NURS 480 CORRECT EXAM QUESTIONS AND
ANSWERS SET A+
✔✔DDVAP (desmopressin) - therapeutic effect - ✔✔weight pt to check for therapeutic
effect
✔✔Treatment for DI is? - ✔✔0.45% NS
✔✔Levothyroxine therapeutic effect - ✔✔Increases metabolic rate, oxygen consumption
and body growth.
✔✔Graves disease expected lab values? - ✔✔Low TSH, HIGH T3 T4
✔✔NA for pancreatitis? - ✔✔1. NPO initial, possible NGT if distended
2. low fat diet
a. fatty foods cause diarrhea
b. pancreatic enzymes with meals
3. mid epigastric pain
a. opioids - hydromorphone
4. ulcer prophylaxis
a. PPIs
5. Diabetes
a. monitor glucose levels
b. administer insulin PRN
✔✔Signs of cholecystitis - ✔✔1. RUQ pain, radiates to right shoulder
2. rebound tenderness in RUQ
3. Murphy's sign is pathognomonic - inspiratory arrest during deep palpation of the
RUQ; not present in many cases;
4. Hypoactive bowel sounds
5. Low-grade fever
6. leukocytosis
7. dyspepsia, eructation (belching, flatulence)
, ✔✔Hepatic encephalopathy sxs - ✔✔1. change in LOC
2. fetor hepaticus (fruity breath)
3. flappy hands (astrixes)
4. possible complication: hyperventilation w/ resp alkalosis. from ammonia buildup
caused cerebral edema
✔✔Pt teaching to prevent ascites - ✔✔1. limit sodium
✔✔Cirrhosis complications - ✔✔1. late-stage medical risks ->. Bleeding (nose bleeds ->
epistaxis)
2. Confusion (elevated ammonia ) -> Hepatic Encephalopathy
3. Bleeding ->> Check VS, take labs to check for neutropenia and leukopenia
4. Edema and ascites
✔✔kidney transplant contraindications - ✔✔long term diseases
failed kidney transplant
✔✔Murphy's sign - ✔✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
✔✔Lactulose efficacy - ✔✔goal: 3-4 Bm per day
✔✔Secondary injuries from electrical burns - ✔✔1. Offset SA node
2. Bones fractures
a. Spine
o C collar
o On backboard
✔✔Findings that fluid rescutiation if effective - ✔✔1. UO 30 ml/hr or greater
✔✔Signs of inhalation burns - ✔✔1. Signed nose, eyebrows and eyelashes
2. sooty sputum
3. wheezing
4. edema of nasal septum
5. smoky smelling breath
✔✔CM of
Compensatory stage of shock - clinical manifestations (vital signs and labs) - ✔✔1.
tachypnea 2. tachycardia 3. hypotension labs: elevated potassium, serum lactate, and
blood urea nitrogen levels.
✔✔Hypovolemic shock priority nursing intervention - ✔✔Give Isotonic fluids
1. Blood
ANSWERS SET A+
✔✔DDVAP (desmopressin) - therapeutic effect - ✔✔weight pt to check for therapeutic
effect
✔✔Treatment for DI is? - ✔✔0.45% NS
✔✔Levothyroxine therapeutic effect - ✔✔Increases metabolic rate, oxygen consumption
and body growth.
✔✔Graves disease expected lab values? - ✔✔Low TSH, HIGH T3 T4
✔✔NA for pancreatitis? - ✔✔1. NPO initial, possible NGT if distended
2. low fat diet
a. fatty foods cause diarrhea
b. pancreatic enzymes with meals
3. mid epigastric pain
a. opioids - hydromorphone
4. ulcer prophylaxis
a. PPIs
5. Diabetes
a. monitor glucose levels
b. administer insulin PRN
✔✔Signs of cholecystitis - ✔✔1. RUQ pain, radiates to right shoulder
2. rebound tenderness in RUQ
3. Murphy's sign is pathognomonic - inspiratory arrest during deep palpation of the
RUQ; not present in many cases;
4. Hypoactive bowel sounds
5. Low-grade fever
6. leukocytosis
7. dyspepsia, eructation (belching, flatulence)
, ✔✔Hepatic encephalopathy sxs - ✔✔1. change in LOC
2. fetor hepaticus (fruity breath)
3. flappy hands (astrixes)
4. possible complication: hyperventilation w/ resp alkalosis. from ammonia buildup
caused cerebral edema
✔✔Pt teaching to prevent ascites - ✔✔1. limit sodium
✔✔Cirrhosis complications - ✔✔1. late-stage medical risks ->. Bleeding (nose bleeds ->
epistaxis)
2. Confusion (elevated ammonia ) -> Hepatic Encephalopathy
3. Bleeding ->> Check VS, take labs to check for neutropenia and leukopenia
4. Edema and ascites
✔✔kidney transplant contraindications - ✔✔long term diseases
failed kidney transplant
✔✔Murphy's sign - ✔✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
✔✔Lactulose efficacy - ✔✔goal: 3-4 Bm per day
✔✔Secondary injuries from electrical burns - ✔✔1. Offset SA node
2. Bones fractures
a. Spine
o C collar
o On backboard
✔✔Findings that fluid rescutiation if effective - ✔✔1. UO 30 ml/hr or greater
✔✔Signs of inhalation burns - ✔✔1. Signed nose, eyebrows and eyelashes
2. sooty sputum
3. wheezing
4. edema of nasal septum
5. smoky smelling breath
✔✔CM of
Compensatory stage of shock - clinical manifestations (vital signs and labs) - ✔✔1.
tachypnea 2. tachycardia 3. hypotension labs: elevated potassium, serum lactate, and
blood urea nitrogen levels.
✔✔Hypovolemic shock priority nursing intervention - ✔✔Give Isotonic fluids
1. Blood
