Nursing 122 Final Exam Questions With Complete Solutions
• ABGs Correct Answers Arterial blood gas
• Assessment r/t complications of tube feedings Correct
Answers Overfeeding
Diarrhea
Aspiration pneumonia
Refeeding syndrome
Keep HOB elevated
• Assessment r/t constipation causes Correct Answers careful
history and physical examination, followed by appropriate
laboratory and radiological investigations. The tests conducted
are directed by the clinical findings and should be used to
strengthen the diagnosis as well assess the depth of the problem.
• Assessment r/t peptic ulcers Correct Answers Symptoms:
pain, epigastric tenderness, or abdominal distention
Ask about stools (color etc...)
Assesses the patient's vital signs and reports tachycardia and
hypotension
Stool sample
Watch lab values (hemoglobin,hematocrit , CBC)
• Assessment r/t traction Correct Answers -Assess circulation
frequently (patient must do at home)
-Color, temperature, pulse of affected extremity
-Monitor skin (skeletal traction)
-Assess pin sites frequently
-Watch for unusual redness, swelling, purulent drainage, odor
,-Pin site care
-Monitor neurovascular status
-Promote exercise (isometric exercises & ROM) frequently
-Monitor for complications
-Atelectasis and pneumonia
-Constipation and anorexia
-Urinary stasis and infection
-Venous thromboembolism
• Barrett's esophagus Correct Answers Chronic, untreated
GERD.
Chronic exposure to acid changes the cells.
Pre-cancerous.
Patient teaching:
Upper endoscopy (EGD) needed every 6-12 months to detect
malignant changes
• Blood glucose levels Correct Answers o A1C of > 6.5%
o Random BG test of >200 mg/dL coupled with symptoms
o Fasting BG test:
• Normal BG < 100 mg/dL
• Prediabetes BG 100-125 mg/dL
• Diabetes 126 or greater
• Causes of hemorrhoids Correct Answers Straining during
bowel movements.
Sitting for long periods of time on the toilet.
Chronic diarrhea or constipation.
Obesity.
Pregnancy.
Anal intercourse.
, Low-fiber diet.
• Clinical manifestations of acute glomerulonephritis Correct
Answers Hematuria or other change of urine color, edema,
azotemia, proteinuria, edema (periorbital ), & hypertension
• Clinical manifestations of Addison's Correct Answers Muscle
weakness
Fatigue
Anorexia, emaciation
Dark pigmentation
Mucous membranes
Knuckles, knees, elbows
Hypotension
Severe dehydration
R/T mineralocorticoid deficiency
Mental changes
Depression
Apathy
Confusion
• Clinical manifestations of ARF Correct Answers Ill
appearance
Lethargy
Dry skin/mucous membranes
HA
Muscle twitching
Seizures
Oliguria*
Increased BUN/creatinine
Hyperkalemia
• ABGs Correct Answers Arterial blood gas
• Assessment r/t complications of tube feedings Correct
Answers Overfeeding
Diarrhea
Aspiration pneumonia
Refeeding syndrome
Keep HOB elevated
• Assessment r/t constipation causes Correct Answers careful
history and physical examination, followed by appropriate
laboratory and radiological investigations. The tests conducted
are directed by the clinical findings and should be used to
strengthen the diagnosis as well assess the depth of the problem.
• Assessment r/t peptic ulcers Correct Answers Symptoms:
pain, epigastric tenderness, or abdominal distention
Ask about stools (color etc...)
Assesses the patient's vital signs and reports tachycardia and
hypotension
Stool sample
Watch lab values (hemoglobin,hematocrit , CBC)
• Assessment r/t traction Correct Answers -Assess circulation
frequently (patient must do at home)
-Color, temperature, pulse of affected extremity
-Monitor skin (skeletal traction)
-Assess pin sites frequently
-Watch for unusual redness, swelling, purulent drainage, odor
,-Pin site care
-Monitor neurovascular status
-Promote exercise (isometric exercises & ROM) frequently
-Monitor for complications
-Atelectasis and pneumonia
-Constipation and anorexia
-Urinary stasis and infection
-Venous thromboembolism
• Barrett's esophagus Correct Answers Chronic, untreated
GERD.
Chronic exposure to acid changes the cells.
Pre-cancerous.
Patient teaching:
Upper endoscopy (EGD) needed every 6-12 months to detect
malignant changes
• Blood glucose levels Correct Answers o A1C of > 6.5%
o Random BG test of >200 mg/dL coupled with symptoms
o Fasting BG test:
• Normal BG < 100 mg/dL
• Prediabetes BG 100-125 mg/dL
• Diabetes 126 or greater
• Causes of hemorrhoids Correct Answers Straining during
bowel movements.
Sitting for long periods of time on the toilet.
Chronic diarrhea or constipation.
Obesity.
Pregnancy.
Anal intercourse.
, Low-fiber diet.
• Clinical manifestations of acute glomerulonephritis Correct
Answers Hematuria or other change of urine color, edema,
azotemia, proteinuria, edema (periorbital ), & hypertension
• Clinical manifestations of Addison's Correct Answers Muscle
weakness
Fatigue
Anorexia, emaciation
Dark pigmentation
Mucous membranes
Knuckles, knees, elbows
Hypotension
Severe dehydration
R/T mineralocorticoid deficiency
Mental changes
Depression
Apathy
Confusion
• Clinical manifestations of ARF Correct Answers Ill
appearance
Lethargy
Dry skin/mucous membranes
HA
Muscle twitching
Seizures
Oliguria*
Increased BUN/creatinine
Hyperkalemia
