NURSING 201 FINAL EXAM STUDY GUIDE UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. Alcohol and diabetes
Answer:
drink alcohol with meals or close to when drinking w/o food PT @ risk for hypoglycemia
Question:
2. Assessment for nephrotic syndrome
Answer:
o Daily weights o Abdominal girth o Watch for edema, lung sounds, tissue integrity o Dark frothy urine
and decreased urine output @ risk for clotting
Question:
3. Care of a Nephrostomy Tube
Answer:
o NPO o Conscious sedation o Lay on stomach, needle into renal pelvis to drain urine o Can be temporary
or permanent o Changed daily, monitor for infection o Blood in urine first 24 hrs normal o Can be
flushed/irrigated with 5mL saline o Monitor for dehydration **DO NOT clamp**
Question:
4. comfort measures with cystitis
Answer:
o Sitz bath o Peri care, Provide intermittent heat to abdomen, Change brief frequently o Antibiotics (for
chronic UTI), Macrobid, peridium, azo (change urine orange) o Increase fluid to 3L day
Question:
5. Diabetes mellitus type 1
Answer:
o Insulin Dependent o Peak incidence o Weight loss, fatigue, frequent infections o Polyuria, Polydipsia,
Polyphagia o Rapid onset o Family tendencies Typically found in younger/adolescents *** complication -
DKA ***
Question:
6. Diabetes Mellitus type 2
Answer:
o Obese, sedentary lifestyle o Average age of 50 o Hx ‘ BP o Fatigue and “ energy o Recurrent infection o
Polydipsia, Polyuria o Fasting blood glucose (FSB) >126 o Started on oral meds Metformin o Insulin
resistance *** complication - HHS ***
Question:
7. duration for antirejection therapy
Answer:
taken for life Teach PT the importance to take medication, may be able to decrease later on
, Question:
8. Electrolyte changes in Addison's disease
Answer:
o Hyponatremia o Hypotension o Hypoglycemia o Hyperkalemia
Question:
9. Exercise in type 1 diabetes
Answer:
o Check ketones - if ketones in urine do not exercise o Check blood sugar before *** should always have a
snack before exercise ***
Question:
10. Foot care with diabetes
Answer:
o Check feet daily for sores (let doctor know immediately if you have any) o Wear shoes (not tight, check
before putting on) o Keep clean and dry (no lotion between toes) o See a podiatrist *** DO NOT cut nails -
have podiatrist to come in ***
Question:
11. Goals of treatment for urinary calculi
Answer:
o hydration o pain management - Opioids o Flomax, Avodart - to help pass stone o Lithotripsy o Surgical -
MIS & open o Prevent infection and obstruction
Question:
12. How long for AV fistula to heal
Answer:
4-6 weeks given a ball to squeeze to help mature and strengthen it
Question:
13. Interventions for missed hemodialysis
Answer:
o Assess if they understand why they need dialysis Assess for risk factors preventing them from getting to
dialysis
Question:
14. Invasive urologic imaging
Answer:
Bladder scope, irrigation, pyelogram Kidney biopsy Kidney cystoscopy
Question:
15. Non-invasive urologic imaging
Answer:
ultrasound CT, x-ray (pelvis, kidneys, KUB), MAG3, MRI
Question:
16. Renal failure labs ‘
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. Alcohol and diabetes
Answer:
drink alcohol with meals or close to when drinking w/o food PT @ risk for hypoglycemia
Question:
2. Assessment for nephrotic syndrome
Answer:
o Daily weights o Abdominal girth o Watch for edema, lung sounds, tissue integrity o Dark frothy urine
and decreased urine output @ risk for clotting
Question:
3. Care of a Nephrostomy Tube
Answer:
o NPO o Conscious sedation o Lay on stomach, needle into renal pelvis to drain urine o Can be temporary
or permanent o Changed daily, monitor for infection o Blood in urine first 24 hrs normal o Can be
flushed/irrigated with 5mL saline o Monitor for dehydration **DO NOT clamp**
Question:
4. comfort measures with cystitis
Answer:
o Sitz bath o Peri care, Provide intermittent heat to abdomen, Change brief frequently o Antibiotics (for
chronic UTI), Macrobid, peridium, azo (change urine orange) o Increase fluid to 3L day
Question:
5. Diabetes mellitus type 1
Answer:
o Insulin Dependent o Peak incidence o Weight loss, fatigue, frequent infections o Polyuria, Polydipsia,
Polyphagia o Rapid onset o Family tendencies Typically found in younger/adolescents *** complication -
DKA ***
Question:
6. Diabetes Mellitus type 2
Answer:
o Obese, sedentary lifestyle o Average age of 50 o Hx ‘ BP o Fatigue and “ energy o Recurrent infection o
Polydipsia, Polyuria o Fasting blood glucose (FSB) >126 o Started on oral meds Metformin o Insulin
resistance *** complication - HHS ***
Question:
7. duration for antirejection therapy
Answer:
taken for life Teach PT the importance to take medication, may be able to decrease later on
, Question:
8. Electrolyte changes in Addison's disease
Answer:
o Hyponatremia o Hypotension o Hypoglycemia o Hyperkalemia
Question:
9. Exercise in type 1 diabetes
Answer:
o Check ketones - if ketones in urine do not exercise o Check blood sugar before *** should always have a
snack before exercise ***
Question:
10. Foot care with diabetes
Answer:
o Check feet daily for sores (let doctor know immediately if you have any) o Wear shoes (not tight, check
before putting on) o Keep clean and dry (no lotion between toes) o See a podiatrist *** DO NOT cut nails -
have podiatrist to come in ***
Question:
11. Goals of treatment for urinary calculi
Answer:
o hydration o pain management - Opioids o Flomax, Avodart - to help pass stone o Lithotripsy o Surgical -
MIS & open o Prevent infection and obstruction
Question:
12. How long for AV fistula to heal
Answer:
4-6 weeks given a ball to squeeze to help mature and strengthen it
Question:
13. Interventions for missed hemodialysis
Answer:
o Assess if they understand why they need dialysis Assess for risk factors preventing them from getting to
dialysis
Question:
14. Invasive urologic imaging
Answer:
Bladder scope, irrigation, pyelogram Kidney biopsy Kidney cystoscopy
Question:
15. Non-invasive urologic imaging
Answer:
ultrasound CT, x-ray (pelvis, kidneys, KUB), MAG3, MRI
Question:
16. Renal failure labs ‘
