NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ F, Exams of Nursing

Download NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ F and more Exams Nursing in PDF only on Docsity! NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ FOR SUCCESS What disorder causes low serum osmolality? A. SIADH B. DI - CORRECT ANSWERS A. SIADH What disorder causes hemoconcentration of electrolytes? A. SIADH B. DI - CORRECT ANSWERS B. DI (because you are peeing out all of the H2O) What sound is indicative of a post-op thyroidectomy pt declining rapidly? - CORRECT ANSWERS Stridor (upper airway obstruction) What would a pt experience with a thyroidectomy? What medication would they be on? - CORRECT ANSWERS Pt would experience hypothyroidism. Pt would be on Synthroid (levothyroxine) for life. Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss; what do they have? - CORRECT ANSWERS Hyperthyroidism Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt experiencing? - CORRECT ANSWERS Myxedema coma What conditions would cause the pt to have high BP? - CORRECT ANSWERS SIADH Hyperthyroidism What condition would cause a low urine specific gravity? - CORRECT ANSWERS DI (<1.005) What causes low levels of T3, T4, and high levels of TSH? - CORRECT ANSWERS Hypothyroidism A pt is urinating 19L a day and constantly drinking; what condition do they have? - CORRECT ANSWERS DI NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ FOR SUCCESS What condition do you treat with desmopressin? - CORRECT ANSWERS DI Desmopressin is a synthetic ADH (DI you are lacking ADH) What condition do you treat with IV diuretics? - CORRECT ANSWERS SIADH (because of fluid retention) What is the antidote for CT dye and Tylenol? - CORRECT ANSWERS Mucomyst (acetylcysteine) What is the antidote for heparin? - CORRECT ANSWERS Protamine sulphate What disorders cause an increase in adverse effects when taking synthroid? - CORRECT ANSWERS Cardiovascular disorders (because synthroid increases metabolism which increases risk for MI, etc) Does blood pressure decrease or increase during a thyroid storm? - CORRECT ANSWERS BP increases (because of a spike in metabolism) What disease causes exophthalmos? - CORRECT ANSWERS Hyperthyroidism (because it's r/t Grave's disease) What is a clinical manifestation of excess ADH? A. Hyperkalemia B. Hypernatremia C. Hyponatremia D. Hypermagnesemia - CORRECT ANSWERS C. Hyponatremia. What hormones are secreted by the posterior pituitary? - CORRECT ANSWERS ADH Oxytocin NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ FOR SUCCESS What are 2 causes of Addison's disease? - CORRECT ANSWERS Abrupt withdrawal of steroids Autoimmune diseases (cancer) What do you give for Addisonian crisis? - CORRECT ANSWERS IV hydrocortisone Which insulin has no peak? - CORRECT ANSWERS Long-acting (Lantus) What medication do you give for glomerulonephritis? What does it. kill? - CORRECT ANSWERS Azythromycin Kills strep What do you give for kidney stones? Why? - CORRECT ANSWERS Oxybutinin Treats bladder spasms What medication do you give for gout? Why? - CORRECT ANSWERS Allopurinol Decreases uric acid levels What condition is a pt with gout more likely to get? Why? - CORRECT ANSWERS Kidney stones Because of high uric acid levels What is pyridium used for? - CORRECT ANSWERS To decrease pain r/t a UTI What pt teaching is required for pyridium? - CORRECT ANSWERS Turns pee orange Doesn't cure a UTI, just helps with pain What type of insulin is cloudy? - CORRECT ANSWERS NPH (intermediate) What is the normal BUN range? - CORRECT ANSWERS 6-20 mg/dL NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ FOR SUCCESS What is the normal creatinine range? - CORRECT ANSWERS 0.6-1.3 mg/dL What is the normal urine specific gravity? - CORRECT ANSWERS 1.003-1.030 What is the normal GFR? - CORRECT ANSWERS 125 mL/min What are examples of rapid acting insulin? - CORRECT ANSWERS Lispro (Humalog) Aspart Glulisine What is the onset of rapid acting insulin? - CORRECT ANSWERS 10-30 mins What is the duration of rapid acting insulin? - CORRECT ANSWERS 3-5 hr What is the peak of rapid acting insulin? - CORRECT ANSWERS 30 min - 3 hr What are examples of short acting insulin? - CORRECT ANSWERS Regular (humulin R) What is the onset of short acting insulin? - CORRECT ANSWERS 30 min - 1 hr What is the peak of short acting insulin? - CORRECT ANSWERS 2-5 hr What is the duration of short acting insulin? - CORRECT ANSWERS 5-8 hr What is an example of intermediate acting insulin? - CORRECT ANSWERS NPH What is the onset of intermediate acting insulin? - CORRECT ANSWERS 1.5-4 hr NR 325 EXAM 1 QUESTIONS AND ANSWERS UPDATED 2023/2024 ALL ANSWERS CORRECT BEST GRADED A+ FOR SUCCESS What is the peak of intermediate acting insulin? - CORRECT ANSWERS 4-12 hr What is the duration of intermediate acting insulin? - CORRECT ANSWERS 12-18 hr What are examples of long acting insulin? - CORRECT ANSWERS Glargine Detemir What is the onset of long-acting insulin? - CORRECT ANSWERS 0.8-4 hr What is the peak of long-acting insulin? - CORRECT ANSWERS less defined or no pronounced peak What is the duration of long-acting insulin? - CORRECT ANSWERS 16-24 hr Which patient would you help first? A. Cystoscopy pt with pink urine B. Dialysis pt with potassium of 8 C. Voided 100 mL in the last 6 hrs D. Blood sugar of 200 - CORRECT ANSWERS B. Dialysis pt with potassium of 8 Who can you delegate a bladder scanner to? - CORRECT ANSWERS LPN or NA During hemodialysis, what is instilled in the catheter to prevent occlusion? - CORRECT ANSWERS Heparin Best indication of fluid overload? - CORRECT ANSWERS Daily weight What is the hyperkalemia protocol? - CORRECT ANSWERS IV cocktail: insulin, sodium bicarb, D50, and calcium gluconate