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