100% CORRECT UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question:
1. NURS 5461 EXAM 1 Exam Coverage
Answer:
Exam coverage for NURS 5461 Exam 1 includes foundational advanced nursing concepts commonly
introduced in the early part of graduate-level nursing coursework. It focuses on patient assessment,
pathophysiology, pharmacologic considerations, diagnostic reasoning, and management of common acute
and chronic conditions relevant to the course emphasis. The exam also evaluates understanding of
evidence-based practice, interpretation of clinical findings, patient education, prevention strategies, and safe
clinical decision-making. Emphasis is placed on applying advanced nursing knowledge, clinical reasoning,
and patient-centered care principles in preparation for more complex clinical management.
Question:
2. Normocytic Anemia Due to hemorrhage or chronic disease. Aplastic anemia. MCV 80-92
Answer:
Question:
3. Microcytic Anemia
Answer:
Iron deficiency, usually due to malabsorption/occult blood loss, or lead poisoning. MCV <80
Question:
4. Macrocytic Anemia
Answer:
Due to folate or vitamin B12 (cobalamin) deficiency (megaloblastic anemia)/pernicious anemia/liver
diseases
Question:
5. Serum Ferritin
Answer:
Tests for iron stores. As serum ferritin falls, TIBC rises, and serum iron levels will eventually fall.
Question:
6. Anemia of Chronic Disease
Answer:
Normocytic anemia with “ serum iron, “ TIBC, and normal iron stores. Treat with epoetin and give an iron
supplement
Question:
7. Schistocytes
, Answer:
Associated with hemolytic uremia syndrome
Question:
8. Pernicious Anemia
Answer:
Macrocytic anemia caused by vitamin B12 deficiency. B12 is essential to maturation of erythrocytes - low
levels will cause the RBC to expand. PPIs and histamine2 blockers can cause this.
Question:
9. Increased Homocysteine & Methylmalonic Acid Level
Answer:
Indicates B12 deficiency
Question:
10. Increased Homocysteine Levels
Answer:
Folate deficiency
Question:
11. Spherocytes
Answer:
Appear as spheres, lack central pallor, smaller diameter, indicate immune-mediated process - can be seen
after blood transfusion
Question:
12. Aplastic Anemia
Answer:
Failure of bone marrow to produce red blood cells
Question:
13. Low Ferritin
Answer:
Iron Deficiency Anemia
Question:
14. Transferrin
Answer:
Transports Iron
Question:
15. TIBC (Total Iron Binding Capacity)
Answer:
Available transferrin that is left unbound. Reflects iron levels.