NURB 345 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
What term describes backflow of blood due to flabby heart
valves?
Regurgitation
Which blood product is given for significant blood loss?
Packed red blood cells (PRBCs)
What is the normal range for potassium?
3.5-5.0 mEq/L
Which electrolyte must be monitored closely in DKA?
Potassium
What does hyperkalemia do to the heart?
Causes dysrhythmias
What insulin is cloudy and intermediate-acting?
NPH
What is the peak effect time of NPH insulin?
6-8 hours
What endocrine gland regulates calcium?
Parathyroid
What is the hallmark symptom of hyperparathyroidism?
Hypercalcemia
,What is the antidote for hyperkalemia using insulin?
Administer insulin with D50
Which heart rhythm has a regularly irregular pattern?
Sinus arrhythmia
Which rhythm is characterized by no identifiable P waves?
Atrial fibrillation
Which blood lab is expected to be elevated in dehydration?
Blood Urea Nitrogen (BUN)
Which IV solution is best for hypovolemic shock?
Lactated Ringer's (LR)
What complication results from untreated hyperkalemia?
Ventricular fibrillation
What is the therapeutic communication technique to gather more
information?
"Tell me more about that."
What is inappropriate therapeutic communication?
Giving advice
What IV complication has signs of sudden SOB and chest pain?
Air embolism
In respiratory alkalosis, what happens to CO₂ levels?
Decrease
, What clinical manifestation is most concerning in
hyponatremia?
Seizures
What condition causes low albumin and severe edema?
Nephrotic syndrome
What chest tube emergency requires covering with a 3-sided
dressing?
Chest tube dislodgement
What is a common sign of fluid overload on physical exam?
Crackles (rales)
What does a positive Trousseau's sign indicate?
Hypocalcemia
What is the key sign of hyperthyroidism on cardiovascular
assessment?
Tachycardia
What is the primary concern with Addison's disease during
stress?
Addisonian crisis
In diabetes insipidus (neurogenic), what hormone is deficient?
Antidiuretic hormone (ADH)
What urinalysis finding suggests infection?
Positive nitrites
COMPLETE SOLUTIONS
What term describes backflow of blood due to flabby heart
valves?
Regurgitation
Which blood product is given for significant blood loss?
Packed red blood cells (PRBCs)
What is the normal range for potassium?
3.5-5.0 mEq/L
Which electrolyte must be monitored closely in DKA?
Potassium
What does hyperkalemia do to the heart?
Causes dysrhythmias
What insulin is cloudy and intermediate-acting?
NPH
What is the peak effect time of NPH insulin?
6-8 hours
What endocrine gland regulates calcium?
Parathyroid
What is the hallmark symptom of hyperparathyroidism?
Hypercalcemia
,What is the antidote for hyperkalemia using insulin?
Administer insulin with D50
Which heart rhythm has a regularly irregular pattern?
Sinus arrhythmia
Which rhythm is characterized by no identifiable P waves?
Atrial fibrillation
Which blood lab is expected to be elevated in dehydration?
Blood Urea Nitrogen (BUN)
Which IV solution is best for hypovolemic shock?
Lactated Ringer's (LR)
What complication results from untreated hyperkalemia?
Ventricular fibrillation
What is the therapeutic communication technique to gather more
information?
"Tell me more about that."
What is inappropriate therapeutic communication?
Giving advice
What IV complication has signs of sudden SOB and chest pain?
Air embolism
In respiratory alkalosis, what happens to CO₂ levels?
Decrease
, What clinical manifestation is most concerning in
hyponatremia?
Seizures
What condition causes low albumin and severe edema?
Nephrotic syndrome
What chest tube emergency requires covering with a 3-sided
dressing?
Chest tube dislodgement
What is a common sign of fluid overload on physical exam?
Crackles (rales)
What does a positive Trousseau's sign indicate?
Hypocalcemia
What is the key sign of hyperthyroidism on cardiovascular
assessment?
Tachycardia
What is the primary concern with Addison's disease during
stress?
Addisonian crisis
In diabetes insipidus (neurogenic), what hormone is deficient?
Antidiuretic hormone (ADH)
What urinalysis finding suggests infection?
Positive nitrites
