NURS 370 Final Exam
A pt comes into the clinic with hemoptysis, basilar cracked,
pulmonary edema, low BP, increased HR, and increased RR.
Upon heart auscultation you hear an S3. What do they likely
have? Correct Answer Left sided HF
A pt comes into the clinic with intermittent claudication. You
can assume her diagnosis will be... Correct Answer Peripheral
arterial disease
A pt comes into the clinic with peripheral edema, indigestion,
hypotension, and jugular venous distention. Ultrasound shows
hepatomegaly and splenomegaly. What do you anticipate their
diagnosis will be? Correct Answer Right sided HF
A pt comes into the ER and the nurse 1st notices a chest injury
with a sucking sound. She can anticipate the pt has... Correct
Answer An open pneumothorax
(pt will also likely have subcutaneous emphysema)
A pt comes into the ER with asymmetrical chest wall
movement, hyper resonance to chest on percussion, tracheal
deviation, and distended neck veins. What would you anticipate
her diagnosis to be? Correct Answer A closed tension
pneumothorax
(needs rapid needle decompression)
A pt comes into the ER with RUQ pain that radiates upwards.
They state pain is worse after eating. What will likely be their
diagnosis? Correct Answer Gallstones
,Other s/s: RUQ pain that radiates to the back, bloating,
nausea/vomiting, heart burn
A pt comes into the ER with severe (9/10) pain in the left upper
quadrant of their stomach. They state the pain radiates to their
back. As a nurse you can anticipate that their diagnosis will be...
Correct Answer Pancreatitis
(Other s/s include chills & a general feeling of being unwell)
A pt had a air filled bleb on the surface of their lung. If this
ruptures they will have a... Correct Answer Spontaneous
Pneumothorax
(common in pts with COBD, asthma, or emphysema)
A pt with pancreatitis has blood work done. You can anticipate
that their amylase, lipase, and glucose levels will... Correct
Answer All be elevated
-amylase & lipase released in high quantity and trapped in duct
(start auto digestion of pancreas)
-glucose elevated because pancreas not producing enough
insulin
Afterload reduces are given to manage HF. What are examples
and what do they do? Correct Answer Examples: nitro, ACE
inhibitors
Action: lower BP so heart doesn't have to work as hard to pump
blood out of ventricles
Aldosterone antagonists are used to manage HF. They are
diuretics that work directly on the RAAS. What are 2 examples
commonly used? Correct Answer Aldactone & spirilodactone
, All infants suspected to have sepsis will also get a lumbar
puncture. Why? Correct Answer They might have meningitis
An AV fistula is a complication of cardiac catheterization. What
is this? Correct Answer A cardiologist accidentally went
through the artery & hits a vein (internally bleeding into vein)
Are men or women more affected by cirrhosis? Correct
Answer Twice as many women
At what age are infants most at risk for infection/sepsis. Why?
Correct Answer ~3 months (they lose passive immunity from
mom)
How can we recognize sepsis quickly? Correct Answer
qSOFA (quick sepsis-related organ failure assessment) - allows
us to identify s/s quickly to improve pt outcomes
How can you differentiate between a gastric & duodenal bleed?
Correct Answer Gastric: 30mins-1hr after eating stomach hurts
Duodenal: 2-3hrs after eating stomach hurts, often woken up at
night by pain
How do ACE inhibitors reduce cardiac after load? Correct
Answer They work with the angiotensin system to excrete
more fluid & lower BP
How do you know if leakage is CSF or not? Correct Answer
CSF will be clear and will form Halo Sign (the interior part of
the stain will look bloody)
A pt comes into the clinic with hemoptysis, basilar cracked,
pulmonary edema, low BP, increased HR, and increased RR.
Upon heart auscultation you hear an S3. What do they likely
have? Correct Answer Left sided HF
A pt comes into the clinic with intermittent claudication. You
can assume her diagnosis will be... Correct Answer Peripheral
arterial disease
A pt comes into the clinic with peripheral edema, indigestion,
hypotension, and jugular venous distention. Ultrasound shows
hepatomegaly and splenomegaly. What do you anticipate their
diagnosis will be? Correct Answer Right sided HF
A pt comes into the ER and the nurse 1st notices a chest injury
with a sucking sound. She can anticipate the pt has... Correct
Answer An open pneumothorax
(pt will also likely have subcutaneous emphysema)
A pt comes into the ER with asymmetrical chest wall
movement, hyper resonance to chest on percussion, tracheal
deviation, and distended neck veins. What would you anticipate
her diagnosis to be? Correct Answer A closed tension
pneumothorax
(needs rapid needle decompression)
A pt comes into the ER with RUQ pain that radiates upwards.
They state pain is worse after eating. What will likely be their
diagnosis? Correct Answer Gallstones
,Other s/s: RUQ pain that radiates to the back, bloating,
nausea/vomiting, heart burn
A pt comes into the ER with severe (9/10) pain in the left upper
quadrant of their stomach. They state the pain radiates to their
back. As a nurse you can anticipate that their diagnosis will be...
Correct Answer Pancreatitis
(Other s/s include chills & a general feeling of being unwell)
A pt had a air filled bleb on the surface of their lung. If this
ruptures they will have a... Correct Answer Spontaneous
Pneumothorax
(common in pts with COBD, asthma, or emphysema)
A pt with pancreatitis has blood work done. You can anticipate
that their amylase, lipase, and glucose levels will... Correct
Answer All be elevated
-amylase & lipase released in high quantity and trapped in duct
(start auto digestion of pancreas)
-glucose elevated because pancreas not producing enough
insulin
Afterload reduces are given to manage HF. What are examples
and what do they do? Correct Answer Examples: nitro, ACE
inhibitors
Action: lower BP so heart doesn't have to work as hard to pump
blood out of ventricles
Aldosterone antagonists are used to manage HF. They are
diuretics that work directly on the RAAS. What are 2 examples
commonly used? Correct Answer Aldactone & spirilodactone
, All infants suspected to have sepsis will also get a lumbar
puncture. Why? Correct Answer They might have meningitis
An AV fistula is a complication of cardiac catheterization. What
is this? Correct Answer A cardiologist accidentally went
through the artery & hits a vein (internally bleeding into vein)
Are men or women more affected by cirrhosis? Correct
Answer Twice as many women
At what age are infants most at risk for infection/sepsis. Why?
Correct Answer ~3 months (they lose passive immunity from
mom)
How can we recognize sepsis quickly? Correct Answer
qSOFA (quick sepsis-related organ failure assessment) - allows
us to identify s/s quickly to improve pt outcomes
How can you differentiate between a gastric & duodenal bleed?
Correct Answer Gastric: 30mins-1hr after eating stomach hurts
Duodenal: 2-3hrs after eating stomach hurts, often woken up at
night by pain
How do ACE inhibitors reduce cardiac after load? Correct
Answer They work with the angiotensin system to excrete
more fluid & lower BP
How do you know if leakage is CSF or not? Correct Answer
CSF will be clear and will form Halo Sign (the interior part of
the stain will look bloody)
