INPA #2 UPDATED ACTUAL Questions and CORRECT Answers
1. Pernicious Ane- Vitamin B12 deficiency that leads to impaired RBC formation.
mia
S&S: fatigue, Pallor, Weakness, SOB.
MED: Cyanocobalamin IM injection
Nursing: neuro changes, diet education
2. Crohn's disease Chronic inflammatory bowel disease that causes inflammation to the GI tract.
S&S: fatigue, weight loss, mouth ulcers, Abdo cramps (RLQ), diarrheas (bloody)
MED: Mesalamine (aminosalicylic acid)
Nursing: I&O monitor, daily weight, diet, no smoking.
3. Multiple Sclerosis Chronic, autoimmune neurodegenerative disease of CNS. immune system attacks
(MS) myelin sheath.
S&S: blurred vision, tremors, numbness, constipation, incontinence, neuropathic
pain.
MED: interferon beta- 1A (Avonex).
Nursing: fall prevention, skin care, cognitive support.
4. Hypertension Chronic condition where BP in arteries is consistently elevated.
S&S: headaches, dizziness, blurred vision, SOB, chest pain, fatigue.
MED: Lisinopril(ACE), losartan(ARB), Amlodipine(CCB), furosemide (Diuretic),
metoprolol (BB).
Nursing: monitor BP, potassium, life style changes, limit catteine and alcohol.
, 5. COPD (chronic progressive, irreversible lung disease that causes chronic airflow obstruction. It
obstructive pul- includes: Emphysema, bronchitis
monary disease)
S&S: cough, wheezing, Sputum production, fatigue, SOB
MED: salbutamol, prednisone
Nursing: monitor: RR,O2. smoking cessation, proper breath techniques, med ad-
min. high fowlers
6. CHF (congestive progressive condition where the heart is unable to pump blood ettectively to meet
heart failure) the body's needs.
Right: Body, peripheral edema,
Left: lungs: frothy pink sputum, pulmonary congestion.
MED: lisinopril (ACE), Metoprolol (BB), furosemide
Nursing: I&O, edema, low sodium, avoid NSAIDS,
7. PVD (peripheral circulatory disorder that results in narrowed blood vessels, typically arteries, that
vascular disease) reduce blood flow to the limbs, especially the legs.
S&S: cramping leg pain, cool pale skin, hair loss on legs
MED: Aspirin, atorvastatin, Warfarin
Nursing: peripheral pulses, cap refill, check for ulcer
8. Diabetes type 2 Chronic metabolic disorder characterized by insulin resistance and impaired in-
sulin secretion
S&S: three P's (Polyuria, polydipsia, polyphagia), fatigue, blurred vision
1. Pernicious Ane- Vitamin B12 deficiency that leads to impaired RBC formation.
mia
S&S: fatigue, Pallor, Weakness, SOB.
MED: Cyanocobalamin IM injection
Nursing: neuro changes, diet education
2. Crohn's disease Chronic inflammatory bowel disease that causes inflammation to the GI tract.
S&S: fatigue, weight loss, mouth ulcers, Abdo cramps (RLQ), diarrheas (bloody)
MED: Mesalamine (aminosalicylic acid)
Nursing: I&O monitor, daily weight, diet, no smoking.
3. Multiple Sclerosis Chronic, autoimmune neurodegenerative disease of CNS. immune system attacks
(MS) myelin sheath.
S&S: blurred vision, tremors, numbness, constipation, incontinence, neuropathic
pain.
MED: interferon beta- 1A (Avonex).
Nursing: fall prevention, skin care, cognitive support.
4. Hypertension Chronic condition where BP in arteries is consistently elevated.
S&S: headaches, dizziness, blurred vision, SOB, chest pain, fatigue.
MED: Lisinopril(ACE), losartan(ARB), Amlodipine(CCB), furosemide (Diuretic),
metoprolol (BB).
Nursing: monitor BP, potassium, life style changes, limit catteine and alcohol.
, 5. COPD (chronic progressive, irreversible lung disease that causes chronic airflow obstruction. It
obstructive pul- includes: Emphysema, bronchitis
monary disease)
S&S: cough, wheezing, Sputum production, fatigue, SOB
MED: salbutamol, prednisone
Nursing: monitor: RR,O2. smoking cessation, proper breath techniques, med ad-
min. high fowlers
6. CHF (congestive progressive condition where the heart is unable to pump blood ettectively to meet
heart failure) the body's needs.
Right: Body, peripheral edema,
Left: lungs: frothy pink sputum, pulmonary congestion.
MED: lisinopril (ACE), Metoprolol (BB), furosemide
Nursing: I&O, edema, low sodium, avoid NSAIDS,
7. PVD (peripheral circulatory disorder that results in narrowed blood vessels, typically arteries, that
vascular disease) reduce blood flow to the limbs, especially the legs.
S&S: cramping leg pain, cool pale skin, hair loss on legs
MED: Aspirin, atorvastatin, Warfarin
Nursing: peripheral pulses, cap refill, check for ulcer
8. Diabetes type 2 Chronic metabolic disorder characterized by insulin resistance and impaired in-
sulin secretion
S&S: three P's (Polyuria, polydipsia, polyphagia), fatigue, blurred vision
