NURS 366 FINAL EXAM QUESTIONS AND ANSWERS 2025

NURS 366 FINAL EXAM QUESTIONS
AND ANSWERS 2025
Identify,Amanage,AeducateApatientsAwithABPHA&AprostateAcancer.A-AcorrectAanswers-BPH:A
-DifficultyAstartingAurination
-WeakerAflow
-NocturiaAandAincreasedAfrequency
-UnrelatedAtoAprostateAcancer
RFs:AObesity,AanimalAprotein,AageA(70),AlackAofAactivity,ADM
ED:A
-AnnualAdigitalArectalAexams
-IfAtheyAhadAaATURP,AteachAeducationAonAcatheterization

ProstateACancer:A
-APainAinAlumbosacralAtoAhips/legsAandAsimilarALUTSAtoABPH.A
-AsymmetricalAduringAdigitalArectalAexamAsignifiesAcancerousAgrowth
-ProstateASpecificAAntigenAandADREAtoAdx
-HighAprotein,AlowAveggie/fruitAdietAisAaAriskAfactor
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:ACoronaryAArteryADiseaseA-
AcorrectAanswers-StableAanginaA-AEndsA10Aminutes,AprecipitatedAbyAexercise




UnstableAangina-ANoAprecipitatingAfactors

ReversibleAwithAmedsA(nitroglycerins,Abeta-
blockers,ACalciumAblockers)/diet/lifestyleAchanges.A
SurgeryAmayAbeAneededAforAPCIAStentA(withinA90AminutesAforASTEMI)AorACoronaryAArteryA
BypassAGraftA(CABG).A

ABCDEFA(stableAangina):AAntiplatelets/ACEAinhibitors,ABetaAblockers/BPAcontrol,Acalciu
mAchannelAblockers/cholesterolAmanagement,Adiet,Aexercise,AfluAvaccine.ANitroglycerin

MONAA(morphine,Aoxygen,Anitroglycerins,Aaspirin)AwhileAinAhospital.
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AMyocardialAInfarctionA-
AcorrectAanswers-

AcuteAstoppageAofAbloodAflowAtoAcoronaryAarteriesAcanAeitherAbeASTEMIA(moreAsevere)Aor
ANSTEMI.A

TreatmentAoptionsAincludeAstentsAorAthrombolyticAtherapy.ABloodAflowAneedsAtoAbeArestore
dAinA90AminutesAtoAlimitAinfarctAsize.ACardiacAbiomarkersA(TroponinsATAandAI)AindicateAsev
erityAofAdamageAandApeakA10-24AhoursAafterAevent.AWomenAhaveAlessAspecificAsymptoms
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AAllAformsAofAHeartAFailureA-
AcorrectAanswers-

LeftAHF:APul.AHTN,AMI,AValveAdisease,Adrugs/alcohol,Ahyperthyroidism.ACanAcauseAfatigu
e,Acyanosis,ApulmonaryAcongestion,Aorthopnea,Atachycardia,AS3/4,Ablood-tingedAsputum.A

, RightAHF:ALungAdisease/highApulmonaryApressures.ACanAcauseAfatigue,AdistendedAjugula
r,Aanorexia/GIAdistress,AweightAgain.A

Dx:AECG,ACXR,AEchoA(valveAfxn,Aej.Afraction),ACathA(pul.Apressures/fillingApressures).ABN
PA=ASpecificAtoAheartAfailureA(<100=HF)ATx:A

DependingAonAcauseAmeds,AO2,Arest,AstressAmanagement,ALowAsodium,AeliminateAEtOH.
AEducationAshouldAincludeAfluidArestriction,AsmallAmeals,AdailyAweights,AavoidAfatigue,Aadv

ancedAdirectives.
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AHypertensionA-
AcorrectAanswers-

Education/LifestyleAchangesAmostAimportant.A2AfactorsAcontrol:AcardiacAoutputAandAstroke
Avolume.AActivationAofARAASAcanAcauseAincreasedASV.APrimaryAorAessential:A

CauseAunknown.ASecondary:A5-10%AofAcases.

ARFs:AEthnicity,AfamilyAhx,Agender,Aage,AsedentaryAlifestyle,Adiet,Aweight,Asmoking/nicotin
eAuse,AbirthAcontrolApills/medications,AETOH,ADM,AhighAserumAlipids,Astress,Aanxiety
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AGERDA-AcorrectAanswers-
AcidArefluxesAfromAstomachAintoAesophagus.ADx:AEGD,ABariumAswallowATx:AStopAeatingA2
AhoursAbeforeAbed,AfindAcause,AMedsA(PPIs,AH2AreceptorAblockers,Aantacids).AEndoscopic

AtherapyAandAsurgicalAtherapy.

IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:APUDA-AcorrectAanswers-
Gastric:ABurning/gasApressureAinAepigastrium.APainA1-
2AhoursAafterAeating.AH.ApyloriAorANSAIDsAcause.AMoreAcommonAinAwomen,AhigherAcancer
AriskAandAreoccuranceAthanAduodenal.ADuodenal:ABurningAinAmidepigastrium,AcanAhaveAb

ackApain.APainA2-
5AhoursAafterAeating,Amidmorning,AandAmiddleAofAtheAnight.APainAreliefAwithAfood/antacids.A
MoreAcommonAinAmenAwithAhighAreoccurrence.ATx:AStopANSAIDs,Asmoking,Aalcohol.AMed
sA(PPIAorAH2Aantagonists).AAbxAifAH.APylori
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AHiatalAHerniasA-
AcorrectAanswers-

CanAbeAslidingAwhichAoccursAwhenApatientAisAsupineAorArollingA(paraesophageal)AmoreAse
vere.ATxAsimilarAtoAGERD.AFundoplacationAisAaAsurgeryAtoApermanentlyAcorrect.AAvoidAstr
aining/heavyAlifting.
IdentifyA&AmanageApatientsAwithAtheAfollowingAconditions:AIBDA-AcorrectAanswers-
Crohn's:AInvolvesAsmallAintestineAorAcolon.AInvolvesAentireAthicknessAofAwall.AMostAcommo
nAinAdistalAileumAandAcolon.ADiarrheaAusuallyAwithoutAbleeding.AComplications:ASmallAbow
elAcancer,Aperforation,AperianalAabscessAandAfistulas.AUlcerativeAColitis:AOnlyAfoundAinAmu
cosalAlayer.ATypicallyAstartsAinArectumAandAmovesAup.AComplications:AcolorectalAcancer,A
C.ADiff,Aperforation.
DiscussAtheAassessmentAcriteriaAusedAtoAidentifyAproblemsAinAurinaryAelimination.A-
AcorrectAanswers-HealthAhistory,Apost-

voidAresidualAvolume,AcontinenceAstatus,AfluidAbalance,Aurinalysis.
RelateAlaboratoryAdiagnosticAtestingAinAindividualsAwithAchronicArenalAdisorders.A-
AcorrectAanswers-CBI:AUsedAafterATURPAtoAclearAoutAbloodAclotsAandAdebris.