CISSN Exam
Exam Coverage
The exam coverage includes advanced nursing concepts assessed in
NUR 198 Nursing Practice Exam 4. It focuses on the management of
complex patient conditions across major body systems, including
cardiovascular, respiratory, neurological, and endocrine disorders. The
exam also evaluates understanding of pharmacologic therapies,
nursing interventions, patient safety, and prevention of complications.
Emphasis is placed on clinical judgment, prioritization of care,
interpretation of diagnostic data, and the application of evidence-
based nursing practices to support safe and effective patient
outcomes.
,Explain how carnosine is synthesized within the body
- carnosine (B-alanyl Histidine) is made in the body from histidine and
B-alanine via an energy dependent reaction cartelized by carnosine
synthetase
-found in skeletal muscle, cardiac muscle, brain, kidney, and stomach
-available in meats and absorbed in intestine via peptide transporters
- antioxidant activity (hydroxyl and superoxide radical) and oppose
glycation
- suppress lipid peroxidation and react with protein carbonyl
- regulates intracellular calcium and contractility in muscle
- primarily, carnosine with pH buffering capacity is widely used in the
field of sports nutrition. Because the dissociation exponent (pKa) of
carnosine is 6.83, it is suggested that carnosine attenuates the
reduction in blood pH by a large amount of H+ originating from the
,dissociation of lactic acid during strenuous exercise, and suppresses a
loss of force
What is a waxy maize starch and what effect does it have on blood
glucose?
- a highly branched starch called amylopectin. Water soluble and
absorbed by the gut more quickly than dextrose or maltodextrin,
research has not substantiated this claim.
-has been shown to be absorbed with less insulin, allowing ketogenic
affects to remain, increase both glycogen and FFA substrate utilization
, Based on recent studies, which vitamin shows evidence of positively
affecting muscle function?
Vitamin D
What is needed for gluconeogenesis in humans? Give examples of
gluconeogenic precursors?
Gluconeogenesis relies upon lactate, pyruvate, glycerol (a catabolic
product of triglycerols) and certain amino acids (glutamine and
alanine)
Exam Coverage
The exam coverage includes advanced nursing concepts assessed in
NUR 198 Nursing Practice Exam 4. It focuses on the management of
complex patient conditions across major body systems, including
cardiovascular, respiratory, neurological, and endocrine disorders. The
exam also evaluates understanding of pharmacologic therapies,
nursing interventions, patient safety, and prevention of complications.
Emphasis is placed on clinical judgment, prioritization of care,
interpretation of diagnostic data, and the application of evidence-
based nursing practices to support safe and effective patient
outcomes.
,Explain how carnosine is synthesized within the body
- carnosine (B-alanyl Histidine) is made in the body from histidine and
B-alanine via an energy dependent reaction cartelized by carnosine
synthetase
-found in skeletal muscle, cardiac muscle, brain, kidney, and stomach
-available in meats and absorbed in intestine via peptide transporters
- antioxidant activity (hydroxyl and superoxide radical) and oppose
glycation
- suppress lipid peroxidation and react with protein carbonyl
- regulates intracellular calcium and contractility in muscle
- primarily, carnosine with pH buffering capacity is widely used in the
field of sports nutrition. Because the dissociation exponent (pKa) of
carnosine is 6.83, it is suggested that carnosine attenuates the
reduction in blood pH by a large amount of H+ originating from the
,dissociation of lactic acid during strenuous exercise, and suppresses a
loss of force
What is a waxy maize starch and what effect does it have on blood
glucose?
- a highly branched starch called amylopectin. Water soluble and
absorbed by the gut more quickly than dextrose or maltodextrin,
research has not substantiated this claim.
-has been shown to be absorbed with less insulin, allowing ketogenic
affects to remain, increase both glycogen and FFA substrate utilization
, Based on recent studies, which vitamin shows evidence of positively
affecting muscle function?
Vitamin D
What is needed for gluconeogenesis in humans? Give examples of
gluconeogenic precursors?
Gluconeogenesis relies upon lactate, pyruvate, glycerol (a catabolic
product of triglycerols) and certain amino acids (glutamine and
alanine)
