NURS 115 - EXAM ONE QUESTIONS WITH ACCURATE
ANSWERS
Action (Post-op Hand-off) correct answer what actions were taken or are
required? Provide rationale
active immunity correct answer - body's response generating antibodies
Acute care hospitals correct answer complex, high-risk, or emergency surgical
procedures
Acute inflammation correct answer - rapid onset
- short duration
- vasodilation
- increased permeability
- neutrophil infiltration
Age-related risks:
Cardiovascular system correct answer 1. hypertension and hypotension
2. decreased circulation
Age-related risks:
Integumentary system correct answer 1. decreased subcutaneous fat
2. dry, fragile skin leading to slower healing
Age-related risks:
,Musculoskeletal System correct answer 1. inflamed joints leading to swelling and
discomfort
2. arthritic joints
Age-related risks:
Neurological correct answer 1. Impaired cognitive function
2. delayed reactions
3. sensory deficits.
Age-related risks:
Renal and urinary system correct answer 1. decreased kidney function
2. decreased ability to excrete waste
3. incontinence
Age-related risks:
Respiratory system correct answer 1. shortness of breath
2. decreased oxygenation of blood
3. decreased lung elasticity
Aging correct answer cartilage loses elasticity and regenerative capacity with age,
making older adults more vulnerable
AIDS CD4 count correct answer <200 cells/mm³
- without tx survival is typically 1-3 years
,AIDS-defining conditions correct answer 1. cytomegalovirus (Retinitis, colitis,
esophagitis)
2. kaposi sarcoma (vascular tumor of skin and mucous membranes)
3. lymphoma (non-hodgkin lymphoma, burkitt)
4. tuberculosis (aids-defining)
5. heart failure
Ambulatory surgery centers (ASCS) correct answer cost-effective setting for low-
risk elective procedures
Analyze Cues postop correct answer - airway is a priority
- assess for oxygen, need, and intubation
- cardiac and pulmonary complications
- resp. depression
- pain
Analyze Cues: Preoperatively correct answer identify findings that indicate
potentials for complications
1. aspiration
2. infections
3. deep vein thrombosis
Anaphylactic Shock Basis correct answer - mast cell degranulation releases
histamine and other mediators
- vasodilation
- increased vascular permeability
, - profound hypotension
- leads to CV collapse and respiratory failure
Anaphylaxis correct answer - severe, life-threatening systemic allergic reaction
- reexposure to triggering antigen
Anaphylaxis Diagnostics correct answer 1. serum tryptase
2. IgE levels
3. skin testing and allergic specific IgE testing identify triggers
Anaphylaxis GI manifestations correct answer 1. n/v
2. cramping
3. diarrhea from smooth muscle contraction
Anaphylaxis Health Promotion and Prevention correct answer - must carry
prescribed epinephrine auto-injectors (EpiPens)
- medical alert ID
- allergen avoidance
Anaphylaxis High-risk populations correct answer 1. asthma and chronic lung
disease
2. beta blockers (reduces effectiveness of anaphylaxis tx)
3. alpha adrenergic blockers (Impair the vasoconstriction response
necessary to reverse)
4. mastocytosis (inc mediator release during allergic rxns)
ANSWERS
Action (Post-op Hand-off) correct answer what actions were taken or are
required? Provide rationale
active immunity correct answer - body's response generating antibodies
Acute care hospitals correct answer complex, high-risk, or emergency surgical
procedures
Acute inflammation correct answer - rapid onset
- short duration
- vasodilation
- increased permeability
- neutrophil infiltration
Age-related risks:
Cardiovascular system correct answer 1. hypertension and hypotension
2. decreased circulation
Age-related risks:
Integumentary system correct answer 1. decreased subcutaneous fat
2. dry, fragile skin leading to slower healing
Age-related risks:
,Musculoskeletal System correct answer 1. inflamed joints leading to swelling and
discomfort
2. arthritic joints
Age-related risks:
Neurological correct answer 1. Impaired cognitive function
2. delayed reactions
3. sensory deficits.
Age-related risks:
Renal and urinary system correct answer 1. decreased kidney function
2. decreased ability to excrete waste
3. incontinence
Age-related risks:
Respiratory system correct answer 1. shortness of breath
2. decreased oxygenation of blood
3. decreased lung elasticity
Aging correct answer cartilage loses elasticity and regenerative capacity with age,
making older adults more vulnerable
AIDS CD4 count correct answer <200 cells/mm³
- without tx survival is typically 1-3 years
,AIDS-defining conditions correct answer 1. cytomegalovirus (Retinitis, colitis,
esophagitis)
2. kaposi sarcoma (vascular tumor of skin and mucous membranes)
3. lymphoma (non-hodgkin lymphoma, burkitt)
4. tuberculosis (aids-defining)
5. heart failure
Ambulatory surgery centers (ASCS) correct answer cost-effective setting for low-
risk elective procedures
Analyze Cues postop correct answer - airway is a priority
- assess for oxygen, need, and intubation
- cardiac and pulmonary complications
- resp. depression
- pain
Analyze Cues: Preoperatively correct answer identify findings that indicate
potentials for complications
1. aspiration
2. infections
3. deep vein thrombosis
Anaphylactic Shock Basis correct answer - mast cell degranulation releases
histamine and other mediators
- vasodilation
- increased vascular permeability
, - profound hypotension
- leads to CV collapse and respiratory failure
Anaphylaxis correct answer - severe, life-threatening systemic allergic reaction
- reexposure to triggering antigen
Anaphylaxis Diagnostics correct answer 1. serum tryptase
2. IgE levels
3. skin testing and allergic specific IgE testing identify triggers
Anaphylaxis GI manifestations correct answer 1. n/v
2. cramping
3. diarrhea from smooth muscle contraction
Anaphylaxis Health Promotion and Prevention correct answer - must carry
prescribed epinephrine auto-injectors (EpiPens)
- medical alert ID
- allergen avoidance
Anaphylaxis High-risk populations correct answer 1. asthma and chronic lung
disease
2. beta blockers (reduces effectiveness of anaphylaxis tx)
3. alpha adrenergic blockers (Impair the vasoconstriction response
necessary to reverse)
4. mastocytosis (inc mediator release during allergic rxns)
