CNUR 203 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔How long do you take PREP for? - ✔✔A week
✔✔What percentage of lupus sufferers are women? - ✔✔90%
✔✔What triggers the onset of lupus? - ✔✔Causes unknown - but An interaction
between genetics, hormones, environment and the immune system
✔✔What are some known triggers for systemic lupus? - ✔✔Sun exposure, burns,
medications, smoking, estrogen fluctuation and infectious agents
✔✔What are formed by the immune system in lupus? - ✔✔Antinuclear antibodies which
bind to nuclear antigens and form antigen-antibody complexes which travel and cause
tissue damage
✔✔What history may indicate lupus? - ✔✔Discoid rash, malar rash, arthritis of _> 2
joints w/tenderness, oral ulcers, renal disorder, heme disorder, photosensitivity
✔✔How is lupus diagnosed? - ✔✔blood test for antibody titres ( antinuclear antibodies
ect), C- reactive protein, renal panel, X-ray of affected joints, ECG, LE cell prep test-
and 4/11 lupus criteria met
✔✔What is Palmer erythema? - ✔✔redness of palms
✔✔What are clinical ma infestations of lupus? - ✔✔Fever, weightloss, fatigue,
cardiopulmonary issues; dysrhythmias, pneumonia, renal issues; acute or chronic
kidney injury, potential or neuro issues; seizures, neuropathy, stroke, meningitis ,
depression/anxiety and others
✔✔What are dermatological and musculoskeletal manifestations of lupus? - ✔✔Discoid
lesions, alopecia, oral or nasal lessons- for skeletal; morning stiffness, diffuse swelling,
polyarthralgia, and deformities ( swan neck, ulnar deviation)
✔✔What are the goals of lupus treatment? - ✔✔Manage pain, decrease symptoms,
avoid exacerbations, balance activity and rest
✔✔What is a positive of DMARDs use? - ✔✔Decreased inflammation and decrease
long term joint damage.
✔✔What is an example of a DMARD? - ✔✔Methotrexate
, ✔✔What do antimalarial drugs do for lupus? - ✔✔Decrease fatigue, treats skin and joint
inflammations/ manifestations
✔✔When are immunosuppressants used for lupus? - ✔✔Severe cases
✔✔What are indications for surgery? - ✔✔For diagnosis, cure or repair, palliative,
prevention, cosmetic improvement, exploration
✔✔What is consent required for? - ✔✔Surgery, procedures, blood transfusions and
blood testing
✔✔What is included in "informed consent" ? - ✔✔Risk benefit, planned procedure,
expected outcome/results and alternative treatments, consequences of declining
surgery
✔✔What happens to consent in an emergency situation? - ✔✔There is implied consent
to preserve life and decrease suffering
✔✔When is the pre-op assessment for a scheduled surgery? - ✔✔2-3 weeks before
surgery at the pre-op clinic
✔✔What is done just prior to pt. Going to OR? - ✔✔V/S, allergies, ID band on, consent
signed, chart w MAR go to OR, pt voids, NPO since when?, underwear, dentures,
contacts, Jewelery removed or taped and documented, pre op labs completed and pre-
op meds given!
✔✔What are 6 components of preventing surgical site infections? - ✔✔Hair removal (do
it o/s OR!-
No razors)
Prophylactic antibiotics <30 min before incision
Skin prep- chlorhexidine +alcohol
Normothermia- warmed IV, blankets ect
Blood glucose control
SPo2 > 95%
✔✔What is an OR team comprised of? - ✔✔Surgeon, Surgical assist, scrub nurse,
anesthetist, 2 circulating nurses
✔✔What is the scrub nurse responsible for? - ✔✔1. Gown and glove the surgeon
2. Load the needle drivers
3. Drapes the mayo stand
4. Drapes the pt.
5. Arranges instruments
6. Counts unused sponges
SOLUTIONS GRADED A+
✔✔How long do you take PREP for? - ✔✔A week
✔✔What percentage of lupus sufferers are women? - ✔✔90%
✔✔What triggers the onset of lupus? - ✔✔Causes unknown - but An interaction
between genetics, hormones, environment and the immune system
✔✔What are some known triggers for systemic lupus? - ✔✔Sun exposure, burns,
medications, smoking, estrogen fluctuation and infectious agents
✔✔What are formed by the immune system in lupus? - ✔✔Antinuclear antibodies which
bind to nuclear antigens and form antigen-antibody complexes which travel and cause
tissue damage
✔✔What history may indicate lupus? - ✔✔Discoid rash, malar rash, arthritis of _> 2
joints w/tenderness, oral ulcers, renal disorder, heme disorder, photosensitivity
✔✔How is lupus diagnosed? - ✔✔blood test for antibody titres ( antinuclear antibodies
ect), C- reactive protein, renal panel, X-ray of affected joints, ECG, LE cell prep test-
and 4/11 lupus criteria met
✔✔What is Palmer erythema? - ✔✔redness of palms
✔✔What are clinical ma infestations of lupus? - ✔✔Fever, weightloss, fatigue,
cardiopulmonary issues; dysrhythmias, pneumonia, renal issues; acute or chronic
kidney injury, potential or neuro issues; seizures, neuropathy, stroke, meningitis ,
depression/anxiety and others
✔✔What are dermatological and musculoskeletal manifestations of lupus? - ✔✔Discoid
lesions, alopecia, oral or nasal lessons- for skeletal; morning stiffness, diffuse swelling,
polyarthralgia, and deformities ( swan neck, ulnar deviation)
✔✔What are the goals of lupus treatment? - ✔✔Manage pain, decrease symptoms,
avoid exacerbations, balance activity and rest
✔✔What is a positive of DMARDs use? - ✔✔Decreased inflammation and decrease
long term joint damage.
✔✔What is an example of a DMARD? - ✔✔Methotrexate
, ✔✔What do antimalarial drugs do for lupus? - ✔✔Decrease fatigue, treats skin and joint
inflammations/ manifestations
✔✔When are immunosuppressants used for lupus? - ✔✔Severe cases
✔✔What are indications for surgery? - ✔✔For diagnosis, cure or repair, palliative,
prevention, cosmetic improvement, exploration
✔✔What is consent required for? - ✔✔Surgery, procedures, blood transfusions and
blood testing
✔✔What is included in "informed consent" ? - ✔✔Risk benefit, planned procedure,
expected outcome/results and alternative treatments, consequences of declining
surgery
✔✔What happens to consent in an emergency situation? - ✔✔There is implied consent
to preserve life and decrease suffering
✔✔When is the pre-op assessment for a scheduled surgery? - ✔✔2-3 weeks before
surgery at the pre-op clinic
✔✔What is done just prior to pt. Going to OR? - ✔✔V/S, allergies, ID band on, consent
signed, chart w MAR go to OR, pt voids, NPO since when?, underwear, dentures,
contacts, Jewelery removed or taped and documented, pre op labs completed and pre-
op meds given!
✔✔What are 6 components of preventing surgical site infections? - ✔✔Hair removal (do
it o/s OR!-
No razors)
Prophylactic antibiotics <30 min before incision
Skin prep- chlorhexidine +alcohol
Normothermia- warmed IV, blankets ect
Blood glucose control
SPo2 > 95%
✔✔What is an OR team comprised of? - ✔✔Surgeon, Surgical assist, scrub nurse,
anesthetist, 2 circulating nurses
✔✔What is the scrub nurse responsible for? - ✔✔1. Gown and glove the surgeon
2. Load the needle drivers
3. Drapes the mayo stand
4. Drapes the pt.
5. Arranges instruments
6. Counts unused sponges
