NURS 370 FINAL EXAM QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100% CORRECT
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
WITH VERIFIED SOLUTIONS 100% CORRECT
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
