NUR 201- WVJC Final Exam with Verified Answers
1. Chronic renal failure often results in Early: fatigue, weakness
anemia. What are some early and late Late: chest pain, SOB, cyanosis
signs of anemia?
2. Describe the physical appearance of a Big body, thin legs
patient with Cushing's syndrome.
3. Describe Trousseau's and Chvostek's. Trousseau's: t-rex hands when
What electrolyte alteration causes BP cuff is on
these? Chvostek's: cheek reflex
Caused by hypocalcemia
4. What is the difference in the diet for a Diverticulosis: low-residue
patient with diverticulitis vs diverticulo- Diverticulitis: high fiber
sis?
5. Eating a box of antacids would likely Metabolic alkalosis
result in what acid-base imbalance?
6. What types of imaging use and don't Radiation: x-ray, CT, PET, fluo-
use radiation? roscopy, angiogram
NO radiation: MRI, ultrasound
7. For patients with ESRD, how often and 3 days per week for 3-4 hours
for how long should they expect to have
hemodialysis?
8. How long does it take a colostomy to 2-3 days
produce stool?
9. How long is blood tubing good for? 4 hours
10. How would the patient describe the pain Sharp, cramping, excruciating
associated with kidney stones? wave-like flank pain radiating to
the groin
11. How would an RN provide nail care to a Refer to podiatrist
patient with diabetes?
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, NUR 201- WVJC Final Exam with Verified Answers
12. In a patient with CKD, what acid-base Metabolic acidosis
imbalance is most likely?
13. What changes would you expect in a pa- GFR decrease (causes edema),
tient with CKD and metabolic acidosis? calcium decrease, phosphate in-
crease
14. Interventions for a patient who is miss- Assess barriers to why they're
ing hemodialysis sessions? missing dialysis. Risk assess-
ment (transportation, mental sta-
tus)
15. Interventions prior to sending a patient Take wight, vitals, medicine man-
to hemodialysis? agement (hold dialyzable and BP
meds, give non-dialyzable meds)
16. List adverse events that can occur dur- Low sodium, hypotension
ing Addison's crisis. (life-threatening), high potassium
17. List important nursing interventions Cardiac monitoring
with hyperkalemia.
18. List some nonpharmacological comfort Warm sitz bath
measures for cystitis.
19. Expected lab changes for a patient with Increased bilirubin, increased
cirrhosis? ALT/AST, increased INR, de-
creased albumin, decreased total
protein
20. Risk factors for kidney stones? Dehydration, kidney infections,
personal history of kidney stones,
more common in men and over-
weight pts, family members with
kidney stones
21. S/S of pyelonephritis? Flank pain, polyuria, CVA tender-
ness (pain)
22. Pain control
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1. Chronic renal failure often results in Early: fatigue, weakness
anemia. What are some early and late Late: chest pain, SOB, cyanosis
signs of anemia?
2. Describe the physical appearance of a Big body, thin legs
patient with Cushing's syndrome.
3. Describe Trousseau's and Chvostek's. Trousseau's: t-rex hands when
What electrolyte alteration causes BP cuff is on
these? Chvostek's: cheek reflex
Caused by hypocalcemia
4. What is the difference in the diet for a Diverticulosis: low-residue
patient with diverticulitis vs diverticulo- Diverticulitis: high fiber
sis?
5. Eating a box of antacids would likely Metabolic alkalosis
result in what acid-base imbalance?
6. What types of imaging use and don't Radiation: x-ray, CT, PET, fluo-
use radiation? roscopy, angiogram
NO radiation: MRI, ultrasound
7. For patients with ESRD, how often and 3 days per week for 3-4 hours
for how long should they expect to have
hemodialysis?
8. How long does it take a colostomy to 2-3 days
produce stool?
9. How long is blood tubing good for? 4 hours
10. How would the patient describe the pain Sharp, cramping, excruciating
associated with kidney stones? wave-like flank pain radiating to
the groin
11. How would an RN provide nail care to a Refer to podiatrist
patient with diabetes?
1/6
, NUR 201- WVJC Final Exam with Verified Answers
12. In a patient with CKD, what acid-base Metabolic acidosis
imbalance is most likely?
13. What changes would you expect in a pa- GFR decrease (causes edema),
tient with CKD and metabolic acidosis? calcium decrease, phosphate in-
crease
14. Interventions for a patient who is miss- Assess barriers to why they're
ing hemodialysis sessions? missing dialysis. Risk assess-
ment (transportation, mental sta-
tus)
15. Interventions prior to sending a patient Take wight, vitals, medicine man-
to hemodialysis? agement (hold dialyzable and BP
meds, give non-dialyzable meds)
16. List adverse events that can occur dur- Low sodium, hypotension
ing Addison's crisis. (life-threatening), high potassium
17. List important nursing interventions Cardiac monitoring
with hyperkalemia.
18. List some nonpharmacological comfort Warm sitz bath
measures for cystitis.
19. Expected lab changes for a patient with Increased bilirubin, increased
cirrhosis? ALT/AST, increased INR, de-
creased albumin, decreased total
protein
20. Risk factors for kidney stones? Dehydration, kidney infections,
personal history of kidney stones,
more common in men and over-
weight pts, family members with
kidney stones
21. S/S of pyelonephritis? Flank pain, polyuria, CVA tender-
ness (pain)
22. Pain control
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