NURS 5461 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS VERIFIED ANSWERS
EXAM PREP
◉ Pernicious anemia. Answer: lack of intrinsic factor,
decreased b12
◉ 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
◉ PTU, methimazole. Answer: treat hyperthyroidism-
agranulocytosis and liver disease SE
◉ prevalence of HTN after 65 years of age. Answer: higher in
women
CORRECT ANSWERS VERIFIED ANSWERS
EXAM PREP
◉ Pernicious anemia. Answer: lack of intrinsic factor,
decreased b12
◉ 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
◉ PTU, methimazole. Answer: treat hyperthyroidism-
agranulocytosis and liver disease SE
◉ prevalence of HTN after 65 years of age. Answer: higher in
women
