NURS 5461 ACTUAL TEST PAPER ACCURATE QUESTIONS AND CORRECT ANSWERS GRADED APLUS

NURS 5461 ACTUAL TEST PAPER
ACCURATE QUESTIONS AND CORRECT
ANSWERS GRADED APLUS

●● Pernicious anemia s/s
Answer: beefy red tongue
fatigue
paresthesia of hands/feet


●● What are the types macrocytic anemias
Answer: Pernicious anemia
folate deficiency anemia >103mm


●● causes of macrocytic anemias
Answer: liver disease
low b12 or folate
gastrectomy
malabsorption
alcoholism


●● Types of microcytic anemia

,Answer: iron deficiency
anemia of chronic disease late stage
lead poisoning, thalassemias
MCV <87mm


●● Some signs of microcytic anemia
Answer: occult blood in stool menorrhagia


●● Characteristics of normocytic anemia
Answer: anemia of chronic disease, sickle cell, impaired bone marrow,
hemolytic anemia, 87-103mm


●● What is the primary storage for iron
Answer: ferritin >100 = normal


●● increased ferritin is caused by?
Answer: inflammatory disease, hepatitis, CRF,


●● What does transferrin do?
Answer: regulates iron absorption and transport in body, low levels =
protein malnutrition, >200 is normal


●● total iron binding capacity (TIBC)

, Answer: high when iron low 240-450
> 400 with iron deficiency anemia


●● Hormone levels in Primary hypothyroidism?
Answer: High TSH, low T3 and T4


●● Hormone levels in Secondary hypothyroidism
Answer: low TSH, low T3/T4, malfunction of pituitary


●● What is Hashimoto's thyroiditis? What are the hormone levels
associated ?
Answer: autoimmune thyroiditis, high TSH, low T3/T4


●● Myxedema s/s
Answer: puffy face with hypothyroid


●● What is Grave's disease?
Answer: autoimmune disorder leading to hyperthyroidism, patients have
antibodies mimicking TSH, high T4/T3


●● Primary Hyperthyroidism hormone levels
Answer: Low TSH High T3,T4