EXAM| CJE MED SURG II EXAM REVIEW WITH
COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
What is cardiac tamponade? – ANSWER - Fluid (often blood) builds up
in the pericardial sac, compressing it, leading to decreased cardiac
output
ARDS key signs – ANSWER - Refractory hypoxemia despite O2; white
out CXR
Treatment for ARDS – ANSWER - Mechanical ventilation with PEEP
Prone positioning
Sedation
Nursing Considerations for Mechanical Ventilation – ANSWER - HOB
30
Oral care q2h with chlorhexidine
Suction PRN
Monitor ABGs, SPo2, lung sounds
Diagnosis of PE – ANSWER - Pulmonary angiogram
pg. 1
,D-dimer (+ means clot breakdown)
Treatment for PE – ANSWER - O2
Anticoagulation (heparin, warfarin)
Thrombolytics
Embolectomy
IVC filter
Normal CR – ANSWER - 0.7-1.3
Normal BUN – ANSWER - 10-20
2 types of Diabetes Insipidus DI – ANSWER - neurogenic and
nephrogenic
Manifestations of DI – ANSWER - FVD
hypernatremia
polyuria (lots of pee)
high HR
low BP
weak thready pulses
wt loss
pg. 2
,signs and symptoms of hypernatremia – ANSWER - cramps
agitation
lethardy
seizures
describe hyperthyroidism? – ANSWER - low TSH and high T3/T4
causes of hyperthyroidism – ANSWER - autoimmune disorder- graves
disease
goiter
thyroiditis
excessive iodine intake
pituitary tumors
thyroid cancer
Manifestations of hyperthyroidism – ANSWER - anxiety/ rapid speech
tremors
increased hunger
sweating/ pooping a lot
SOB
exothalamus- bulging eyes
pg. 3
, diet for a person with hyperthyroidism – ANSWER - high protein
high calorie
low fiber
describe hypothyroidism – ANSWER - low T3/T4 high TSH
causes of hypothyroidism – ANSWER - iodine deficiency
being a female (20-40)
family hx
HYPERthyroidism that was treated now causing low levels
radiation to the head and neck
Manifestation of hyporthyroidism – ANSWER - depressed/slow mental
processes
slurred speech
forgetful/ fatigue
wt gain
low appetite
cold intolerance
Medication to give someone with Hypothyroidism – ANSWER -
levothyroxine (synthroid)
pg. 4