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Nurs 502 Exam 2024 | Questions Solved 100% Correct | Verified Solutions
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Nurs 502 Exam 2024 | Questions Solved 100% Correct |Verified Solutions
Immature WBCs are increased in what? - ✔✔Trauma and Leukemias
Someone who participates in strenuous sports like swimming, singles tennis, football,
basketball, or skiing would be at... - ✔✔10 METs
Immature WBCS are decreased in - ✔✔Viral infection, Autoimmune d/o's (SLE), Bone
marrow d/o's (aplastic anemia)
Immature WBCS are seen in severe infection and certain chronic and... - ✔✔acute leukemias
H/H is elevated in what? - ✔✔P. vera, Dehydration, Burns, High altitudes, Smoking/COPD
H/H is decreased in what? - ✔✔Anemias, bleeding, Hemoglobinopathies, DIC, Other bone
marrow d/o's
Iron studies: Fe level norm range is... - ✔✔150-175 mcg/dl
TIBC norm range... - ✔✔250-460 mcg/dl
Ferritin norm values in males is? - ✔✔16-300ng/ml
Ferritin norm values in females is? - ✔✔4-161 ng/ml
,Iron level is increased in what? - ✔✔Hemochromatosis, Multiple transfusions, Lead
poisonings, Hemolytic anemia
Iron level is decreased in what? - ✔✔Fe deficiency, nephrotic syndrome, Hypothyroidism,
Anemia of chronic disease, CRF, Infections
TIBC is increased in what? - ✔✔Fe deficiency anemia, Acute Hepatitis. Pregnancy, Drugs
(BCPs)
TIBC is decreased in what? - ✔✔Low protein states such as nephrotic syndrome and
malnutrition, Anemia of chronic diseases, Hemochromatosis
Increased Ferritin level is seen in? - ✔✔Hemochromatosis, Thalassemia, Multiple blood
transfusions, Chronic inflammatory d/o's
Ferritin level is decreased in - ✔✔Fe deficiency anemia
Methylmalonic Acid norm value is... - ✔✔0-0.47 mcg/dl
What test is better than a Schilling (obsolete) test? - ✔✔Methylmalonic Acid (MMA)
What is elevated in vitamin B12 deficiency? - ✔✔MMA
How is MMA measured? - ✔✔Serum or urine
Is a serum test accurate for MMA in ARF or ESRD? - ✔✔No (it is only accurate if renal fxn is
normal).
, What is the standard method for testing MMA levels? - ✔✔urine MMA, which corrects for
elevated creatinine
Vitamin B12 is decreased in? - ✔✔Pernicious anemia, vegans, IBS, Gastrectomy pts
Norm value of vitamin B12 is - ✔✔180-400 pg/ml
Is a vitamin B12 test a good test? Why or why not? - ✔✔No, because it has a wide range of
normal values
Decreased Folic acid levels are associated with... - ✔✔malnutrition, excess uptake
(pregnancy), hemolytic anemia, Acute leukemias
Drugs that effect folic acid synthesis include... - ✔✔Methotrexate, Dilantin, ETOH
Direct Coombs - ✔✔detects antigens-antibody complexes on the RBC
When considering a stress test, you need to think about... - ✔✔the symptoms, baseline
characteristics, and why you are obtaining a stress test
Direct Coombs test is positive in what? - ✔✔Hemolytic anemia
Reticulocyte Count norm value is? - ✔✔40-135,000/Mcl (absolute numbers)
Absolute value more precise than percentage (1-2%) - ✔✔...
Reticulocyte count is increased in? - ✔✔hemolytic anemia, blood loss anemia
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