CMSRN UPDATED TEST SET QUESTIONS AND
ANSWERS SET A+
✔✔Raynaud's disease - ✔✔a peripheral arterial occlusive disease in which intermittent
attacks are triggered by cold or stress. women b/w puberty and age 40. white, blue, red
✔✔Therapeutic PTT for Heparin - ✔✔1.5-2.5x normal (times 16-40 seconds). Over 100
is life threatening bleeding risk - stop heparin immediately.
✔✔Hodgkin's lymphoma - ✔✔distinguished from other lymphomas by the presence of
large, cancerous lymphocytes known as Reed-Sternberg cells. ages 15-30, older than
55. associated with viral infections (Ebstein-barr). most treatable good prognosis.
✔✔Hodgkin's lymphoma s/s - ✔✔enlargement of cervical, axillary or inguinal lymph
nodes, anorexia, weight loss, night sweats, malaise, and extreme pruritus. Later- low
grade fever, leukocytosis, respiratory infections, and bone pain
✔✔Leukemia - ✔✔Blood condition of white cells; malignant (cancerous) condition.
uncontrolled proliferation of WBCs. benzene exposure, aplastic anemia drugs, radiation
exposure, downs.
✔✔multiple myeloma - ✔✔malignant tumor of bone marrow cells. two times more likely
in black males ages 50-70. 50% men more likely petroleum related industries
✔✔Acute Lymphocytic Leukemia (ALL) - ✔✔Immature lymphocytes (lymphoblasts)
predominate. This form is seen most often in children and adolescents <5yrs; onset is
sudden. survival rates higher in children, better prognosis
✔✔Acute Myelogenous Leukemia (AML) - ✔✔form of leukemia that arises from
immature bone marrow cells. primarily over age 40. survival improved with autologous
and allogenic bone marrow transplants.
, ✔✔Chronic Lymphocytic Leukemia (CLL) - ✔✔a form of leukemia characterized by
extremely high levels of lymphocytes; most often found in middle-age adults. age 72
common diagnosis. runs long course rarely progresses to acute leukemia.
✔✔Chronic Myelogenous Leukemia (CML) - ✔✔Too many blood cells made in bone
marrow. median age diagnosis is 50. Philadelphia chromosome on genetic screening.
✔✔Non-Hodgkin's Lymphoma - ✔✔the term used to describe all lymphomas other than
Hodgkin's lymphoma
✔✔polycythemia vera - ✔✔condition characterized by too many erythrocytes; blood
becomes too thick to flow easily through blood vessels. median age onset age 65.
medial survival 10-15 years. ruddy complexion.
✔✔thrombocytopenia s/s - ✔✔Petechiae
Bleeding mucous membranes
Malaise, fatigue, weakness
Large blood-filled blisters in the mouth
. if ITP (antibody production): treatment steroids
✔✔Egalitarian theory - ✔✔demands equal distribution of equal resources
✔✔trajectory nursing model - ✔✔Step 1: Identifying the trajectory phase
1Step 2: Identifying the problems and establishing goals
Step 3: Establishing a plan to meet the goals
Step 4: Identifying factors that facilitate or hinder attainment of the goals
Step 5: Implementing interventions
Step 6: Evaluating the effectiveness of the interventions
✔✔Ace inhibitors - ✔✔"PRIL" vastotec, lotensin, capoten, prinivil, zestril.
Antihypertensive. relaxes arteries. promotes excretion of salt, water.
used in: CHF, HTN, decreases risk of CVA/MI
Decrease cardiac workload. decrease Chest pain.
notify MD if taking diuretics prior to lisinopril.
do not take with food.
SE: cough, postural hypotension, fatigue, n/v/d, insomnia, headache. RETAINS
potassium. ANGIOEDEMA
✔✔Alpha blockers - ✔✔Vasodilate by blocking smaller blood vessels cells from
receiving vasoconstriction signals from norepinephrine.
ZOSIN> doxazosin, terazosin, tamsulosin, prazosin.
Treats: HTN, BPH, Reynauds, adrenal gland tumors (pheochromocytoma)
SE: drowsy, nasal congestion, weight gain/edema, orthostatic hypotension (take at
bedtime), sodium (may low Na diet)and water retention.
not usually first line treatment
ANSWERS SET A+
✔✔Raynaud's disease - ✔✔a peripheral arterial occlusive disease in which intermittent
attacks are triggered by cold or stress. women b/w puberty and age 40. white, blue, red
✔✔Therapeutic PTT for Heparin - ✔✔1.5-2.5x normal (times 16-40 seconds). Over 100
is life threatening bleeding risk - stop heparin immediately.
✔✔Hodgkin's lymphoma - ✔✔distinguished from other lymphomas by the presence of
large, cancerous lymphocytes known as Reed-Sternberg cells. ages 15-30, older than
55. associated with viral infections (Ebstein-barr). most treatable good prognosis.
✔✔Hodgkin's lymphoma s/s - ✔✔enlargement of cervical, axillary or inguinal lymph
nodes, anorexia, weight loss, night sweats, malaise, and extreme pruritus. Later- low
grade fever, leukocytosis, respiratory infections, and bone pain
✔✔Leukemia - ✔✔Blood condition of white cells; malignant (cancerous) condition.
uncontrolled proliferation of WBCs. benzene exposure, aplastic anemia drugs, radiation
exposure, downs.
✔✔multiple myeloma - ✔✔malignant tumor of bone marrow cells. two times more likely
in black males ages 50-70. 50% men more likely petroleum related industries
✔✔Acute Lymphocytic Leukemia (ALL) - ✔✔Immature lymphocytes (lymphoblasts)
predominate. This form is seen most often in children and adolescents <5yrs; onset is
sudden. survival rates higher in children, better prognosis
✔✔Acute Myelogenous Leukemia (AML) - ✔✔form of leukemia that arises from
immature bone marrow cells. primarily over age 40. survival improved with autologous
and allogenic bone marrow transplants.
, ✔✔Chronic Lymphocytic Leukemia (CLL) - ✔✔a form of leukemia characterized by
extremely high levels of lymphocytes; most often found in middle-age adults. age 72
common diagnosis. runs long course rarely progresses to acute leukemia.
✔✔Chronic Myelogenous Leukemia (CML) - ✔✔Too many blood cells made in bone
marrow. median age diagnosis is 50. Philadelphia chromosome on genetic screening.
✔✔Non-Hodgkin's Lymphoma - ✔✔the term used to describe all lymphomas other than
Hodgkin's lymphoma
✔✔polycythemia vera - ✔✔condition characterized by too many erythrocytes; blood
becomes too thick to flow easily through blood vessels. median age onset age 65.
medial survival 10-15 years. ruddy complexion.
✔✔thrombocytopenia s/s - ✔✔Petechiae
Bleeding mucous membranes
Malaise, fatigue, weakness
Large blood-filled blisters in the mouth
. if ITP (antibody production): treatment steroids
✔✔Egalitarian theory - ✔✔demands equal distribution of equal resources
✔✔trajectory nursing model - ✔✔Step 1: Identifying the trajectory phase
1Step 2: Identifying the problems and establishing goals
Step 3: Establishing a plan to meet the goals
Step 4: Identifying factors that facilitate or hinder attainment of the goals
Step 5: Implementing interventions
Step 6: Evaluating the effectiveness of the interventions
✔✔Ace inhibitors - ✔✔"PRIL" vastotec, lotensin, capoten, prinivil, zestril.
Antihypertensive. relaxes arteries. promotes excretion of salt, water.
used in: CHF, HTN, decreases risk of CVA/MI
Decrease cardiac workload. decrease Chest pain.
notify MD if taking diuretics prior to lisinopril.
do not take with food.
SE: cough, postural hypotension, fatigue, n/v/d, insomnia, headache. RETAINS
potassium. ANGIOEDEMA
✔✔Alpha blockers - ✔✔Vasodilate by blocking smaller blood vessels cells from
receiving vasoconstriction signals from norepinephrine.
ZOSIN> doxazosin, terazosin, tamsulosin, prazosin.
Treats: HTN, BPH, Reynauds, adrenal gland tumors (pheochromocytoma)
SE: drowsy, nasal congestion, weight gain/edema, orthostatic hypotension (take at
bedtime), sodium (may low Na diet)and water retention.
not usually first line treatment
