1
NURS 6531 Midterm Exam 2020 Walden
University Comprehensive Exam Questions
and Answers
What are signs & symptoms of SIADH (Syndrome of inappropriate
antidiuretic hormone)?
- correct answer-Increased production of ADH (antidiuretic
hormone), hyponatremia, concentrated urine (from excess water
resorption), elevated urine osmolality, mental status changes
from cerebral edema.
Diabetes insipidus is associated with what sodium level?
- correct answer-Hypernatremia
Psychogenic polydipsia results in urine that is: - correct answer-
diluted with low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who
presents with decreased urine output, history of neurogenic
bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1
over 3 months?
- correct answer-Flush the foley catheter to see if urine comes out
and assess the patency of the catheter. This action will unblock
clogged sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault,
what medications should be offered prior to discharge?
- correct answer-Ceftriaxone, azithromycin, Plan B, and
Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)?
- correct answer-hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome?
1
, 2
- correct answer-Increased levels of glucocorticoids, can be
exogenous (from therapy) or endogenous (from adenoma or
neoplasm).
Manifestations of Cushing syndrome?
- correct answer-hypertension, truncal obesity, osteoporosis, skin
fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from
secondary adrenocortical insufficiency?
- correct answer-Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign?
- correct answer-A carpal spasm elicited by compression of the
upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign?
- correct answer-A hemifacial tic that is induced by tapping the
facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign?
- correct answer-An upward response (extension) of the hallux
when the sole of the foot is stimulated with a blunt instrument.
Can identify spinal cord disease in adults.
What is Romberg's sign?
- correct answer-Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the
cerebellum.
What is Homan's sign?
- correct answer-pain on passive dorsiflexion of ankle, associated
with DVT.
What is the clinical presentation of Good pasture's syndrome?
2
NURS 6531 Midterm Exam 2020 Walden
University Comprehensive Exam Questions
and Answers
What are signs & symptoms of SIADH (Syndrome of inappropriate
antidiuretic hormone)?
- correct answer-Increased production of ADH (antidiuretic
hormone), hyponatremia, concentrated urine (from excess water
resorption), elevated urine osmolality, mental status changes
from cerebral edema.
Diabetes insipidus is associated with what sodium level?
- correct answer-Hypernatremia
Psychogenic polydipsia results in urine that is: - correct answer-
diluted with low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who
presents with decreased urine output, history of neurogenic
bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1
over 3 months?
- correct answer-Flush the foley catheter to see if urine comes out
and assess the patency of the catheter. This action will unblock
clogged sediment or biofilm from chronic bacteriuria.
When a female patient presents to the ER after sexual assault,
what medications should be offered prior to discharge?
- correct answer-Ceftriaxone, azithromycin, Plan B, and
Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)?
- correct answer-hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome?
1
, 2
- correct answer-Increased levels of glucocorticoids, can be
exogenous (from therapy) or endogenous (from adenoma or
neoplasm).
Manifestations of Cushing syndrome?
- correct answer-hypertension, truncal obesity, osteoporosis, skin
fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from
secondary adrenocortical insufficiency?
- correct answer-Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign?
- correct answer-A carpal spasm elicited by compression of the
upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign?
- correct answer-A hemifacial tic that is induced by tapping the
facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign?
- correct answer-An upward response (extension) of the hallux
when the sole of the foot is stimulated with a blunt instrument.
Can identify spinal cord disease in adults.
What is Romberg's sign?
- correct answer-Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the
cerebellum.
What is Homan's sign?
- correct answer-pain on passive dorsiflexion of ankle, associated
with DVT.
What is the clinical presentation of Good pasture's syndrome?
2
