NUR 425 EXAM 1 Study Guide UPDATED
ACTUAL Exam Questions and CORRECT
Answers
complications of anesthesia - CORRECT ANSWER - 1. Airway obstruction
2. Hypoxia
3. Hypovolemic shock
4. Paralytic ileus
5. Wound dehiscence or evisceration
6. DVT
DC INSTRUCTIONS - CORRECT ANSWER - Monitor BP, Smoking cessation, Take
medications (Cholesterol), Diet modifications, Frequent follow up with MD
MS manifestations - CORRECT ANSWER - i. Impaired sensation/ movement, thinking,
extent of demyelination and the location of scar tissue/ nerve conduction is slowed or irregular
due to the loss of myelin that facilitates impulse transmission
Symptoms of MS - CORRECT ANSWER - Numbness or weakness in one or more limbs,
partial or complete vision loss, often w/ pain during eye movement (optic neuritis), double or
blurred vision, tingling or pain, electric shock sensations that occur w/ head movements, Tremor,
lack of coordination, or unsteady gait, fatigue, dizziness
Neuromuscular function Interventions for MS - CORRECT ANSWER - Evaluate for
changes in clinical presentation or for new symptoms to be addressed as the disease progresses
and new areas of demyelination occur
Intervention for MS concerning Pts ability to perform ADLS - CORRECT ANSWER -
Evaluate need for assistive devices to decrease the danger of falls
, Interventions for skin mobility concerning MS - CORRECT ANSWER - Immobility
promotes breakdown because of compression of tissue between a bony prominence and an
external surface. This compromises blood flow and decrease delivery and nutrient to cells,
resulting in cellular death and injury to the surrounding tissue
Interventions for vision/ eye movement for MS - CORRECT ANSWER - Demyelination
of cranial nerves can result in optic neuritis, causing visual changes
Bowel and Bladder function interventions for MS - CORRECT ANSWER - Impaired
innervation to the bladder and bowel may result in incontinence and constipation
SELF CARE & DECISION with MS - CORRECT ANSWER - Review disease process
and prognosis= to help increase understanding and enhance the patient ability to make informed
choices
OCCIPITAL lobe function - CORRECT ANSWER - Process visual information,
Perception of color and shapes
Parietal Lobe functions - CORRECT ANSWER - Sensation interpretation and perception,
Spatial relationship such as body position, Integration of sensory input, especially visual input
safety alerts for CT scans - CORRECT ANSWER - 1. Contrast dye is nephrotoxic and can
impair renal function.
2. Metformin is cleared primarily through the kidneys and if it is administered prior to the exam
the medication may result in impaired renal function
a. Elevated metformin levels can potentially result in lactic acidosis
older adults and anesthesia - CORRECT ANSWER - cardiac problems can arise much
more quickly in older adult clients, pay attention when undergoing procedure b/c the client's
condition can deteriorate quickly
ACTUAL Exam Questions and CORRECT
Answers
complications of anesthesia - CORRECT ANSWER - 1. Airway obstruction
2. Hypoxia
3. Hypovolemic shock
4. Paralytic ileus
5. Wound dehiscence or evisceration
6. DVT
DC INSTRUCTIONS - CORRECT ANSWER - Monitor BP, Smoking cessation, Take
medications (Cholesterol), Diet modifications, Frequent follow up with MD
MS manifestations - CORRECT ANSWER - i. Impaired sensation/ movement, thinking,
extent of demyelination and the location of scar tissue/ nerve conduction is slowed or irregular
due to the loss of myelin that facilitates impulse transmission
Symptoms of MS - CORRECT ANSWER - Numbness or weakness in one or more limbs,
partial or complete vision loss, often w/ pain during eye movement (optic neuritis), double or
blurred vision, tingling or pain, electric shock sensations that occur w/ head movements, Tremor,
lack of coordination, or unsteady gait, fatigue, dizziness
Neuromuscular function Interventions for MS - CORRECT ANSWER - Evaluate for
changes in clinical presentation or for new symptoms to be addressed as the disease progresses
and new areas of demyelination occur
Intervention for MS concerning Pts ability to perform ADLS - CORRECT ANSWER -
Evaluate need for assistive devices to decrease the danger of falls
, Interventions for skin mobility concerning MS - CORRECT ANSWER - Immobility
promotes breakdown because of compression of tissue between a bony prominence and an
external surface. This compromises blood flow and decrease delivery and nutrient to cells,
resulting in cellular death and injury to the surrounding tissue
Interventions for vision/ eye movement for MS - CORRECT ANSWER - Demyelination
of cranial nerves can result in optic neuritis, causing visual changes
Bowel and Bladder function interventions for MS - CORRECT ANSWER - Impaired
innervation to the bladder and bowel may result in incontinence and constipation
SELF CARE & DECISION with MS - CORRECT ANSWER - Review disease process
and prognosis= to help increase understanding and enhance the patient ability to make informed
choices
OCCIPITAL lobe function - CORRECT ANSWER - Process visual information,
Perception of color and shapes
Parietal Lobe functions - CORRECT ANSWER - Sensation interpretation and perception,
Spatial relationship such as body position, Integration of sensory input, especially visual input
safety alerts for CT scans - CORRECT ANSWER - 1. Contrast dye is nephrotoxic and can
impair renal function.
2. Metformin is cleared primarily through the kidneys and if it is administered prior to the exam
the medication may result in impaired renal function
a. Elevated metformin levels can potentially result in lactic acidosis
older adults and anesthesia - CORRECT ANSWER - cardiac problems can arise much
more quickly in older adult clients, pay attention when undergoing procedure b/c the client's
condition can deteriorate quickly
