CNUR 204 midterm exam questions with
correct answers
List 4 complications of the respiratory system associated with morbid
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obesity. - CORRECT ANSWER✔✔-Sleep apnea, hypoventilation, reduced
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chest wall compliance, increased work of breathing, diminished lung
| | | | | | | | |
function, functional resistance.
| |
Discuss the hormone Leptin. What alteration does it undergo in morbid
| | | | | | | | | | |
obesity? - CORRECT ANSWER✔✔-Suppresses appetite and hunger,
| | | | | | |
increases energy expenditure, and regulates eating behavior. In obesity,
| | | | | | | | |
leptin levels are significantly increased. This results in high resistance to
| | | | | | | | | | |
changes in leptin hormone levels. Subsequent loss of appetite
| | | | | | | | |
suppression.
List 3 clinical manifestations of polycystic ovarian syndrome. - CORRECT
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ANSWER✔✔-Irregular menstrual cycle, dysfunctional uterine bleeding, | | | | | |
infertility, obesity, acne, male pattern baldness, excessive body hair.
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Identify 3 causes of Cushing's syndrome. - CORRECT ANSWER✔✔-
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Prolonged use of high dosage corticosteroids, ACTH secreting pituitary
| | | | | | | | |
tumors, cortisol-secreting neoplasms, excessive secretion of ACTH from
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carcinoma of lung. | |
,What is Myxedema? What are the clinical manifestations associated
| | | | | | | | |
with it? - CORRECT ANSWER✔✔-Extreme complication of
| | | | | | |
hypothyroidism that leads to extreme manifestations. CM: Mental | | | | | | | |
sluggishness, lethargy, impaired consciousness/coma, abnormal
| | | | |
temperature, hypotension, hypoventilation, facial puffiness.
| | | |
List 3 causes of hyperthyroidism. - CORRECT ANSWER✔✔-Autoimmune
| | | | | | | |
disease marked by diffuse thyroid enlargement, excessive thyroid
| | | | | | | |
hormone secretion, thyroiditis, iodine excess, long term/poorly
| | | | | | |
regulated hypothyroid treatment, tumors/cancer.
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Describe the nursing care associated with hyperthyroidism. - CORRECT
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ANSWER✔✔-•Subjective data collection, thyroid assessment, patient | | | | | |
teaching, medication administration, monitor for dysrhythmias, apply
| | | | | | |
supplemental oxygen if needed, IV therapy, promote rest, decrease
| | | | | | | | |
external stressors, pre/post-operative care.
| | |
List 4 strategies to prevent patient falls. - CORRECT ANSWER✔✔-
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Remove all environmental clutter, ensure home is well lit, correct usage
| | | | | | | | | | |
of assistance devices, ensuring assistance devices are nearby, well-fitting
| | | | | | | |
shoes and clothing, understand the effects and usage of medications,
| | | | | | | | | | |
teaching pathophysiology of disease processes, regular vision checks.
| | | | | | |
, Perform a focused assessment of the upper and lower extremities using
| | | | | | | | | | |
the techniques of inspection and palpation. - CORRECT ANSWER✔✔-
| | | | | | | |
Inspection: overall appearance, size and contour of joints, skin, tissues
| | | | | | | | | |
over muscle/bone/joints, masses, deformities.-Palpation: palpate each
| | | | | |
joint, bone and muscle grouping. Detect any heat, tenderness, swelling,
| | | | | | | | | |
masses, deformities. |
Name 3 potential complications following a fracture. - CORRECT
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ANSWER✔✔-Compartment syndrome, fat emboli, pulmonary emboli, | | | | | |
infection, VTE (DVT), deformity, pain. | | | |
Name the 6 P's of compartment syndrome. Which 2 are late signs? -
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CORRECT ANSWER✔✔-Pain (Unrelenting &distal to the injury & does
| | | | | | | | |
not respond to pain medication), Paresthesia (Numbness and Tingling),
| | | | | | | | |
Pallor, Pressure, Paralysis, Pulselessness. Paralysis and pulselessness are
| | | | | | | |
late signs.
|
Your patient has a confirmed complication of compartment syndrome.
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List 4 interventions the nurse will implement and/or anticipate. -
| | | | | | | | | |
CORRECT ANSWER✔✔-Leave extremity flat (never above heart level),
| | | | | | | |
do not ice or cool extremity, remove or split cast/Loosen bandage,
| | | | | | | | | | |
reduce or discontinue traction, analgesia/sedation/comfort, surgical
| | | | | |
decompression (fasciotomy) may be required, possible amputation. | | | | | |
correct answers
List 4 complications of the respiratory system associated with morbid
| | | | | | | | | |
obesity. - CORRECT ANSWER✔✔-Sleep apnea, hypoventilation, reduced
| | | | | | |
chest wall compliance, increased work of breathing, diminished lung
| | | | | | | | |
function, functional resistance.
| |
Discuss the hormone Leptin. What alteration does it undergo in morbid
| | | | | | | | | | |
obesity? - CORRECT ANSWER✔✔-Suppresses appetite and hunger,
| | | | | | |
increases energy expenditure, and regulates eating behavior. In obesity,
| | | | | | | | |
leptin levels are significantly increased. This results in high resistance to
| | | | | | | | | | |
changes in leptin hormone levels. Subsequent loss of appetite
| | | | | | | | |
suppression.
List 3 clinical manifestations of polycystic ovarian syndrome. - CORRECT
| | | | | | | | | |
ANSWER✔✔-Irregular menstrual cycle, dysfunctional uterine bleeding, | | | | | |
infertility, obesity, acne, male pattern baldness, excessive body hair.
| | | | | | | |
Identify 3 causes of Cushing's syndrome. - CORRECT ANSWER✔✔-
| | | | | | | |
Prolonged use of high dosage corticosteroids, ACTH secreting pituitary
| | | | | | | | |
tumors, cortisol-secreting neoplasms, excessive secretion of ACTH from
| | | | | | | |
carcinoma of lung. | |
,What is Myxedema? What are the clinical manifestations associated
| | | | | | | | |
with it? - CORRECT ANSWER✔✔-Extreme complication of
| | | | | | |
hypothyroidism that leads to extreme manifestations. CM: Mental | | | | | | | |
sluggishness, lethargy, impaired consciousness/coma, abnormal
| | | | |
temperature, hypotension, hypoventilation, facial puffiness.
| | | |
List 3 causes of hyperthyroidism. - CORRECT ANSWER✔✔-Autoimmune
| | | | | | | |
disease marked by diffuse thyroid enlargement, excessive thyroid
| | | | | | | |
hormone secretion, thyroiditis, iodine excess, long term/poorly
| | | | | | |
regulated hypothyroid treatment, tumors/cancer.
| | |
Describe the nursing care associated with hyperthyroidism. - CORRECT
| | | | | | | | |
ANSWER✔✔-•Subjective data collection, thyroid assessment, patient | | | | | |
teaching, medication administration, monitor for dysrhythmias, apply
| | | | | | |
supplemental oxygen if needed, IV therapy, promote rest, decrease
| | | | | | | | |
external stressors, pre/post-operative care.
| | |
List 4 strategies to prevent patient falls. - CORRECT ANSWER✔✔-
| | | | | | | | |
Remove all environmental clutter, ensure home is well lit, correct usage
| | | | | | | | | | |
of assistance devices, ensuring assistance devices are nearby, well-fitting
| | | | | | | |
shoes and clothing, understand the effects and usage of medications,
| | | | | | | | | | |
teaching pathophysiology of disease processes, regular vision checks.
| | | | | | |
, Perform a focused assessment of the upper and lower extremities using
| | | | | | | | | | |
the techniques of inspection and palpation. - CORRECT ANSWER✔✔-
| | | | | | | |
Inspection: overall appearance, size and contour of joints, skin, tissues
| | | | | | | | | |
over muscle/bone/joints, masses, deformities.-Palpation: palpate each
| | | | | |
joint, bone and muscle grouping. Detect any heat, tenderness, swelling,
| | | | | | | | | |
masses, deformities. |
Name 3 potential complications following a fracture. - CORRECT
| | | | | | | | |
ANSWER✔✔-Compartment syndrome, fat emboli, pulmonary emboli, | | | | | |
infection, VTE (DVT), deformity, pain. | | | |
Name the 6 P's of compartment syndrome. Which 2 are late signs? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Pain (Unrelenting &distal to the injury & does
| | | | | | | | |
not respond to pain medication), Paresthesia (Numbness and Tingling),
| | | | | | | | |
Pallor, Pressure, Paralysis, Pulselessness. Paralysis and pulselessness are
| | | | | | | |
late signs.
|
Your patient has a confirmed complication of compartment syndrome.
| | | | | | | | |
List 4 interventions the nurse will implement and/or anticipate. -
| | | | | | | | | |
CORRECT ANSWER✔✔-Leave extremity flat (never above heart level),
| | | | | | | |
do not ice or cool extremity, remove or split cast/Loosen bandage,
| | | | | | | | | | |
reduce or discontinue traction, analgesia/sedation/comfort, surgical
| | | | | |
decompression (fasciotomy) may be required, possible amputation. | | | | | |
