NURS 5461 EXAMS SET COMPLETE SOLVED QUESTIONS AND CORRECT ANSWERS CERTIFICATION REVIEW

NURS 5461 EXAMS SET COMPLETE SOLVED
QUESTIONS AND CORRECT ANSWERS
CERTIFICATION REVIEW

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


●● macrocytic anemias
Answer: Pernicious anemia, folate deficiency anemia >103mm


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


●● microcytic anemia
Answer: iron deficiency, anemia of chronic disease late stage, lead
poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm


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

,●● primary storage for iron
Answer: ferritin >100 = normal


●● increased ferritin
Answer: inflammatory disease, hepatitis, CRF,


●● transferrin
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


●● Primary hypothyroidism
Answer: High TSH, low T3 and T4


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


●● Hashimoto's thyroiditis
Answer: autoimmune thyroiditis, high TSH, low T3/T4

, ●● Myxedema
Answer: puffy face with hypothyroid


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


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


●● excessive iodine uptake
Answer: hyperthyroidism


●● first test for thyroid
Answer: TSH


●● TSH improvement after levothyroxine
Answer: 6-8 weeks


●● subclinical hypothyroid
Answer: elevated TSH, normal T4 and Free T4