NURS 6531 FINAL EXAM REVIEW DECK 1 QUESTIONS AND
ANSWERS ALREADY GRADED A+
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? -
(ANSWER)Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated urine (from
excess water resorption), elevated urine osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - (ANSWER)Hypernatremia
Psychogenic polydipsia results in urine that is: - (ANSWER)diluted with low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased urine output,
history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1 over 3 months? -
(ANSWER)Flush the foley catheter to see if urine comes out and assess the patency of the catheter. This
action will unblock clogged sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications should be offered prior
to discharge? - (ANSWER)Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - (ANSWER)hypernatremia, hypokalemia, and
hypertension
What causes Cushing syndrome? - (ANSWER)Increased levels of glucocorticoids, can be exogenous (from
therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - (ANSWER)hypertension, truncal obesity, osteoporosis, skin
fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary adrenocortical insufficiency? -
(ANSWER)Skin hyperpigmentation is present in primary adrenocortical insufficiency
What is Trousseau's sign? - (ANSWER)A carpal spasm elicited by compression of the upper arm with a BP
cuff that indicates hypocalcemia.
, NURS 6531 FINAL EXAM REVIEW DECK 1 QUESTIONS AND
ANSWERS ALREADY GRADED A+
What is Chovstek's sign? - (ANSWER)A hemifacial tic that is induced by tapping the facial nerve below
the maxilla that indicates hypocalcemia.
What is Babinski's sign? - (ANSWER)An upward response (extension) of the hallux when the sole of the
foot is stimulated with a blunt instrument. Can identify spinal cord disease in adults.
What is Romberg's sign? - (ANSWER)Loss of balance in standing when eyes are closed. Usually indicating
a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - (ANSWER)pain on passive dorsiflexion of ankle, associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - (ANSWER)Urinalysis: Specific gravity:
1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - (ANSWER)Damage to alveolar and renal glomerular basement
membranes by cytotoxic antibody.
Initial treatment for Goodpasture's syndrome? - (ANSWER)Hospitalization, pulse dose of steroids, begin
plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - (ANSWER)Ophthalmopathy (lid retraction, scleral show, proptosis)
and hyperthyroidism
What organism causes the formation of a staghorn calculus? - (ANSWER)Proteus mirabilus
ANSWERS ALREADY GRADED A+
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? -
(ANSWER)Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated urine (from
excess water resorption), elevated urine osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - (ANSWER)Hypernatremia
Psychogenic polydipsia results in urine that is: - (ANSWER)diluted with low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased urine output,
history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1 over 3 months? -
(ANSWER)Flush the foley catheter to see if urine comes out and assess the patency of the catheter. This
action will unblock clogged sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications should be offered prior
to discharge? - (ANSWER)Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - (ANSWER)hypernatremia, hypokalemia, and
hypertension
What causes Cushing syndrome? - (ANSWER)Increased levels of glucocorticoids, can be exogenous (from
therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - (ANSWER)hypertension, truncal obesity, osteoporosis, skin
fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary adrenocortical insufficiency? -
(ANSWER)Skin hyperpigmentation is present in primary adrenocortical insufficiency
What is Trousseau's sign? - (ANSWER)A carpal spasm elicited by compression of the upper arm with a BP
cuff that indicates hypocalcemia.
, NURS 6531 FINAL EXAM REVIEW DECK 1 QUESTIONS AND
ANSWERS ALREADY GRADED A+
What is Chovstek's sign? - (ANSWER)A hemifacial tic that is induced by tapping the facial nerve below
the maxilla that indicates hypocalcemia.
What is Babinski's sign? - (ANSWER)An upward response (extension) of the hallux when the sole of the
foot is stimulated with a blunt instrument. Can identify spinal cord disease in adults.
What is Romberg's sign? - (ANSWER)Loss of balance in standing when eyes are closed. Usually indicating
a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - (ANSWER)pain on passive dorsiflexion of ankle, associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - (ANSWER)Urinalysis: Specific gravity:
1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - (ANSWER)Damage to alveolar and renal glomerular basement
membranes by cytotoxic antibody.
Initial treatment for Goodpasture's syndrome? - (ANSWER)Hospitalization, pulse dose of steroids, begin
plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - (ANSWER)Ophthalmopathy (lid retraction, scleral show, proptosis)
and hyperthyroidism
What organism causes the formation of a staghorn calculus? - (ANSWER)Proteus mirabilus
