NUR 5461 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ cognitive impairment associated with decline in daily activities.
Answer: Dementia
◍ body fat metabolized for energy makes?.
Answer: ketones
◍ Systolic Murmurs.
Answer: Aortic StenosisMitral RegurgitationTricuspid
RegurgitationPulmonic Stenosis
◍ What medicines masks hypoglycemia except for diaphoresis.
Answer: Beta blockers
◍ Assessment of Asthma.
Answer: Asthma control - two domains Assess symptom control over the
last 4 weeks Assess risk factors for poor outcomes, including low lung
functionTreatment issues Check inhaler technique and adherence Ask about
side-effects Does the patient have a written asthma action plan? What are
the patient's attitudes and goals for their asthma?Comorbidities Think of
rhinosinusitis, GERD, obesity, obstructive sleep apnea, depression, anxiety
These may contribute to symptoms and poor quality of life
◍ Increased amygdala reactivity is key factor in what?.
Answer: Panic attacks
◍ Sleep apnea.
Answer: a sleep disorder characterized by temporary cessations of breathing
during sleep and repeated momentary awakenings Central apneas—absent
airflow and respiratory efforts-Neurological diseases Obstructive apneas
[OSA]-Tongue and soft palate fall backward
,◍ What is a good add on medication for stage 5 asthmatics with eosinophilic
asthma.
Answer: anti-IL5 (mepolizumab (SC) or reslizumab (IV)
◍ hyperinsulinemia results in?.
Answer: Thickening in arterial blood vessel walls, renal vasodilation-
microalbuminuria
◍ How to treat stage 2 HTN.
Answer: 2 drug treatment
◍ What medications should be initiated if not already after ACS?.
Answer: After documented ACS, patients should be maintained on aspirin, a
β-blocker, an ACE inhibitor (or ARB), and a statin in the absence of
contraindications
◍ Which SSRI has a long half life and its ok to skip a dose?.
Answer: Fluoxetine (Prozac) SSRI
◍ statins contraindicated with which meds?.
Answer: Niacin or fibrates
◍ pseudohypertension.
Answer: brachial artery sclerotic- BP cuff collapses artery- false high
reading- doesn't respond to treatment
◍ Limbic System: Amygdala.
Answer: Gauge and modulate emotions/ thoughts of death and guilt
◍ What is the primary storage for iron.
Answer: ferritin >100 = normal
◍ carbohydrates.
Answer: main source of energy, 35% of calorie intake
◍ Type of myopathy from statins?.
Answer: rabdo- increased CK from muscle injury
◍ continuous random movement is ?.
, Answer: Chorea
◍ What should consider ICD placement?.
Answer: Patients with NYHA class II or III heart failure, LVEF of 35%, and
life expectancy > 1 year: consider an ICD
◍ After body burns fat for energy, _____ are present in the urine. When
unintentional this is a sign of Type 1 DM.
Answer: Ketones
◍ Bipolar disorder.
Answer: A mood disorder in which the person alternates between the
hopelessness and lethargy of depression and the overexcited state of
mania.Diagnosis of bipolar disorder made when at least one hypomanic
episode or at least one manic episode have occurred—ever
◍ What does insulin do?.
Answer: assists glucose in entering cells
◍ do not make basal insulin Ex. Lantus & Levemir?.
Answer: type 1 DM
◍ A cough can last how long sometimes after a URI?.
Answer: up to 8 weeks
◍ Cough Treatment.
Answer: Treat primary causeGet rid of the source, the cough goes
awaySoothe coughDextromethorophanInhaled meds-
IpratropiumBenzonatateCodeine-last resort
◍ What macronutrient decreases absorption of levodopa?.
Answer: protein
◍ Which lipoprotein carries cholesterol to the vessel wall?.
Answer: LDL-P
◍ Dilated Cardiomyopathy.
Answer: disease of the heart muscle that causes the heart to become
enlarged and to pump less strongly
QUESTIONS WITH SOLUTIONS GRADED A+
◍ cognitive impairment associated with decline in daily activities.
Answer: Dementia
◍ body fat metabolized for energy makes?.
Answer: ketones
◍ Systolic Murmurs.
Answer: Aortic StenosisMitral RegurgitationTricuspid
RegurgitationPulmonic Stenosis
◍ What medicines masks hypoglycemia except for diaphoresis.
Answer: Beta blockers
◍ Assessment of Asthma.
Answer: Asthma control - two domains Assess symptom control over the
last 4 weeks Assess risk factors for poor outcomes, including low lung
functionTreatment issues Check inhaler technique and adherence Ask about
side-effects Does the patient have a written asthma action plan? What are
the patient's attitudes and goals for their asthma?Comorbidities Think of
rhinosinusitis, GERD, obesity, obstructive sleep apnea, depression, anxiety
These may contribute to symptoms and poor quality of life
◍ Increased amygdala reactivity is key factor in what?.
Answer: Panic attacks
◍ Sleep apnea.
Answer: a sleep disorder characterized by temporary cessations of breathing
during sleep and repeated momentary awakenings Central apneas—absent
airflow and respiratory efforts-Neurological diseases Obstructive apneas
[OSA]-Tongue and soft palate fall backward
,◍ What is a good add on medication for stage 5 asthmatics with eosinophilic
asthma.
Answer: anti-IL5 (mepolizumab (SC) or reslizumab (IV)
◍ hyperinsulinemia results in?.
Answer: Thickening in arterial blood vessel walls, renal vasodilation-
microalbuminuria
◍ How to treat stage 2 HTN.
Answer: 2 drug treatment
◍ What medications should be initiated if not already after ACS?.
Answer: After documented ACS, patients should be maintained on aspirin, a
β-blocker, an ACE inhibitor (or ARB), and a statin in the absence of
contraindications
◍ Which SSRI has a long half life and its ok to skip a dose?.
Answer: Fluoxetine (Prozac) SSRI
◍ statins contraindicated with which meds?.
Answer: Niacin or fibrates
◍ pseudohypertension.
Answer: brachial artery sclerotic- BP cuff collapses artery- false high
reading- doesn't respond to treatment
◍ Limbic System: Amygdala.
Answer: Gauge and modulate emotions/ thoughts of death and guilt
◍ What is the primary storage for iron.
Answer: ferritin >100 = normal
◍ carbohydrates.
Answer: main source of energy, 35% of calorie intake
◍ Type of myopathy from statins?.
Answer: rabdo- increased CK from muscle injury
◍ continuous random movement is ?.
, Answer: Chorea
◍ What should consider ICD placement?.
Answer: Patients with NYHA class II or III heart failure, LVEF of 35%, and
life expectancy > 1 year: consider an ICD
◍ After body burns fat for energy, _____ are present in the urine. When
unintentional this is a sign of Type 1 DM.
Answer: Ketones
◍ Bipolar disorder.
Answer: A mood disorder in which the person alternates between the
hopelessness and lethargy of depression and the overexcited state of
mania.Diagnosis of bipolar disorder made when at least one hypomanic
episode or at least one manic episode have occurred—ever
◍ What does insulin do?.
Answer: assists glucose in entering cells
◍ do not make basal insulin Ex. Lantus & Levemir?.
Answer: type 1 DM
◍ A cough can last how long sometimes after a URI?.
Answer: up to 8 weeks
◍ Cough Treatment.
Answer: Treat primary causeGet rid of the source, the cough goes
awaySoothe coughDextromethorophanInhaled meds-
IpratropiumBenzonatateCodeine-last resort
◍ What macronutrient decreases absorption of levodopa?.
Answer: protein
◍ Which lipoprotein carries cholesterol to the vessel wall?.
Answer: LDL-P
◍ Dilated Cardiomyopathy.
Answer: disease of the heart muscle that causes the heart to become
enlarged and to pump less strongly
