NUR 5461 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What unusual effect have Calcium Channel Blockers shown in male
laboratory rats?.
Answer: They can cause infertility.
◍ What is the consequence of lower albumin levels in elderly patients during
illness?.
Answer: Lower albumin levels result in higher levels of free (unbound)
acidic drugs, increasing potential toxicity.
◍ Hypertensive emergency.
Answer: a situation in which blood pressure is severely elevated and there is
evidence of actual or probable target organ damage
◍ What is the recommended carbohydrate intake as a percentage of total
energy for older adults?.
Answer: 45%-65% of total energy intake per day
◍ What effect does a Very Low-Calorie Diet (VLCD) have on metabolic rate?.
Answer: It causes decreased metabolic rate
◍ Effects of low B12.
Answer: Low Vitamin B12 can cause memory loss,dementia, gait and
balance problems without hematologic sign
◍ Why IPE is important?.
Answer: Widespread errors in the US health system are associatedwith
substantial preventable mortality and morbidity, how care is delivered is as
important as what care isdelivered Strong evidence that patient-centered
care improves & safety and quality and reduces health care costs, Patient
Protection and Affordable Care Act of 2010
,◍ What is the recommended daily fiber intake for men?.
Answer: 30 g/day
◍ What is the impact of aging on albumin levels?.
Answer: Albumin levels are lower in the elderly, especially during illness.
◍ REALM health literacy tool.
Answer: Rapid Estimate of Adult Literacy in Medicine[REALM] consists of
recognizing words & is used to identify those with limited literacy skills&
provide an estimated in reading level . It only estimates the ability to read
medical terms.
◍ What is a third indication for using ambulatory blood pressure monitoring?.
Answer: Hypertension resistant to increasing medications.
◍ Preclempsia.
Answer: diagnosis Sudden onset proteinuria If proteinuria was pre-existing,
then it:Increases from previous levelsIncrease in BP when it was
previouslycontrolledThrombocytopenia [platelets
<100,000cells/mm3]Increase in ALT or AST
◍ What is another indication for using ambulatory blood pressure monitoring?.
Answer: Suspected episodic hypertension (e.g., pheochromocytoma).
◍ Which hormone prevents lipolysis?.
Answer: Insulin
◍ What is the recommendation for breast cancer chemoprevention?.
Answer: Disc. Chemoprevention for high-risk individuals
◍ Protein undernutrition pharmacology intervention.
Answer: NO meds approved by the FDA for the elderly . But hormones are
used sometimes.
◍ What is a risk of refeeding syndrome related to fluid balance?.
Answer: Fluid overload and congestive heart failure (CHF) occur from
insulin-induced Na+ and water reabsorption.
, ◍ What determines the prognosis in wasting?.
Answer: Prognosis is primarily determined by the underlying disease.
◍ DASH (Dietary Approaches to Stop Hypertension).
Answer: a tool to help individuals lower sodium intake and implement the
dietary guidelines
◍ What term describes the elevation of the body temperature without an
increase in the hypothalamic set point?.
Answer: Hyperthermia
◍ Pregnancy chronic hypertension.
Answer: Hypertension present prior to 20 weeks gestation
◍ How do you calculate water intake?.
Answer: 1/2 your body weight in ounces
◍ What supplement should be provided prior to initiating feedings in refeeding
syndrome?.
Answer: Supplemental thiamine.
◍ How does aging affect volume distribution for lipophilic drugs?.
Answer: An increase in fat stores leads to an increase in volume distribution
(Vd) for lipophilic drugs, resulting in more drug being stored in tissues.
◍ What is the recommended daily fiber intake for women?.
Answer: 21 g/day
◍ How does ascites affect the volume of distribution (VD) of hydrophilic
drugs?.
Answer: Ascites alters the volume of distribution of hydrophilic drugs.
◍ Primary hypertension.
Answer: 95-99% of hypertensive people have no identifiable cause for their
HTN Increased peripheral arterial resistance Inappropriate renal retention of
salt and water, Increased endogenous pressor activity
◍ What is the age range for ASA screening in women?.
Answer: Women aged 55-79
QUESTIONS WITH ANSWERS GRADED A+
◍ What unusual effect have Calcium Channel Blockers shown in male
laboratory rats?.
Answer: They can cause infertility.
◍ What is the consequence of lower albumin levels in elderly patients during
illness?.
Answer: Lower albumin levels result in higher levels of free (unbound)
acidic drugs, increasing potential toxicity.
◍ Hypertensive emergency.
Answer: a situation in which blood pressure is severely elevated and there is
evidence of actual or probable target organ damage
◍ What is the recommended carbohydrate intake as a percentage of total
energy for older adults?.
Answer: 45%-65% of total energy intake per day
◍ What effect does a Very Low-Calorie Diet (VLCD) have on metabolic rate?.
Answer: It causes decreased metabolic rate
◍ Effects of low B12.
Answer: Low Vitamin B12 can cause memory loss,dementia, gait and
balance problems without hematologic sign
◍ Why IPE is important?.
Answer: Widespread errors in the US health system are associatedwith
substantial preventable mortality and morbidity, how care is delivered is as
important as what care isdelivered Strong evidence that patient-centered
care improves & safety and quality and reduces health care costs, Patient
Protection and Affordable Care Act of 2010
,◍ What is the recommended daily fiber intake for men?.
Answer: 30 g/day
◍ What is the impact of aging on albumin levels?.
Answer: Albumin levels are lower in the elderly, especially during illness.
◍ REALM health literacy tool.
Answer: Rapid Estimate of Adult Literacy in Medicine[REALM] consists of
recognizing words & is used to identify those with limited literacy skills&
provide an estimated in reading level . It only estimates the ability to read
medical terms.
◍ What is a third indication for using ambulatory blood pressure monitoring?.
Answer: Hypertension resistant to increasing medications.
◍ Preclempsia.
Answer: diagnosis Sudden onset proteinuria If proteinuria was pre-existing,
then it:Increases from previous levelsIncrease in BP when it was
previouslycontrolledThrombocytopenia [platelets
<100,000cells/mm3]Increase in ALT or AST
◍ What is another indication for using ambulatory blood pressure monitoring?.
Answer: Suspected episodic hypertension (e.g., pheochromocytoma).
◍ Which hormone prevents lipolysis?.
Answer: Insulin
◍ What is the recommendation for breast cancer chemoprevention?.
Answer: Disc. Chemoprevention for high-risk individuals
◍ Protein undernutrition pharmacology intervention.
Answer: NO meds approved by the FDA for the elderly . But hormones are
used sometimes.
◍ What is a risk of refeeding syndrome related to fluid balance?.
Answer: Fluid overload and congestive heart failure (CHF) occur from
insulin-induced Na+ and water reabsorption.
, ◍ What determines the prognosis in wasting?.
Answer: Prognosis is primarily determined by the underlying disease.
◍ DASH (Dietary Approaches to Stop Hypertension).
Answer: a tool to help individuals lower sodium intake and implement the
dietary guidelines
◍ What term describes the elevation of the body temperature without an
increase in the hypothalamic set point?.
Answer: Hyperthermia
◍ Pregnancy chronic hypertension.
Answer: Hypertension present prior to 20 weeks gestation
◍ How do you calculate water intake?.
Answer: 1/2 your body weight in ounces
◍ What supplement should be provided prior to initiating feedings in refeeding
syndrome?.
Answer: Supplemental thiamine.
◍ How does aging affect volume distribution for lipophilic drugs?.
Answer: An increase in fat stores leads to an increase in volume distribution
(Vd) for lipophilic drugs, resulting in more drug being stored in tissues.
◍ What is the recommended daily fiber intake for women?.
Answer: 21 g/day
◍ How does ascites affect the volume of distribution (VD) of hydrophilic
drugs?.
Answer: Ascites alters the volume of distribution of hydrophilic drugs.
◍ Primary hypertension.
Answer: 95-99% of hypertensive people have no identifiable cause for their
HTN Increased peripheral arterial resistance Inappropriate renal retention of
salt and water, Increased endogenous pressor activity
◍ What is the age range for ASA screening in women?.
Answer: Women aged 55-79
