NUR-631 FINAL EXAM, PRACTICE EXAM ANDd d d d d
STUDY GUIDE | COMPLETE 2025 ACTUAL EXA
d d d d d d
M WITH CORRECT VERIFIED ANSWERS | GUA
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RANTEED A+ EXAM EXCELLENCE d d d
When considering hemolytic anemia, which statement is true regarding t
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he occurrence of jaundice?
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a. Erythrocytes are destroyed in the spleen.
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b. Heme destruction exceeds the liver's ability to conjugate and excrete b
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ilirubin.
c. The patient has elevations in aspartate transaminase AST and alanine t
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ransaminase ALT. d
d. The erythrocytes are coated with an immunoglobulin. -
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d ✔✔✔ Correct Answer > b. Heme destruction exceeds the liver's abil
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ity to conjugate and excrete bilirubin.
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,Exp: Jaundice (icterus) is present when heme destruction exceeds the li
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ver's ability to conjugate and excrete bilirubin. This selection is the only
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option that accurately describes the process that affects the occurrence
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d of hemolytic anemia-related jaundice. page 1000
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A patient is diagnosed with pulmonary disease and elevated pulmonary v
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ascular resistance. Which of the following heart failures may result from t
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his condition?
d
a. Right heart failure d d
b. Left heart failure d d
c. Low-output failure d
d. High-output failure - ✔✔✔ Correct Answer > a. Right heart failure d d d d d d d d d d
Exp: Right heart failure is defined as the inability of the right ventricle to
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d provide adequate blood flow into the pulmonary circulation at a norm
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al central venous pressure. It most often results from the left heart failu
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re when the increase in left ventricular filling pressure that is reflected
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back into the pulmonary circulation is severe enough. As pressure in th
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e pulmonary circulation rises, the resistance to right ventricular emptyi
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ng increases.
d
,What is the chromosomal variation that causes Klinefelter syndrome?
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a. Nondisjunction of the X chromosome in the father d d d d d d d
b. Translocation of the X chromosome in the mother d d d d d d d
c. Nondisjunction of X chromosome in the mother d d d d d d
d. Translocation of the Y chromosome in the father - d d d d d d d d
✔✔✔ Correct Answer > c. Nondisjunction of X chromosome in the
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mother
Exp: Nondisjunction of the X chromosomes in the mother causes Klinef
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elter syndrome in the majority of infants, and the frequency of the diso
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rder rises with maternal age. The correct option is the only one that ac
d d d d d d d d d d d d d
curately describes the chromosomal variation characteristic of Klinefel
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ter syndrome. page 148
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What physical sign is the result of turbulent blood flow through a vessel?
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a. Increased blood pressure during periods of stress
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b. Bounding pulse felt on palpation d d d d
c. Cyanosis observed on excretion d d d
, d. Murmur heard on auscultation - d d d d
✔✔✔ Correct Answer > d. Murmur heard on auscultation
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Exp: Where flow is obstructed the vessel turns or blood flows over rou
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gh surfaces. The flow becomes turbulent with whorls or eddy currents
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that produce noise causing a murmur to be heard on auscultation such
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as occurs during blood pressure measurement with a sphygomanomet
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er. This selection is the only option that accurately identifies the physic
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al sign of turbulent vascular blood flow. pg 1113
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Which congenital heart defects occur in trisomy 13, trisomy 18 and down
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syndrome?
a. Coarctation of the aorta and pulmonary stenosis d d d d d d
b. Tetralogy of Fallot and persistent truncus arteriosus
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c. Atrial septal defect and dextrocardia
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d. Ventricular septal defect and patent ductus arteriosus -
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d ✔✔✔ Correct Answer > d. Ventricular septal defect and patent d
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uctus arteriosus d
Exp: Congenital heart defects that are related to dysfunction of trisom
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y 13, trisomy 18 and down syndrome include VSD and PDA see
d d d d d d d d d d d
STUDY GUIDE | COMPLETE 2025 ACTUAL EXA
d d d d d d
M WITH CORRECT VERIFIED ANSWERS | GUA
d d d d d d
RANTEED A+ EXAM EXCELLENCE d d d
When considering hemolytic anemia, which statement is true regarding t
d d d d d d d d d
he occurrence of jaundice?
d d d
a. Erythrocytes are destroyed in the spleen.
d d d d d
b. Heme destruction exceeds the liver's ability to conjugate and excrete b
d d d d d d d d d d
ilirubin.
c. The patient has elevations in aspartate transaminase AST and alanine t
d d d d d d d d d d
ransaminase ALT. d
d. The erythrocytes are coated with an immunoglobulin. -
d d d d d d d
d ✔✔✔ Correct Answer > b. Heme destruction exceeds the liver's abil
d d d d d d d d d d
ity to conjugate and excrete bilirubin.
d d d d d
,Exp: Jaundice (icterus) is present when heme destruction exceeds the li
d d d d d d d d d d
ver's ability to conjugate and excrete bilirubin. This selection is the only
d d d d d d d d d d d d
option that accurately describes the process that affects the occurrence
d d d d d d d d d
d of hemolytic anemia-related jaundice. page 1000
d d d d d
A patient is diagnosed with pulmonary disease and elevated pulmonary v
d d d d d d d d d d
ascular resistance. Which of the following heart failures may result from t
d d d d d d d d d d d
his condition?
d
a. Right heart failure d d
b. Left heart failure d d
c. Low-output failure d
d. High-output failure - ✔✔✔ Correct Answer > a. Right heart failure d d d d d d d d d d
Exp: Right heart failure is defined as the inability of the right ventricle to
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d provide adequate blood flow into the pulmonary circulation at a norm
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al central venous pressure. It most often results from the left heart failu
d d d d d d d d d d d d
re when the increase in left ventricular filling pressure that is reflected
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back into the pulmonary circulation is severe enough. As pressure in th
d d d d d d d d d d d
e pulmonary circulation rises, the resistance to right ventricular emptyi
d d d d d d d d d
ng increases.
d
,What is the chromosomal variation that causes Klinefelter syndrome?
d d d d d d d d
a. Nondisjunction of the X chromosome in the father d d d d d d d
b. Translocation of the X chromosome in the mother d d d d d d d
c. Nondisjunction of X chromosome in the mother d d d d d d
d. Translocation of the Y chromosome in the father - d d d d d d d d
✔✔✔ Correct Answer > c. Nondisjunction of X chromosome in the
d d d d d d d d d d d d
mother
Exp: Nondisjunction of the X chromosomes in the mother causes Klinef
d d d d d d d d d d
elter syndrome in the majority of infants, and the frequency of the diso
d d d d d d d d d d d d
rder rises with maternal age. The correct option is the only one that ac
d d d d d d d d d d d d d
curately describes the chromosomal variation characteristic of Klinefel
d d d d d d d
ter syndrome. page 148
d d d
What physical sign is the result of turbulent blood flow through a vessel?
d d d d d d d d d d d d
a. Increased blood pressure during periods of stress
d d d d d d
b. Bounding pulse felt on palpation d d d d
c. Cyanosis observed on excretion d d d
, d. Murmur heard on auscultation - d d d d
✔✔✔ Correct Answer > d. Murmur heard on auscultation
d d d d d d d d d
Exp: Where flow is obstructed the vessel turns or blood flows over rou
d d d d d d d d d d d d
gh surfaces. The flow becomes turbulent with whorls or eddy currents
d d d d d d d d d d d
that produce noise causing a murmur to be heard on auscultation such
d d d d d d d d d d d d
as occurs during blood pressure measurement with a sphygomanomet
d d d d d d d d
er. This selection is the only option that accurately identifies the physic
d d d d d d d d d d d
al sign of turbulent vascular blood flow. pg 1113
d d d d d d d d
Which congenital heart defects occur in trisomy 13, trisomy 18 and down
d d d d d d d d d d d d
syndrome?
a. Coarctation of the aorta and pulmonary stenosis d d d d d d
b. Tetralogy of Fallot and persistent truncus arteriosus
d d d d d d
c. Atrial septal defect and dextrocardia
d d d d
d. Ventricular septal defect and patent ductus arteriosus -
d d d d d d d
d ✔✔✔ Correct Answer > d. Ventricular septal defect and patent d
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uctus arteriosus d
Exp: Congenital heart defects that are related to dysfunction of trisom
d d d d d d d d d d
y 13, trisomy 18 and down syndrome include VSD and PDA see
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