NURS 5461 MAIN EXAMINATION 2026
QUESTIONS AND ANSWERS SURE A+
✔✔cognitive impairment associated with decline in daily activities - ✔✔Dementia
✔✔Which SSRI has a long half life and its ok to skip a dose? - ✔✔Fluoxetine (Prozac)
SSRI
✔✔The SSRI with the greatest anticholinergic effect - ✔✔Paroxetine
✔✔prolonged QT with higher doses of this med - ✔✔Citalopram
✔✔Pre-albumin - ✔✔>15 is normal
changes rapidly with nutrition status
✔✔low albumin and low cholesterol <160 is indicative of ? - ✔✔poor health status
✔✔What percentage of weightloss is considered a nutritional risk? - ✔✔5% in 1 month
or 10% in 6 months
✔✔caloric needs to maintain weight - ✔✔25-30 kcal/kg
✔✔carbohydrates - ✔✔main source of energy, 35% of calorie intake
✔✔What can help minimize protein catabolism - ✔✔400 calories daily
✔✔protein amt per day for normal adult? - ✔✔0.8g/kg of body weight daily
✔✔protein is? - ✔✔amino acid. Glutamine replacement does not improve recovery
✔✔achlorhydria - ✔✔lack of hydrochloric acid in the stomach, lack of absorption of
nutrients
, ✔✔macronutrients - ✔✔carbohydrates, proteins, and fats
✔✔water intake daily - ✔✔30ml/kg/day
✔✔Increased serum methylmalonic acid and serum homocysteine are ultrasensitive
markers of? - ✔✔B12 deficiency <350
✔✔Thyroid hormones regulates? - ✔✔energy, heat production, facilitate development of
CNS, growth/puberty and it regulates proteins important in liver, cardiac, neuro, muscle
functioning
✔✔Mature Erythrocyte survives for _____ - ✔✔120 days
✔✔What lab helps check bone marrow function? - ✔✔reticulocyte count
✔✔What macronutrient decreases absorption of levodopa? - ✔✔protein
✔✔What Parkinson's med causes liver failure? - ✔✔Tolcapone (COMT Inhibitors)
✔✔Which dopamine agonists has less side effects? - ✔✔Nonergot derivative meds
✔✔chemical messenger that carries and balances signals between neurons, nerve
cells, and other cells of the body? - ✔✔Neurotransmitters
✔✔Risk factors for Alzheimer's - ✔✔decreased acetylcholine and 2 Apo E 4 alleles
✔✔M.M.S.E - ✔✔mini mental state exam
✔✔Early Alzheimer's - ✔✔MMSE 22-28, 1-3 yrs from initial symptoms
✔✔Intermediate Alzheimers? - ✔✔MMSE 18-21, 2-8 yrs from DX, needs help with
ADLs, ambulatory but frequent falls
✔✔Severe Alzheimers? - ✔✔MMSE 0-8,, 6-12 yrs from Dx, no ADLs, incontinent, mute,
LTC
✔✔# of autosomal chromosomes - ✔✔22 pairs
✔✔What carries cholesterol and insoluble molecules? - ✔✔Lipoproteins
✔✔Which lipoprotein carries cholesterol to the vessel wall? - ✔✔LDL-P
QUESTIONS AND ANSWERS SURE A+
✔✔cognitive impairment associated with decline in daily activities - ✔✔Dementia
✔✔Which SSRI has a long half life and its ok to skip a dose? - ✔✔Fluoxetine (Prozac)
SSRI
✔✔The SSRI with the greatest anticholinergic effect - ✔✔Paroxetine
✔✔prolonged QT with higher doses of this med - ✔✔Citalopram
✔✔Pre-albumin - ✔✔>15 is normal
changes rapidly with nutrition status
✔✔low albumin and low cholesterol <160 is indicative of ? - ✔✔poor health status
✔✔What percentage of weightloss is considered a nutritional risk? - ✔✔5% in 1 month
or 10% in 6 months
✔✔caloric needs to maintain weight - ✔✔25-30 kcal/kg
✔✔carbohydrates - ✔✔main source of energy, 35% of calorie intake
✔✔What can help minimize protein catabolism - ✔✔400 calories daily
✔✔protein amt per day for normal adult? - ✔✔0.8g/kg of body weight daily
✔✔protein is? - ✔✔amino acid. Glutamine replacement does not improve recovery
✔✔achlorhydria - ✔✔lack of hydrochloric acid in the stomach, lack of absorption of
nutrients
, ✔✔macronutrients - ✔✔carbohydrates, proteins, and fats
✔✔water intake daily - ✔✔30ml/kg/day
✔✔Increased serum methylmalonic acid and serum homocysteine are ultrasensitive
markers of? - ✔✔B12 deficiency <350
✔✔Thyroid hormones regulates? - ✔✔energy, heat production, facilitate development of
CNS, growth/puberty and it regulates proteins important in liver, cardiac, neuro, muscle
functioning
✔✔Mature Erythrocyte survives for _____ - ✔✔120 days
✔✔What lab helps check bone marrow function? - ✔✔reticulocyte count
✔✔What macronutrient decreases absorption of levodopa? - ✔✔protein
✔✔What Parkinson's med causes liver failure? - ✔✔Tolcapone (COMT Inhibitors)
✔✔Which dopamine agonists has less side effects? - ✔✔Nonergot derivative meds
✔✔chemical messenger that carries and balances signals between neurons, nerve
cells, and other cells of the body? - ✔✔Neurotransmitters
✔✔Risk factors for Alzheimer's - ✔✔decreased acetylcholine and 2 Apo E 4 alleles
✔✔M.M.S.E - ✔✔mini mental state exam
✔✔Early Alzheimer's - ✔✔MMSE 22-28, 1-3 yrs from initial symptoms
✔✔Intermediate Alzheimers? - ✔✔MMSE 18-21, 2-8 yrs from DX, needs help with
ADLs, ambulatory but frequent falls
✔✔Severe Alzheimers? - ✔✔MMSE 0-8,, 6-12 yrs from Dx, no ADLs, incontinent, mute,
LTC
✔✔# of autosomal chromosomes - ✔✔22 pairs
✔✔What carries cholesterol and insoluble molecules? - ✔✔Lipoproteins
✔✔Which lipoprotein carries cholesterol to the vessel wall? - ✔✔LDL-P
