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NURS 5461 Quiz 1 Exam 2026/2027 | Complete Questions & Verified Answers | Advanced Nursing Study Guide

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Complete study guide for NURS 5461 Quiz 1 (2026/2027 Latest Update). Features verified questions and answers covering nutritional assessment (malnutrition types, caloric needs, BMI, obesity), pharmacokinetics in aging, thyroid disorders (hypothyroidism, hyperthyroidism, Grave's disease), hypertension management (JNC 8 guidelines, drug classes), dyslipidemia and statin therapy, diabetes (type 1 and 2, DKA, HHS), anemia classification and workup, dementia types (Alzheimer's, vascular, Lewy body), movement disorders (Parkinson's, essential tremor), and preventive care guidelines (USPSTF, immunizations). Essential for advanced practice nursing students.

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NURS 5461 QUIZ 1 EXAM 2025/2026 –
LATEST QUESTIONS WITH CORRECT
VERIFIED ANSWERS 2026/2027 UPDATED
NURSING

What is Health Literacy - correct answer✔️ "the degree to which individuals
have the capacity to obtain, process, and understand basic health information and
services needed to make appropriate health decisions"



Malnutrition - correct answer✔️ lack of proper nutrition

3 0-50% of hospitalized patients have some sort of poor nutrition



Marasmus malnutrition - correct answer✔️ Body fat and muscle wasting



Kwashiorkor malnutrition - correct answer✔️ Loss of skin turgor, loss of
hair color and softness, edema, enlarged liver and parotids

Depletion of visceral protein mass



Hamwi's method to calculate IBW - correct answer✔️ Men add 106 pounds +
6 pounds for each inch over 5 feet

, Women add 100 pounds + 5 pounds for each inch over 5 feet

Some sources suggest adding 10% for large frame person and subtracting 10% for
small frame person



Skin Fold and Muscle Mass Measurements - correct answer✔️ Mid arm
circumference can be used to estimate body's skeletal mass

Triceps skin fold and subscapular skin fold thickness can be used to estimate
SQ fat reserves



Albumin - correct answer✔️ Accurately reflects visceral protein status in
absence of acute changes in hydration or stress

3 .5-5g/dl



Transferrin - correct answer✔️ Beta globulin that supports iron transport into
plasma

1 50-200 mg/mL mild protein depletion

1 00-149 mg/mL moderate protein depletion

Less than 100 mg/mL severe protein depletion



Subjective Global Assessment - correct answer✔️ • Class A

• <5% weight loss or >5% weight loss but with recent evidence of weight
gain and improved appetite Class B

,• 5-10%weight loss without recent weight gain, poor dietary intake and mild
loss of SQ fat
Class C

• Weight loss of >10% with severe loss of SQ fat and muscle wasting, often
with edema


Caloric Needs - correct 25-30 kcal/kg per day to maintain weight
answer✔️

3 5 kcal/kg to gain weight

2 2-25 kcal/kg to lose
weight
Carbohydrates - correct Main source of energy and should be near
answer✔️ calorie intake 35% of total
Catabolized into glucose and stimulate insulin secretion

1 gram = 4 cal



Protein - correct answer✔️ In healthy adults—daily need it 0.8 g/kg of body
weight

In the acutely ill adult— daily need is 1.5-2 g/kg of body weight

1 gram = 4 cal



Lipids/Fats - correct answer✔️ 1 gram of lipids = 9 calories

Those with an ileal resection are at risk for malabsorption

, Lipolysis is stimulated by steroids, catecholamines and glucagon, but is
prevented by insulin



Which 2 fatty acids are essential? - correct answer✔️ (have to eat)

1. Linolenic

2. Alpha-linolenic




Changes in body composition with age - correct answer✔️ -increase body fat

- decreased plasma volume, total body water, and
extracellular fluid - less water, more fat.


Caloric Requirements of the Older Adult - correct answer✔️ • Useful guide
to calculate calorie needs:

• No stress:• 25 cal/kg/d

• Mild stress [URI; stage 1 or 2 pressure ulcer]: • 30 cal/kg/d

• Moderate stress [UTI; stage 3 ulcer]: • 35 cal/kg/d

• Severe stress [sepsis; stage 4 ulcer]: • 40 cal/kg/d



Obesity BMI - correct answer✔️ Higher BMI > risk for DM, CVD, HLD, HTN, OA



Modest Weight loss of 5% can reduce? - correct answer✔️ Type II diabetes

Cardiovascular disease

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