NURS 5461 QUIZ 1 (2026) – COMPLETE QUESTIONS &
03/29/2026
ANSWERS WITH SOLUTIONS
NURS 5461 Quiz 1 (2026) – Complete Questions & Answers
with Solutions, Exams of Nursing
Pernicious anemia
Lack of intrinsic factor, decreased b12
Pernicious anemia s/s
Beefy red tongue, fatigue, paresthesia of hands/feet, fatigue
Macrocytic anemias
Pernicious anemia, folate deficiency anemia >103mm
Causes of macrocytic anemias
Liver disease, low b12 or folate, gastrectomy, malabsorption, alcoholics
Microcytic anemia
Iron deficiency, anemia of chronic disease late stage, lead poisoning, thalassemias,, occult blood in
stool, menorrhagia, <87mm
Normocytic anemia
3/29/2026
Anemia of chronic disease, sickle cell, impaired bone marrow, hemolytic anemia, 87-103mm
1
, NURS 5461 QUIZ 1 (2026) – COMPLETE QUESTIONS &
03/29/2026
ANSWERS WITH SOLUTIONS
Primary storage for iron
Ferritin >100 = normal
Increased ferritin
Inflammatory disease, hepatitis, crf,
Transferrin
Regulates iron absorption and transport in body, low levels = protein malnutrition, >200 is normal
Total iron binding capacity (tibc)
High when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism
High tsh, low t3 and t4
Secondary hypothyroidism
Low tsh, low t3/t4, malfunction of pituitary
3/29/2026
Hashimoto's thyroiditis
Autoimmune thyroiditis, high tsh, low t3/t4
2
, NURS 5461 QUIZ 1 (2026) – COMPLETE QUESTIONS &
03/29/2026
ANSWERS WITH SOLUTIONS
Myxedema
Puffy face with hypothyroid
Grave's disease
Autoimmune disorder leading to hyperthyroidism, antibodies mimicking tsh, high t4/t3
Primary hyperthyroidism
Low tsh high t3,t4
Excessive iodine uptake
Hyperthyroidism
First test for thyroid
Tsh
Tsh improvement after levothyroxine
6-8 weeks
3/29/2026
Subclinical hypothyroid
Elevated tsh, normal t4 and free t4
3
03/29/2026
ANSWERS WITH SOLUTIONS
NURS 5461 Quiz 1 (2026) – Complete Questions & Answers
with Solutions, Exams of Nursing
Pernicious anemia
Lack of intrinsic factor, decreased b12
Pernicious anemia s/s
Beefy red tongue, fatigue, paresthesia of hands/feet, fatigue
Macrocytic anemias
Pernicious anemia, folate deficiency anemia >103mm
Causes of macrocytic anemias
Liver disease, low b12 or folate, gastrectomy, malabsorption, alcoholics
Microcytic anemia
Iron deficiency, anemia of chronic disease late stage, lead poisoning, thalassemias,, occult blood in
stool, menorrhagia, <87mm
Normocytic anemia
3/29/2026
Anemia of chronic disease, sickle cell, impaired bone marrow, hemolytic anemia, 87-103mm
1
, NURS 5461 QUIZ 1 (2026) – COMPLETE QUESTIONS &
03/29/2026
ANSWERS WITH SOLUTIONS
Primary storage for iron
Ferritin >100 = normal
Increased ferritin
Inflammatory disease, hepatitis, crf,
Transferrin
Regulates iron absorption and transport in body, low levels = protein malnutrition, >200 is normal
Total iron binding capacity (tibc)
High when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism
High tsh, low t3 and t4
Secondary hypothyroidism
Low tsh, low t3/t4, malfunction of pituitary
3/29/2026
Hashimoto's thyroiditis
Autoimmune thyroiditis, high tsh, low t3/t4
2
, NURS 5461 QUIZ 1 (2026) – COMPLETE QUESTIONS &
03/29/2026
ANSWERS WITH SOLUTIONS
Myxedema
Puffy face with hypothyroid
Grave's disease
Autoimmune disorder leading to hyperthyroidism, antibodies mimicking tsh, high t4/t3
Primary hyperthyroidism
Low tsh high t3,t4
Excessive iodine uptake
Hyperthyroidism
First test for thyroid
Tsh
Tsh improvement after levothyroxine
6-8 weeks
3/29/2026
Subclinical hypothyroid
Elevated tsh, normal t4 and free t4
3
