESTION
Whichl onel ofl thel followingl clinicall featuresl isl mostl usefull inl differentiatingl demential
withl Lewyl bodiesl froml Alzheimer'sl disease?
a.l Psychosis
B.l Hyposmia
c.l Memoryl impairment
D.l REMl sleepl behaviorl disorder
Answer:
D.l REMl sleepl behaviorl disorder
QUESTION
Inl al ptl withl vascularl dementia,l whichl onel ofl thel followingl isl mostl likelyl tol improvel
cognitivel outcomel overl itme?
a.l Exercisel program
b.l Omegal 3l fattyl acidl supplementation
c.l Cholinesterasel inhibitor
d.l Statin
Answer:
A.l Exercisel Program
QUESTION
Al 73-yearl oldl manl hospitalizedl forl hipl fracturel isl havingl visuall hallucinationsl ofl
snakes.l Hel becamel agitatedl earlierl duringl hospitalization.l Hel receivedl haloperidol.l whichl
