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NUR 355 FINAL EXAM QUESTIONS WITH CORRECT ANSWER

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NUR 355 FINAL EXAM QUESTIONS WITH CORRECT ANSWER

Institution
NTR 618
Course
NTR 618

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Peptic ulcer disease - Manifestations


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Epigastric pain. It may be accompanied by heartburn, nausea, vomiting,
and weight loss. Food/eating can temporarily relieve symptoms. The
person can also experience iron-deficiency anemia or occult blood in their
stool.




A tumor can obstruct the following structures:
(Select all that apply)A. Lymphatic ducts
B. Digestive Tract
C. Blood vessels
D. Bronchial ducts
E. Nerve conduction

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ALL - Every one of these has been proven to be obstructed by a neoplastic
tumor at some point.




Choledocholithiasis - PATHO


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Choledocholithiasis:
- Obstruction of a duct by calculi
- Causes sudden/severe waves of pain (colicky) with radiating pain to the
subscapular area and upper right shoulder, Nausea/Vomiting, Intolerance
to fatty foods
- Risk factors are similar to Cholelithiasis since this is is a secondary issue to
that




Wound healing: Primary intention vs Secondary intention - Manifestations


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Primary manifestations are the injury and inflammation, granulation tissue
and epithelial growth, and then a small scar remains. This heals across the
wound.

Secondary intention starts with injury and inflammation, granulation tissue
and epithelial growth, and then a large scar remains; healing occurs from
the bottom layers of tissue, up to the epidermal layers of skin.




Type II hypersensitivity reaction - Complications

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Automimmune disorders, increased release of certain hormones such as
thyroid hormone in graves disease, graft rejection, and blood rejection.




Spinal Cord Injury (SCI) - Manifestations


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Spinal shock: all neurological activity ceases at/below level of injury, no
reflexes are present, loss of bowel/bladder function, flaccid paralysis, low
and labile blood pressure, urinary retention. Shock can last for days to
months

Recovery: gradual return of reflex activity below level of injury,
hyperreflexia, spastic paralysis, sensory deficits, extent of damage is
revealed over time which can be difficult for patients




Otitis Media - PATHO


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An inflammation or infection of the middle ear cavity. Exudate builds up in
cavity creating pressure on tympanic membrane and interfering with
movement of the membrane.
Causes: inflammation may occur due to allergies or infection from the
nasopharynx and respiratory structuresBacterial infections
Risk factors: infants and young childrenWinter months




Atherosclerosis - Manifestations

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If atherosclerosis leads to partial or total obstruction of artery: Chest pain
or Pectoris Angina, Transient Ischemic Attack, Shortness of Breath, pain in
leg or arm or anywhere there is a blocked artery




A patient arrives to the ED after a motor vehicle accident and presents with a spinal
cord injury at the C4 level. What is the priority nursing concern with this patient?
A) Obtaining IV access
B) Turning patient to prevent pressure ulcers
C) Assessing respiratory status
D) Obtaining vital signs


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C) If patient is not breathing, other answer choices are not priority.
Therefore, respiratory assessment is priority




A toddler comes in and their parents express concern that the child is not hearing
them well, pulling on their ear, and greenish yellow discharge is coming out of the
child's ear. When assessing the pinna the patient does not express any increased pain.
What would the nurse suspect that the child is experiencing?
a. Otitis externa
b. Congenital hearing loss
c. Otitis media
d. Conduction hearing loss


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C. Otitis media : otitis media is usually caused by infection of bacteria which
would explain the purulent (greenish yellow discharge coming from their
ear). It is not congenital or conductive hearing loss as the child can still
somewhat hear the parents just not as well and there are no signs of

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Institution
NTR 618
Course
NTR 618

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Uploaded on
February 18, 2026
Number of pages
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Written in
2025/2026
Type
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