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PN_COMPREHENSIVE_EXAM_STUDY_GUIDE_2026_FULL_TEST_BANK_WITH_ANSWERS

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PN COMPREHENSIVE EXAM STUDY GUIDE
2026 FULL TEST BANK WITH ANSWERS

◉ Peritoneal Dialysis (when outflow is inadequate)
Answer: turn pt from side to side BEFORE checking for kinks in
tubing


◉ Lumbar Puncture
Answer: After the procedure, the pt should be supine for 4-12 hours
as prescribed.


◉ Myesthenia Gravis
Answer: worsens with exercise and improves with rest


◉ Myesthenia Gravis
Answer: a positive reaction to Tensilon---will improve symptoms


◉ Cholinergic Crisis
Answer: Caused by excessive medication ---stop giving Tensilon...will
make it worse.


◉ Liver biopsy (prior)

,Answer: must have lab results for prothrombin time


◉ Myxedema/ hypothyroidism
Answer: slowed physical and mental function, sensitivity to cold, dry
skin and hair.


◉ Grave's Disease/ hyperthyroidism
Answer: accelerated physical and mental function. Sensitivity to
heat. Fine/soft hair.


◉ Thyroid storm
Answer: increased temp, pulse and HTN


◉ Post-Thyroidectomy
Answer: semi-fowler's. Prevent neck flexion/hyperextension. Trach
at bedside


◉ Hypo-parathyroid
Answer: CATS---Convulsions, Arrhythmias, Tetany, Spasms, Stridor.
(decreased calcium) give high calcium, low phosphorus diet


◉ Hyper-parathyroid

, Answer: fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet


◉ Hypovolemia
Answer: increased temp, rapid/weak pulse, increase respiration,
hypotension, anxiety. Urine specific gravity >1.030


◉ Hypervolemia
Answer: bounding pulse, SOB, dyspnea, rales/crackles, peripheral
edema, HTN, urine specific gravity <1.010. semi fowler's


◉ Diabetes insipidus (decreased ADH)
Answer: excessive urine output and thirst, dehydration, weakness,
administer Pitressin


◉ SIADH (increased ADH)
Answer: change in LOC, decreased deep tendon reflexes, tachycardia.
N/V HA administer Declomycin, diuretics


◉ hypokalemia
Answer: muscle weakness, dysrhythmias, increase K (raisins,
bananas, apricots, oranges, beans, potatoes, carrots, celery)

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