NUR-641E Final Exam Prep | All Possible Questions and
Answers | Updates | 100% Correct –GCU.
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,Question 1
How is ICU delirium treated?
A) Prozac
B) Tegretol
C) Haldol
D) Parodel
,Correct Answer: C) Haldol
Rationale: The document lists "Haldol" as the treatment for ICU delirium. Haloperidol
(Haldol) is an antipsychotic commonly used off-label to manage delirium in intensive
care settings.
Question 2
What are the generalized seizure types?
A) Tonic-clonic, absence, clonic, myoclonic, tonic, atonic
B) Focal, complex partial, simple partial
C) Febrile, psychogenic, reflex
D) Absence, myoclonic, febrile
Correct Answer: A) Tonic-clonic, absence, clonic, myoclonic, tonic, atonic
Rationale: The document explicitly lists these as generalized seizure types, which
involve both hemispheres of the brain and cause loss of consciousness.
Question 3
Primary hyperparathyroidism is typically caused by?
A) Chronic kidney disease and vitamin D deficiency
B) Malignancy in the thyroid gland
C) Autoimmune destruction of the parathyroid gland
D) Tumor in the parathyroid gland
Correct Answer: D) Tumor in the parathyroid gland
Rationale: The document states primary hyperparathyroidism is caused by a tumor in
the parathyroid gland, which leads to excessive secretion of parathyroid hormone.
Question 4
What is cystic fibrosis associated with?
A) Renal calculi
, B) Meconium ileus
C) Paralytic ileus
D) Meconium peritonitis
Correct Answer: B) Meconium ileus
Rationale: Cystic fibrosis is associated with meconium ileus in newborns, where thick
meconium blocks the intestine due to the underlying mucus production defect.
Question 5
Phenytoin is highly?
A) Low urine specific gravity
B) Synthesized in the hypothalamus acts on renal tubular cells
C) Plasma protein bound
D) Serum albumin level
Correct Answer: C) Plasma protein bound
Rationale: Phenytoin is highly protein-bound (about 90%), which affects its distribution,
therapeutic monitoring, and potential for drug interactions.
Question 6
When does Somogyi effect occur?
A) The development of neurofibrillary tangles in the CNS
B) Binding with antithrombin III
C) Untreated nighttime hypoglycemia causing increased blood glucose levels in the
morning
D) Charts of local antimicrobial resistance patterns
Correct Answer: C) Untreated nighttime hypoglycemia causing increased blood
glucose levels in the morning
Rationale: The Somogyi effect is a rebound hyperglycemia that occurs in response to
nighttime hypoglycemia, leading to elevated morning blood glucose.