CMSRN END OF COURSE QUESTIONS AND
ANSWERS SET A+
✔✔Nursing considerations Cushing's Syndrome - ✔✔-body image concerns
-provide measures to protect pt from injury r/t abnormal fat deposition and loss of bone
matrix
-assistive devices
-minimize venous sticks b/c pts bruise easily
-post adrenalectomy: monitor for hypoglycemia and signs of adrenal crisis
✔✔Types of Cushing's Syndrome - ✔✔-Ectopic (occurring in abnormal space): ACTH is
produced somewhere other than the pituitary gland. caused by tumors that release
ACTH
-Exogenous: increased adrenocortical hormones (cortisol) as a result of chronic
corticosteroid therapy
-Adrenal: autonomous cortisol production, such as from an adenoma or tumor in the
adrenal cortex
-Pituitary: caused by a small pituitary tumor (microadenoma) producing ACTH
✔✔Epidermis - ✔✔-Outer layer of skin
-avascular
-consists of five layers on the palms of the hands and soles of the feet and four layers
on the rest of the body
-attached to dermis by dermal papillae and basement membrane
-receives nutrients from dermis
-provides protective barrier between body and external environment
✔✔5 layers of epidermis - ✔✔Stratum germinativum or stratum basale (innermost layer)
Stratum spinosum
Stratum granulosum
Stratum lucidum (specific to the palms of the hands and soles of the feet)
Stratum corneum (outermost layer)
, ✔✔malabsorption syndrome - ✔✔symptom complex of the small intestine characterized
by the impaired passage of nutrients, minerals, or fluids through intestinal villi into the
blood or lymph
✔✔How to differentiate between active and dormant TB infection - ✔✔Sputum culture,
chest xray
✔✔Spondylosis - ✔✔-defect or break in the pars interarticularis (arch between superior
and inferior articulating surfaces of vertebrae)
-most often occurs at L4-5, or L5-S1 vertebrae causing pain in lower lumbar back
-a degenerative disorder that can cause the loss of normal spinal structure and function
✔✔Cardiac output - ✔✔Cardiac output is the amount of blood pumped by each ventricle
in 1 minute, calculated by multiplying the stroke volume by the heart rate. Normal
cardiac output is 4-8 L/min.
✔✔mean arterial pressure - ✔✔-diastolic pressure + 1/3 pulse pressure
-average blood pressure in an individual
-defined as average arterial pressure during a single cardiac cycle
✔✔central venous pressure - ✔✔-venous blood pressure within the right atrium that
influences the pressure in the large peripheral veins
-reflects the amount of blood returning to the heart and the ability of the heart to pump
the blood into the arterial system
✔✔systemic vascular resistance - ✔✔resistance the left ventricle must overcome to
pump blood through the systemic circulation
✔✔Runny nose after head injury - ✔✔rhinorrhea is not an expected occurrence after
head injury and may indicate leaking CSF
CSF is high in glucose
testing the nasal drainage for glucose content can be an indicator that the drainage is
CSF
✔✔hyperthyroidism - ✔✔-disorder of the thyroid gland in which there is a hypersecretion
of thyroid hormones
-neuro changes: tremor, excessive sweating, hyperreflexia, heat intolerance
✔✔layers of the heart wall - ✔✔endocardium: inner
myocardium: middle
epicardium: outer
✔✔hilum region of the lung - ✔✔where the mainstream bronchi, nerves, lymphatic
vessels, and blood vessels enter each lunch
ANSWERS SET A+
✔✔Nursing considerations Cushing's Syndrome - ✔✔-body image concerns
-provide measures to protect pt from injury r/t abnormal fat deposition and loss of bone
matrix
-assistive devices
-minimize venous sticks b/c pts bruise easily
-post adrenalectomy: monitor for hypoglycemia and signs of adrenal crisis
✔✔Types of Cushing's Syndrome - ✔✔-Ectopic (occurring in abnormal space): ACTH is
produced somewhere other than the pituitary gland. caused by tumors that release
ACTH
-Exogenous: increased adrenocortical hormones (cortisol) as a result of chronic
corticosteroid therapy
-Adrenal: autonomous cortisol production, such as from an adenoma or tumor in the
adrenal cortex
-Pituitary: caused by a small pituitary tumor (microadenoma) producing ACTH
✔✔Epidermis - ✔✔-Outer layer of skin
-avascular
-consists of five layers on the palms of the hands and soles of the feet and four layers
on the rest of the body
-attached to dermis by dermal papillae and basement membrane
-receives nutrients from dermis
-provides protective barrier between body and external environment
✔✔5 layers of epidermis - ✔✔Stratum germinativum or stratum basale (innermost layer)
Stratum spinosum
Stratum granulosum
Stratum lucidum (specific to the palms of the hands and soles of the feet)
Stratum corneum (outermost layer)
, ✔✔malabsorption syndrome - ✔✔symptom complex of the small intestine characterized
by the impaired passage of nutrients, minerals, or fluids through intestinal villi into the
blood or lymph
✔✔How to differentiate between active and dormant TB infection - ✔✔Sputum culture,
chest xray
✔✔Spondylosis - ✔✔-defect or break in the pars interarticularis (arch between superior
and inferior articulating surfaces of vertebrae)
-most often occurs at L4-5, or L5-S1 vertebrae causing pain in lower lumbar back
-a degenerative disorder that can cause the loss of normal spinal structure and function
✔✔Cardiac output - ✔✔Cardiac output is the amount of blood pumped by each ventricle
in 1 minute, calculated by multiplying the stroke volume by the heart rate. Normal
cardiac output is 4-8 L/min.
✔✔mean arterial pressure - ✔✔-diastolic pressure + 1/3 pulse pressure
-average blood pressure in an individual
-defined as average arterial pressure during a single cardiac cycle
✔✔central venous pressure - ✔✔-venous blood pressure within the right atrium that
influences the pressure in the large peripheral veins
-reflects the amount of blood returning to the heart and the ability of the heart to pump
the blood into the arterial system
✔✔systemic vascular resistance - ✔✔resistance the left ventricle must overcome to
pump blood through the systemic circulation
✔✔Runny nose after head injury - ✔✔rhinorrhea is not an expected occurrence after
head injury and may indicate leaking CSF
CSF is high in glucose
testing the nasal drainage for glucose content can be an indicator that the drainage is
CSF
✔✔hyperthyroidism - ✔✔-disorder of the thyroid gland in which there is a hypersecretion
of thyroid hormones
-neuro changes: tremor, excessive sweating, hyperreflexia, heat intolerance
✔✔layers of the heart wall - ✔✔endocardium: inner
myocardium: middle
epicardium: outer
✔✔hilum region of the lung - ✔✔where the mainstream bronchi, nerves, lymphatic
vessels, and blood vessels enter each lunch
