NURS 358 Final Exam Practice Exam (PDF) | Latest
Update 2026/27 | A+ Verified | Instant Pdf Download
1. If the right side of the heart fails, what immediate effect would this have on the body's
.. .. .. . .. .. .. .. .. .. .. .. .. .. .. ..
oxygen levels?
. ..
. . Oxygen levels would increase as blood flow to the body improves.
.. .. .. .. .. .. .. .. .. ..
. . Oxygen levels would remain unchanged as blood flow is redirected.
.. .. .. .. .. .. .. .. ..
.. Oxygen levels would decrease due to inadequate blood flow to the lungs.
. . . . . . . . . . ..
. . Oxygen levels would fluctuate without significant impact.
.. .. .. .. .. ..
2. What is the primary effect of glomerulonephritis on kidney function?
.. . .. .. .. .. .. .. .
. . Increases urine production .. ..
. . Improves renal blood flow .. .. ..
. . Enhances electrolyte reabsorption .. ..
. . Reduces the glomerular filtration rate (GFR)
.. .. . .. ..
3. Which of the following is a common complication of polycystic kidney disease?
.. .. .. .. .. .. .. .. .. .. ..
. . increased heart rate .. ..
. . increased urine production .. ..
. . low blood pressure
.. ..
. . hypertension
4. What are the primary causes of hypovolemic shock?
.. .. .. .. .. .. ..
, . . Loss of blood or plasma due to hemorrhage, burns, dehydration, or peritonitis
. . . . . . . . . . ..
. . Cardiac arrhythmias ..
. . Obstruction of blood flow .. .. ..
. . Infection and inflammation .. ..
5. What is the function of the motor cortex?
.. .. .. .. .. .. .
. . Provide nutrients. ..
. . area of the frontal lobe that controls voluntary skeletal movements
.. .. .. .. .. .. .. .. ..
. . receive information from the opposite ear.
.. .. .. .. ..
. . formation of new neurons. .. .. ..
6. True about Nephrolithiasi?
.. .
. . Occurs commonly, with 5% lifetime risk
.. .. .. .. ..
. . Formation of crystalline stones within the kidney and ureters
.. .. .. .. .. .. .. ..
. . Commonly made up of calcium oxalate(80%); or struvite and uric acid
.. .. .. .. .. .. .. .. .. ..
. . all of the above
.. .. ..
7. Describe the role of supportive care in the management of neurogenic shock.
.. .. .. .. .. .. .. .. .. .. ..
.. Supportive care is crucial in neurogenic shockas it helps stabilize blood
. . . . . . . . . . ..
pressure and ensures adequate oxygenation to vital organs.
. . . . . . . .
. . Supportive care involves only administering fluids without monitoring vital signs.
. .. . . . . . .. ..
. . Supportive care is only necessary if the patient shows signs of infection.
.. .. . . . . .. . .. . ..
, . . Supportive care is not effective in managing neurogenic shock. .. .. .. .. .. .. .. ..
8. Describe how acetylcholinesterase inhibitors alleviate symptoms in patients with
.. .. .. .. .. .. .. ..
Myasthenia Gravis.
. .
.. They increase the production of acetylcholine, leading to stronger muscle
. .. .. .. . . .. .. ..
.contractions.
.. They block the receptors for acetylcholine, preventing muscle activation.
. . .. . . . . ..
. . They improve nerve signal transmission by preventing acetylcholine
. .. .. . .. . .
.. breakdown, which reduces muscle weakness. .. .. .. ..
.. They enhance muscle fiber regeneration, improving overall muscle strength.
.. .. .. . .. .. .. ..
9. What is true about hydronephrosis?
.. .. .. ..
. . all of the above are true
.. .. .. .. ..
. . can be caused by obstruction
.. .. .. ..
. . swelling of the renal pelvis .. .. .. ..
. . kidneys produce urine despite backup of urine in tract
.. .. .. .. .. .. .. ..
10. What is the typical outcome of acute renal failure if the underlying issue is addressed?
. . .. . .. . . . . .. .. .. .. ..
.. Irreversible
. . Permanent
. . Chronic
. . Reversible
11. What is the motor cortex?
. . .. .
, . . It takes care of the decision making part of the brain.
.. .. .. .. .. .. .. .. .. ..
. . It is responsible for the start of all voluntary muscle movement.
.. .. .. . .. .. .. . .. ..
.. It shows particular areas of the cortex that are responsible for the body's movements.
. . . . . . . . . . . .. .
. . It allows us to perform muscle movements and emotional behaviors.
.. .. .. .. .. .. .. .. ..
12. What surgical procedure is primarily used to treat renal cell carcinoma?
. . .. .. .. .. .. .. . ..
.. Chemotherapy
. . Nephrectomy
. . Laparoscopy
. . Biopsy
13. Describe how a decrease in glomerularfiltration rate (GFR) due to
.. .. . .. .. . .. .. .. ..
glomerulonephritis impacts overall kidney function.
.. . . . .
. . Adecrease in GFR leads to impaired waste elimination and fluid balance.
. . . . . . . . . . ..
. . Adecrease in GFR enhances the kidney's ability to filter blood.
. .. .. .. .. .. .. .. .. ..
. . A decrease in GFR has no significant effect on kidney function.
.. .. .. .. .. .. .. .. .. ..
. . Adecrease in GFR increases the production of urine.
. .. .. .. .. .. .. ..
14. If a patient with neurogenic shock is not responding to initial supportive care, what would
.. . .. .. .. . .. .. .. .. . .. .. ..
be the next step in management?
.. .. .. .. .. ..
.. Consider advanced interventions such as vasopressors tofurther stabilize. . . . . . . ..
.. blood pressure. ..
. . Increase fluid intake without monitoring blood pressure. .. .. .. .. .. ..
. . Discontinue all medications and observe the patient. .. .. .. .. .. ..
Update 2026/27 | A+ Verified | Instant Pdf Download
1. If the right side of the heart fails, what immediate effect would this have on the body's
.. .. .. . .. .. .. .. .. .. .. .. .. .. .. ..
oxygen levels?
. ..
. . Oxygen levels would increase as blood flow to the body improves.
.. .. .. .. .. .. .. .. .. ..
. . Oxygen levels would remain unchanged as blood flow is redirected.
.. .. .. .. .. .. .. .. ..
.. Oxygen levels would decrease due to inadequate blood flow to the lungs.
. . . . . . . . . . ..
. . Oxygen levels would fluctuate without significant impact.
.. .. .. .. .. ..
2. What is the primary effect of glomerulonephritis on kidney function?
.. . .. .. .. .. .. .. .
. . Increases urine production .. ..
. . Improves renal blood flow .. .. ..
. . Enhances electrolyte reabsorption .. ..
. . Reduces the glomerular filtration rate (GFR)
.. .. . .. ..
3. Which of the following is a common complication of polycystic kidney disease?
.. .. .. .. .. .. .. .. .. .. ..
. . increased heart rate .. ..
. . increased urine production .. ..
. . low blood pressure
.. ..
. . hypertension
4. What are the primary causes of hypovolemic shock?
.. .. .. .. .. .. ..
, . . Loss of blood or plasma due to hemorrhage, burns, dehydration, or peritonitis
. . . . . . . . . . ..
. . Cardiac arrhythmias ..
. . Obstruction of blood flow .. .. ..
. . Infection and inflammation .. ..
5. What is the function of the motor cortex?
.. .. .. .. .. .. .
. . Provide nutrients. ..
. . area of the frontal lobe that controls voluntary skeletal movements
.. .. .. .. .. .. .. .. ..
. . receive information from the opposite ear.
.. .. .. .. ..
. . formation of new neurons. .. .. ..
6. True about Nephrolithiasi?
.. .
. . Occurs commonly, with 5% lifetime risk
.. .. .. .. ..
. . Formation of crystalline stones within the kidney and ureters
.. .. .. .. .. .. .. ..
. . Commonly made up of calcium oxalate(80%); or struvite and uric acid
.. .. .. .. .. .. .. .. .. ..
. . all of the above
.. .. ..
7. Describe the role of supportive care in the management of neurogenic shock.
.. .. .. .. .. .. .. .. .. .. ..
.. Supportive care is crucial in neurogenic shockas it helps stabilize blood
. . . . . . . . . . ..
pressure and ensures adequate oxygenation to vital organs.
. . . . . . . .
. . Supportive care involves only administering fluids without monitoring vital signs.
. .. . . . . . .. ..
. . Supportive care is only necessary if the patient shows signs of infection.
.. .. . . . . .. . .. . ..
, . . Supportive care is not effective in managing neurogenic shock. .. .. .. .. .. .. .. ..
8. Describe how acetylcholinesterase inhibitors alleviate symptoms in patients with
.. .. .. .. .. .. .. ..
Myasthenia Gravis.
. .
.. They increase the production of acetylcholine, leading to stronger muscle
. .. .. .. . . .. .. ..
.contractions.
.. They block the receptors for acetylcholine, preventing muscle activation.
. . .. . . . . ..
. . They improve nerve signal transmission by preventing acetylcholine
. .. .. . .. . .
.. breakdown, which reduces muscle weakness. .. .. .. ..
.. They enhance muscle fiber regeneration, improving overall muscle strength.
.. .. .. . .. .. .. ..
9. What is true about hydronephrosis?
.. .. .. ..
. . all of the above are true
.. .. .. .. ..
. . can be caused by obstruction
.. .. .. ..
. . swelling of the renal pelvis .. .. .. ..
. . kidneys produce urine despite backup of urine in tract
.. .. .. .. .. .. .. ..
10. What is the typical outcome of acute renal failure if the underlying issue is addressed?
. . .. . .. . . . . .. .. .. .. ..
.. Irreversible
. . Permanent
. . Chronic
. . Reversible
11. What is the motor cortex?
. . .. .
, . . It takes care of the decision making part of the brain.
.. .. .. .. .. .. .. .. .. ..
. . It is responsible for the start of all voluntary muscle movement.
.. .. .. . .. .. .. . .. ..
.. It shows particular areas of the cortex that are responsible for the body's movements.
. . . . . . . . . . . .. .
. . It allows us to perform muscle movements and emotional behaviors.
.. .. .. .. .. .. .. .. ..
12. What surgical procedure is primarily used to treat renal cell carcinoma?
. . .. .. .. .. .. .. . ..
.. Chemotherapy
. . Nephrectomy
. . Laparoscopy
. . Biopsy
13. Describe how a decrease in glomerularfiltration rate (GFR) due to
.. .. . .. .. . .. .. .. ..
glomerulonephritis impacts overall kidney function.
.. . . . .
. . Adecrease in GFR leads to impaired waste elimination and fluid balance.
. . . . . . . . . . ..
. . Adecrease in GFR enhances the kidney's ability to filter blood.
. .. .. .. .. .. .. .. .. ..
. . A decrease in GFR has no significant effect on kidney function.
.. .. .. .. .. .. .. .. .. ..
. . Adecrease in GFR increases the production of urine.
. .. .. .. .. .. .. ..
14. If a patient with neurogenic shock is not responding to initial supportive care, what would
.. . .. .. .. . .. .. .. .. . .. .. ..
be the next step in management?
.. .. .. .. .. ..
.. Consider advanced interventions such as vasopressors tofurther stabilize. . . . . . . ..
.. blood pressure. ..
. . Increase fluid intake without monitoring blood pressure. .. .. .. .. .. ..
. . Discontinue all medications and observe the patient. .. .. .. .. .. ..
