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NURS 3366 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

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NURS 3366 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

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A patient comes in with chest pain radiating down their left arm. They are most likely
having a heart attack. What is the likely cause of this heart attack? It is a silent killer
that affects most Americans.


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, hypertension
- higher pressures cause hypertrophy, which increases the workload on the
heart
- cause MI due to ischemia of some coronary arteries




Coronary artery disease is correlated to high levels of ______________ and ___________, which
are related to an inflammatory response. When would a person's angina stop?


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homocysteine, CRP
- angina would go away when resting, or with nitroglycerine




What are the nutritional problems caused by cirrhosis?


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- no bile salts: cannot absorb fats or make fat soluble vitamins
- no cholesterol metabolism
- cannot store glucose as glycogen (hypoglycemia)




A patient with heart failure would be suspected to have what kind of AKI? Why?


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, pre-renal, due to decreased cardiac output
- causes lack of blood flow to the kidneys
- can become intrarenal if something is not done




What signs and symptoms would be associated with a lower GI bleed?


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- jejunum, ilium, or colon
- blood in stool
- NOT digested blood




A child gets their antibodies from their mother during breast feeding. What kind of
immunity is this?


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natural passive immunity




A patient comes in exhibiting signs and symptoms of Grave's. What signs and
symptoms would lead you to believe they have entered crisis state?


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, thyroid storm
- extreme tachycardia, HF, shock, 103-105, agitation, delirium, seizures
- due to very high metabolism
Lab: T4 high, TSH low




What are varices and what do they cause in relation to cirrhosis?


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- enlarged veins due to back-up of blood from venous backflow
- commons in the esophagus and the rectal area




A patient comes into the ER with left-sided paresis. They are having a right
hemispheric ischemic brain attack. What is the reasoning for the opposite-side
symptoms?


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- due to decussation of the corticospinal tract
- symptoms appear on the contralateral side




A patient comes in after vomiting all night. They are in a fluid volume deficit. What are
their signs and symptoms that prove this?


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water flows from T --> B
- poor skin turgor
- dry mucous membranes

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