NEW UPDATE/ Final Exam Review Nurs 6531 Deck 1 WITH CORRECT QUESTIONS AND
ANSWERS FOR 2024 NEW UPDATE/ Final Exam Review Nurs 6531 Deck 1 WITH CORRECT
QUESTIONS AND ANSWERS FOR 2024 NEW UPDATE
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? -
CORRECT ANSWER-Increased production of ADH (antidiuretic hormone), hyponatremia,
concentrated urine (from excess water resorption), elevated urine osmolality, mental status
changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - CORRECT ANSWER-Hypernatremia
Psychogenic polydipsia results in urine that is: - CORRECT ANSWER-diluted with low
osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased urine
output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to
2.1 over 3 months? - CORRECT ANSWER-Flush the foley catheter to see if urine comes out and
assess the patency of the catheter. This action will unblock clogged sediment or biofilm from
chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications should be
offered prior to discharge? - CORRECT ANSWER-Ceftriaxone, azithromycin, Plan B, and
Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - CORRECT ANSWER-hypernatremia,
hypokalemia, and hypertension
What causes Cushing syndrome? - CORRECT ANSWER-Increased levels of glucocorticoids, can
be exogenous (from therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - CORRECT ANSWER-hypertension, truncal obesity,
osteoporosis, skin fragility, and hyperglycemia.
, What differentiates primary adrenocortical insufficiency from secondary adrenocortical
insufficiency? - CORRECT ANSWER-Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign? - CORRECT ANSWER-A carpal spasm elicited by compression of the
upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - CORRECT ANSWER-A hemifacial tic that is induced by tapping the
facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - CORRECT ANSWER-An upward response (extension) of the hallux
when the sole of the foot is stimulated with a blunt instrument. Can identify spinal cord
disease in adults.
What is Romberg's sign? - CORRECT ANSWER-Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - CORRECT ANSWER-pain on passive dorsiflexion of ankle, associated
with DVT.
What is the clinical presentation of Goodpasture's syndrome? - CORRECT ANSWER-Urinalysis:
Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - CORRECT ANSWER-Damage to alveolar and renal
glomerular basement membranes by cytotoxic antibody.