NR545 FINAL EXAM QUESTIONS AND
ANSWERS
Appendicitis Patho - Answer-Inflammation and infection in the appendix
Appendicitis Symptoms - Answer-Initially causes periumbilical pain, then N/V, and finally
severe and localized pain to the lower right quadrant.
McBurney's point - Answer-with the client in supine position, slowly apply pressure over
the McBurney’s point and quickly release; if there is severe pain when the pressure is
released, it may indicate appendicitis.
Appendicitis Treatment - Answer-Surgical removal of the appendix and abx treatment
Melena - Answer-black tarry stool. Comes from bleeding in upper GI. Sign of older
blood in your stool.
Suspicion for a slow GI bleed.
Hypothyroidism Patho - Answer-Low levels of thyroid hormones; common causes
include Hashimoto's disease, thyroiditis, congenital hypothyroidism, surgical removal of
part or all of the thyroid.
Hypothyroidism Symptoms - Answer-Fatigue
weight gain
cold intolerance
joint and muscle pain
dy skin
dry thinning hair
decreased HR
Depression
More common in women than men
Hypothyroidism Treatment - Answer-Hormone replacement with levothyroxine
Hyperthyroidism Patho - Answer-Overproduction of thyroid hormones
Common Causes include Grave's Disease, overactive thyroid nodules, and thyroiditis
Hyperthyroidism Symptoms - Answer-Nervousness
irritability
Fatigue or muscle weakness
Heat intolerance
trouble sleeping
Shaky hands
increased or irregular heart rate
ANSWERS
Appendicitis Patho - Answer-Inflammation and infection in the appendix
Appendicitis Symptoms - Answer-Initially causes periumbilical pain, then N/V, and finally
severe and localized pain to the lower right quadrant.
McBurney's point - Answer-with the client in supine position, slowly apply pressure over
the McBurney’s point and quickly release; if there is severe pain when the pressure is
released, it may indicate appendicitis.
Appendicitis Treatment - Answer-Surgical removal of the appendix and abx treatment
Melena - Answer-black tarry stool. Comes from bleeding in upper GI. Sign of older
blood in your stool.
Suspicion for a slow GI bleed.
Hypothyroidism Patho - Answer-Low levels of thyroid hormones; common causes
include Hashimoto's disease, thyroiditis, congenital hypothyroidism, surgical removal of
part or all of the thyroid.
Hypothyroidism Symptoms - Answer-Fatigue
weight gain
cold intolerance
joint and muscle pain
dy skin
dry thinning hair
decreased HR
Depression
More common in women than men
Hypothyroidism Treatment - Answer-Hormone replacement with levothyroxine
Hyperthyroidism Patho - Answer-Overproduction of thyroid hormones
Common Causes include Grave's Disease, overactive thyroid nodules, and thyroiditis
Hyperthyroidism Symptoms - Answer-Nervousness
irritability
Fatigue or muscle weakness
Heat intolerance
trouble sleeping
Shaky hands
increased or irregular heart rate
