NUR-631 FINAL EXAM, PRACTICE EXAM AND
STUDY GUIDE | COMPLETE 2025\2026
ACTUAL EXAM WITH CORRECT VERIFIED
ANSWERS | GUARANTEED A+ EXAM
EXCELLENCE
When considering hemolytic anemia, which statement is true regarding
the occurrence of jaundice?
a. Erythrocytes are destroyed in the spleen.
b. Heme destruction exceeds the liver's ability to conjugate and excrete
bilirubin.
c. The patient has elevations in aspartate transaminase AST and alanine
transaminase ALT.
d. The erythrocytes are coated with an immunoglobulin. - ✔✔✔
Correct Answer > b. Heme destruction exceeds the liver's ability to
conjugate and excrete bilirubin.
,Exp: Jaundice (icterus) is present when heme destruction exceeds the
liver's ability to conjugate and excrete bilirubin. This selection is the
only option that accurately describes the process that affects the
occurrence of hemolytic anemia-related jaundice. page 1000
A patient is diagnosed with pulmonary disease and elevated pulmonary
vascular resistance. Which of the following heart failures may result
from this condition?
a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure - ✔✔✔ Correct Answer > a. Right heart failure
Exp: Right heart failure is defined as the inability of the right ventricle
to provide adequate blood flow into the pulmonary circulation at a
normal central venous pressure. It most often results from the left
heart failure when the increase in left ventricular filling pressure that
is reflected back into the pulmonary circulation is severe enough. As
pressure in the pulmonary circulation rises, the resistance to right
ventricular emptying increases.
,What is the chromosomal variation that causes Klinefelter syndrome?
a. Nondisjunction of the X chromosome in the father
b. Translocation of the X chromosome in the mother
c. Nondisjunction of X chromosome in the mother
d. Translocation of the Y chromosome in the father - ✔✔✔ Correct
Answer > c. Nondisjunction of X chromosome in the mother
Exp: Nondisjunction of the X chromosomes in the mother causes
Klinefelter syndrome in the majority of infants, and the frequency of
the disorder rises with maternal age. The correct option is the only
one that accurately describes the chromosomal variation
characteristic of Klinefelter syndrome. page 148
What physical sign is the result of turbulent blood flow through a
vessel?
a. Increased blood pressure during periods of stress
b. Bounding pulse felt on palpation
c. Cyanosis observed on excretion
, d. Murmur heard on auscultation - ✔✔✔ Correct Answer > d. Murmur
heard on auscultation
Exp: Where flow is obstructed the vessel turns or blood flows over
rough surfaces. The flow becomes turbulent with whorls or eddy
currents that produce noise causing a murmur to be heard on
auscultation such as occurs during blood pressure measurement with
a sphygomanometer. This selection is the only option that accurately
identifies the physical sign of turbulent vascular blood flow. pg 1113
Which congenital heart defects occur in trisomy 13, trisomy 18 and
down syndrome?
a. Coarctation of the aorta and pulmonary stenosis
b. Tetralogy of Fallot and persistent truncus arteriosus
c. Atrial septal defect and dextrocardia
d. Ventricular septal defect and patent ductus arteriosus - ✔✔✔
Correct Answer > d. Ventricular septal defect and patent ductus
arteriosus
Exp: Congenital heart defects that are related to dysfunction of
trisomy 13, trisomy 18 and down syndrome include VSD and PDA see
STUDY GUIDE | COMPLETE 2025\2026
ACTUAL EXAM WITH CORRECT VERIFIED
ANSWERS | GUARANTEED A+ EXAM
EXCELLENCE
When considering hemolytic anemia, which statement is true regarding
the occurrence of jaundice?
a. Erythrocytes are destroyed in the spleen.
b. Heme destruction exceeds the liver's ability to conjugate and excrete
bilirubin.
c. The patient has elevations in aspartate transaminase AST and alanine
transaminase ALT.
d. The erythrocytes are coated with an immunoglobulin. - ✔✔✔
Correct Answer > b. Heme destruction exceeds the liver's ability to
conjugate and excrete bilirubin.
,Exp: Jaundice (icterus) is present when heme destruction exceeds the
liver's ability to conjugate and excrete bilirubin. This selection is the
only option that accurately describes the process that affects the
occurrence of hemolytic anemia-related jaundice. page 1000
A patient is diagnosed with pulmonary disease and elevated pulmonary
vascular resistance. Which of the following heart failures may result
from this condition?
a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure - ✔✔✔ Correct Answer > a. Right heart failure
Exp: Right heart failure is defined as the inability of the right ventricle
to provide adequate blood flow into the pulmonary circulation at a
normal central venous pressure. It most often results from the left
heart failure when the increase in left ventricular filling pressure that
is reflected back into the pulmonary circulation is severe enough. As
pressure in the pulmonary circulation rises, the resistance to right
ventricular emptying increases.
,What is the chromosomal variation that causes Klinefelter syndrome?
a. Nondisjunction of the X chromosome in the father
b. Translocation of the X chromosome in the mother
c. Nondisjunction of X chromosome in the mother
d. Translocation of the Y chromosome in the father - ✔✔✔ Correct
Answer > c. Nondisjunction of X chromosome in the mother
Exp: Nondisjunction of the X chromosomes in the mother causes
Klinefelter syndrome in the majority of infants, and the frequency of
the disorder rises with maternal age. The correct option is the only
one that accurately describes the chromosomal variation
characteristic of Klinefelter syndrome. page 148
What physical sign is the result of turbulent blood flow through a
vessel?
a. Increased blood pressure during periods of stress
b. Bounding pulse felt on palpation
c. Cyanosis observed on excretion
, d. Murmur heard on auscultation - ✔✔✔ Correct Answer > d. Murmur
heard on auscultation
Exp: Where flow is obstructed the vessel turns or blood flows over
rough surfaces. The flow becomes turbulent with whorls or eddy
currents that produce noise causing a murmur to be heard on
auscultation such as occurs during blood pressure measurement with
a sphygomanometer. This selection is the only option that accurately
identifies the physical sign of turbulent vascular blood flow. pg 1113
Which congenital heart defects occur in trisomy 13, trisomy 18 and
down syndrome?
a. Coarctation of the aorta and pulmonary stenosis
b. Tetralogy of Fallot and persistent truncus arteriosus
c. Atrial septal defect and dextrocardia
d. Ventricular septal defect and patent ductus arteriosus - ✔✔✔
Correct Answer > d. Ventricular septal defect and patent ductus
arteriosus
Exp: Congenital heart defects that are related to dysfunction of
trisomy 13, trisomy 18 and down syndrome include VSD and PDA see
